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Flashcards in Ch 7 Pain Deck (49)
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1

How do we deal with pain?

we assess and treat all patients

2

What is this:
sudden onset
short duration
associated w/ injury?

acute pain

3

What does acute pain travel on?

a-delta fibers

4

What fibers send sharp pain info, have quick transmission, large fibers, and are myelinated?

a-delta fibers

5

What is this:
persistent pain greater than 6 months and associated with long disease processes.

chronic pain

6

What does chronic pain travel on?

C-polymodal fibers

7

What fibers send dull pain info, have slow transmission, small fibers and are unmyelinated?

C-fibers

8

What does bradykinin, substance P, prostaglandins, leukotriens, seritonine, histamine and catecholamines do in terms of pain?

help move pain impulse from pain receptors to dorsal horn up to the anterolateral spinothalamic tract up to the cerebral cortex

9

Do neonates feel pain?

yes, process pain early in life

10

In neonates, how does pain travel?

typically on C-fibers w/ short transmission distance and inability to process pain resulting in increased sensitivity to pain stimulus, due to developmental immaturity

11

Who are more likely to be more sensitive to pain, preterm and full term newborns, or infants and children.

preterm and newborns

12

Why might pregnant women experience back pain?

lax ligaments, weight gain, anterior tilt of pelvis, hyperlordosis

13

Why might pregnant women experience epigastric pain?

gravid uterus

14

What kind of pain might pregnant women feel if their ligaments are stretched due to enlarged uterus?

round ligament pain

15

What are the causes of labor pain?

dilation of cervix
stretching of uterus
pressure on structures
hypoxia of uterine muscle cells

16

Do older adults have diminished perception of pain?

no evidence to support this

17

What kind of pain do elderly feel?

osteoporosis, arthritis, diabetic neuropathy, fractures

18

Why dont the elderly tell people they are hurting?

stigmas
(think its normal part of aging, dont want to bother you, dont want to pay for tests, dont want to take meds)

19

If elderly individual is cognitively impaired how do you assess pain?

ask family member, use nonverbal pain indicators, ask them

20

What takes precedent, subjective or objective pain assessment?

SUBJECTIVE!

21

How do you rate a patients pain?

you ask them, then you make that level of pain the gold standard for that patient to compare against for other visits

22

What is the fifth vital sign?
Why is it so important?

pain
can assess tissue damage, assess emotional state of mind, and pathophysiological effect of pain on body

23

How to choose the correct pain scale?

continuity is key

24

If you have large change in vital signs what kind of pain are you showing?
few changes?

acute
chronic

25

What are some behavioral signs of pain?

distorted face
inability to sit still
clenched eyes
silence in a talkative patient
groaning

26

What kind of pain is this associated with:
tender, deep, aching

bone and soft tissue pain

27

What kind of pain is this:
heavy, throbbing, and aching pain

tumor pressing on a cavity

28

What kind of pain is this:
burning, shocklike

nerve tissue damage

29

What is this a sign of:
clenched fist over chest with diaphoresis and grimacing

myocardial infarction

30

What is this a sign of:
cramping or spasm

visceral or colic pain