Flashcards in Pain Deck (19):
What are the biochemical mediators of pain?
5. substance p
What is nociceptive pain?
1. caused by stimulation of peripheral nerve fibers
2. divided into visceral, deep somatic, and superficial somatic pain
What causes muscle pain?
1. Lactic acid levels
Treatment for muscle pain
2. muscle relaxers
3. heating pads
What is fibromyaligia pain?
1. chronic widespread pain and allodynia (heightened and painful response to pressure)
What meds tx fibramyalgia?
What are neuropathic pain features?
1. burning, tingling, numbness, "pins and needles"
2. somatosensory pain
What diseases may be associated with neuropathic pain?
1. spinal disorders
3. herpes zoster
Treatment for neuropathic pain
4. antidepressants or narcotics
What is visceral pain?
1. vague, diffuse, and poorly defined sensation
What is most common presenting symptom for visceral pain?
chest pain, tightness, pressure, or squeezing
Considerations in pain assessment and management
1. cultural differences
2. individuals are different
3. biases and myths
4. recognize the cost of failure to treat pain
T/F drug abusers and alcoholics overreact to pain
F they are actually more truthful since inhibitions are lowered
T/F clients with minor illness have less pain
F for that patient, the experience could be major depending on previous experience
T/F giving analgesic regularly will start drug dependency
F studies show only 3% of patients develop true addiction
T/F amount of damage dictrates pain intensity
F minor injuries may cause bad pain
T/F psychogenic pain is not real
F in that patient's mind, the pain is real
T/F health care personnel know best the nature of patient's pain
F patient knows best