Comfort, Sleep, and Pain Flashcards
(54 cards)
acute pain
(Protective)
Short duration, limited damage, and emotional response.
chronic pain
Not protective, dramatic effect on a persons quality of life. (Prolonged) , varies in intensity, usually 6 months or longer.
Identify the physiological factors that influence pain
age, fatigue, genes, neurological function
Identify social factors that can influence pain
Attention
Previous experiences
Family and social support
Spiritual factors
Identify psychological factors that influence pain
- anxiety
- coping style
Identify cultural factors that can influence pain
- pain expression
- how one adapts to it
Common characteristics of pain and how that nurse would assess
- timing (onset, duration, and pattern) how often? Does it occur at the same time each day)
- location (describe all area of discomfort to assess pain location.)
- severity (most subjective and most useful. painscale.
4. Aggravating and precipitating factors: factors that aggravate pain. Describe activities that do so. - relief (ask the patient what helps them relieve pain (pacing, rocking, rubbing, eating, meds)
- quality- the way patients describe their pain
- vocilizations
- facial expressions
- body movement
- social interaction
Relaxation
Mental and physical freedom from tension of stress (self control) ex: yoga, meditation, zen)
Distraction
Excessive sensory input (became unaware of pain)
*singing, praying, playing games)
Music
Useful in treating acute or chronic pain, stress, anxiety and depression
Cutaneous stimulation
Massage, warm bath, cold application, reduces pain.
Herbals
Herbals/dietary supplements
Reducing pain perception
Ex: patient is constipated, administer laxative.
Barriers to pain management
Patient, health care provider, and health care system
Patient
Fear of addiction, worry about side effects, fear of tolerance, fear of injections
Health care provider
Inadequate pain assessment, skills, opiophobia, (fear of opioids), fear of legal repercussions
Health care system
Concern with creating “addicts’, difficulty in filling prescriptions, lack of money, mail-order, pharmacy restrictions
Sleep
Cyclical process that alternates with longer periods of wakefulness.
Circadian rhythm
Influences the pattern of major biological and behavioral functions
Biological clock
Synchronizes sleep cycle
NREM
Sleep that progresses through four stages (light to deep)
REM
Rapid eye movement phase at the end of each sleep cycle.
dreams
More vivid and elaborate during R.E.M. Sleep and are functionally important to learning
Nocturia
Urination during the night cycle, which disrupts sleep.
