MOD 5 - COURSE 2 - PT 1 - PAIN AND DISTRESS ASSESSMENT Flashcards

(43 cards)

1
Q

What alters the pain and discomfort experienced by aniamsl

A
  • internal metnal statis - subjective
  • influence by emotions
  • altered by - anxiety
  • memories of prev discomfort
  • social rank
  • other stimuli
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2
Q

whats a behavioural assessment

A
  • assess change in bahevious to assess pain
  • deviation of aniamls normal behaviour
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3
Q

what behaviour of animals can be measured

A

posture
actions
activity

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4
Q

what levels of details can be llooked at fr ehavioural assessment

A
  • msucle tone
  • ontractions
    -position - movements of parts of body
  • movement of whole aniamls
  • interaction of aniamls with environemtn and other animals
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5
Q

what should be assessed to evalulate the aniamsl behavioural response to pain or distress

A
  • impact of normal behaviour
  • incidence of pain specific behaviour
  • evoked behaviour
  • behaviour in response to anaglesic treatment
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6
Q

what are some of the main difference of pain on normal behaviour

A
  • gait and locomotion
  • patterns of normal behvaiour
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7
Q

how can pain affect gait and locomotion

A
  • pain = modify gait of animal
    -locomotion and distance travelled = decreased -(rodents and acute pain)
  • restlessness can increase
  • imobility and increase in sleepiness = general sign in severe cases
  • increased moevement = shouldnt be taken as no pain in every situation
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8
Q

what are some patterns of normal behaviour that should be observed

A

feeding
exploration
- grooming
- nest building
– scoial interactions
- sleep (negatively influence in pain)

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9
Q

how do observation of activit need to references by what understanding factors

A
  • specific specific behaviour
  • pain chronicity
  • periodicity
  • drug treatment
  • willingness to demonstarte behaviour with observer
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10
Q

how can feeding bahviours change for pain assessment

A
  • acute and chronic pain - lead to lower body weight gain
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11
Q

how does grooming indicate pain

A
  • non specific indicator - of well being - decrease grooming - abnormal fur or feathe rmaintenance
  • pilerection and soiled coat - indicators of generalized illness in rodents
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12
Q

how can social behaviour change in pain and illness

A
  • interaction with cage mate s= decreased
  • scoaul isolation - lack of play and sexual activity = evident
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13
Q

what are some catagories of pain specific behaviours

A
  • facial expressions
  • vocalisation
  • abnormal postures
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14
Q

how might aniamls with pain in head region react with pain specific activities

A
  • twitch ears or shake head
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15
Q

how might aniamls with pain in tail region react with pain specific activities

A
  • truning to tail or scratch tail on floor
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16
Q

how might aniamls with pain in visceral region react with pain specific activities

A

arching back and stretches

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17
Q

how might aniamls with neuropathic pain conditions react with pain specific activities

A

excessive grooming, automony of affected body partss

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18
Q

whats the issue with using pain location specific activities to measure if aniaml in pain

A
  • occur too infrequently - to be observed i.e. in nocturnal aniamls
19
Q

what are the 5 pain expression proposed of indicating pain

A
  • ear position - ears being pulled aprat and back from baseline positions - features verticle ridges - owing to tips of ears being drawn back
    -orbital tightening - narrowing of orbital area - tightly closed eyelidor eye squeeze
  • nose bulge - rounded extension of skin visible on bridge of nose
  • cheek bulde - convex appearance of cheek - msucle between eye and whiskers - from baseline position
  • whisker direction change - change movemnet of whiskers form baseline either backwars against facr or forwar - standing on end, or clumped togteher
20
Q

-how can vocalisation by a characterisation of pain

A
  • spontaneous vocalisation - assumed universal pain symptom - can be species specific - even individual characterisitic
  • undetectable if noisy
  • undetecable - out of human hearing i.e. mouse or rat
21
Q

what are examples of postures that could indicate pain

A
  • writhing
  • hunching
  • inability to lie down #- inability to roll into sternal recumbency
  • stiffness
  • walking on toes
  • inability to hold tail up
22
Q

what postural behaviours = often seen after abdo and thoracic surgery

A
  • increase tone of abdo msucles - splinting, breath holding, shallow respiration
23
Q

what are specific rat bhaviours after laparotomy in immediate post op period

A
  • twitching of back and flank
  • stagger/fall
  • back arching and adbominal writhing
24
Q

whats an evoked behavioural assessment

A
  • aniamls response to standard stimuli - if ill or in pain fail to respons to approach
25
if in pain how might an animal response tp evoke behaviour assessment
- less tolerant to any approach i.e. hanfdling
26
how might an animals evoked behavioural response be changed
- posture - vocalisation - struggling - attack - ALSO may NOT move if too painful
27
how do you do assessment of behaviour in response to anaglesia treament
- observe normal return behvaiour - cessation of abnormal behaviour - response to anaglesic admin - convice indication that pain = present when it was observedw
28
hats an important thing to note when using anaglesic treatment to assess if animal = in [ain
- some analesic - cause behavioural affects - activity levels - suppressed in postanaesethic period - opiods - cause increase acitivty in certain strains - mice, rat, hourse and sedation in others
29
what are the 2 main systemed involved in the physiological reposne to pain
sympatho-adrenal SA system - hypothalamic-pituitary - adrenal system
30
whats the sympatho-adrenal system a part of what nervous system
- autonomic NS
31
whats the function of the sympatho-adrenal system
- regulated involuntary function of internal organs i.e. Heart beat , respiration, digestion
32
how does teh symaptho-adrenal system control these function - what nuerotransmitter
adrenaline and nor adrenaline
33
therefore how can the activity of the sympatho-adrenal system be measured to assess for stress/pain
- tak serial samples - measure concentraiton of hormone (adrenaline and noradrenalin) - monitor body control fucntion i.e. HR, blood presure, diameter of pupils, piloerection
34
how does stress use the autonomic nervous system to effect the animals
- increase heart and respiraotyr rate, blood pressures
35
how is measures pain/stress using symphatheo-adrenal system aflawed system
- measurment s- requires contact wiht anaimsl - could be stressful - actual direction - physiolofic parameters - vary in response to pain - not absolute - influecned by prescence of anaesthic adn anglesis drugs
36
whats the hypothlamic-pituritary adrenal system
part of neuroendocrine system - controls reaction to stress -r egulates key body processes - digestion immune system, mood, emothionsh
37
what are the key hormones used by teh HPA axis to regulate reponse to stress
corticotropin release hormone - adrenocorticotropic hormone - coritsol/ coricosterone hormone
38
describe the HPA axis
- the hypothalamus - releases corticotropic release hormone - activated anterior pituritart - this release andenocoritcotropic hormon - which activates hte adrenal cortex - this releases cortisol - which reduced hypothalamus and anterior pituorty - negative feedback
39
what are some substances other than corticosteroids which are measured to find useful indicies of pain
- acute phase proteins - plasma enzymes - bradykinin an dporostaglandins or substance P
40
how does acut epahse proteins indicate pain?
- produced by liver - in response to infection, inflammations tissue damage, starvationsand stress - importance varies with specieis
41
what are some examples of acute pahse proteins
fibrinogen, haptoglobin, serum amyloid
42
what are plasma enzyme and why do they indicate pain
- small amounts of enayme - normally presnet however enzymes leakfrom damaged organs - and therefor etheir activity in blood increases - however not established as direct link with pain
43
what is ane examples of plasma enzymes
creatine kinase - if muscle or liver damaged