Pain Flashcards

(31 cards)

1
Q

pain threshold

A

point where the stimuli causes pain

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2
Q

pain tolerance

A

how much of a stimuli is willing to accept

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3
Q

3 factors that influence pain

A

social, biological, psychological

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4
Q

acute vs. chronic pain

A

acute: anticipated end; less than 6 months
chronic: constant/recurring; lasts longer than 6 months

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5
Q

nociceptive vs. neuropathic pain

A

nociceptive: pain from tissue, organ, damaged part of body
neuropathic pain: from somatosensory system; nerve pain, no tissue damage

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6
Q

cancer pain

A

tumor, bone, treatment-associated pains

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7
Q

malpractice

A

negligent act performed by a professional

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8
Q

negligence

A

failing to perfom in a reasonable manner; anyone

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9
Q

beneficence

A

doing good and acting in the best interest of the client

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10
Q

nonmaleficence

A

doing no or least amount of harm to the client, while trying to achieve the best outcome

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11
Q

justice

A

treating all clients fairly and equally

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12
Q

morality

A

sense of right and wrong or their personal values

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13
Q

OPQRST mnemonic

A

Onset
Precipitating cause
Quality
Region
Severity
Timing

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14
Q

Wong-Baker Faces pain rating scale

A

faces, words, numbers for children ages 3 and older

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15
Q

what does the FLACC scale stand for?
what is it used for?

A

face, legs, activity, cry, consolability scale
used for children 2 months - 7 years and cognitively disabled

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16
Q

how is FLACC scale used

A

observe for 1-5mins if awake, and 5 or more mins if asleep; rate from 0 (relaxed) to 2 (worst);
total score from 0-10

17
Q

what does the CRIES scale stand for?
what is it used for?

A

crying, requires oxygen, increased vital signs, expression, sleeplessness;
infants who were born at 38wks of gestation or greater or cognitively disabled individuals

18
Q

how is CRIES scale used

A

scored 0-2 for each category
total score from 0-10
greater than 4 -> further pain assessment should be completed
greater than 6 -> analgesics administered

19
Q

CRIES scale oxygen 1 vs 2

A

1: less than 30% O2 required
2: more than 30% O2 required

20
Q

CRIES scale bp and hr 1 vs 2

A

1: increased less than 20% of baseline
2: increased more than 20% over baseline

21
Q

CRIES scale expression 1 vs 2

A

1: grimace present
2: grimace and non-cry vocalization grunt

22
Q

CRIES scale sleeplessness 1 vs 2

A

1: awakened at frequent intervals
2: awake constantly

23
Q

what does the nonverbal pain scale (NVPS) include

A

face, activity, guarding, physiologic I (vital signs), physiologic II(RR)

24
Q

NVPS vs. R-NVPS

A

revised switched physiologic II with respiratory

25
cutaneous stimulation
heat/cold therapy, massage, accupuncture, acupressure, transcutaneous electronic stimulation (TENS)
26
3 types of opioids
natural, semisynthetic, synthetic
27
natural opioids
codeine, morphine
28
semisynthetic opiods
heroin, hydrocodone, oxycodone, hydromorphone
29
synthetic opiods
fentanyl, fentanyl analogs, tramadol
30
adjuvant analgesics
make opioids work better - antidepressants, anticonvulsants, corticosteroids, bisphosphates
31
SBIRT mnemonic for opioid addiction screening
Screening Brief Intervention Referral to Treatment