Pain Flashcards

(62 cards)

1
Q

Type of neuropathic pain, in response to a non-painful stimuli (Ex. brain freeze)

A

Allodynia Pain

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2
Q

Pain that is not responding to treatment; cannot take it away.

A

Intractable Pain

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3
Q

Pain receptors are gone, but pain is still there. (Ex. Amputation)

A

Phantom Pain

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4
Q

Sympathetic and Parasympathetic pain; changes within the body,

A

Physiologic Response to Pain

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5
Q

Pain response related to our behaviors (Ex. Grimaces)

A

Behavioral Response to Pain

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6
Q

Pain response related to our emotions

A

Affective Response to Pain

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7
Q

MAKE SURE YOU REVIEW BANDAGING, CHELSI!

A

SERIOUSLY, DO IT.

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8
Q

Factors affecting Pain Reception?

A
Cultural and ethical variables
Family, gender, and age
Religious beliefs
Environment and support
Anxiety and stress
Past pain experience
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9
Q

Parasympathetic pain is….

A

severe to deep (nausea, vomiting, pass out)

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10
Q

Sympathetic pain is…

A

Superficial, moderate.

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11
Q

With parasympathetic, almost everything is decreasing, but the _______ is increasing.

A

Breathing

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12
Q

Behavioral responses are…

A

Voluntary

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13
Q

Exaggerated crying, withdrawal from activities, internalizing pain, anxiety, depression, fear.

A

Affective Response to Pain

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14
Q

If person verbalizes that they are in pain, we have them…

A

Rank their pain from 1-10

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15
Q

Duration of pain

A

How long does the pain last?

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16
Q

Location of pain

A

Where the pain is. May be hard for person to pinpoint location.

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17
Q

Quantity of pain

A

Pain level 1-10

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18
Q

Quality of pain

A

Is is sharp? Is it stabbing? Description of pain

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19
Q

Chronology of Pain

A

When did it start? What is it related to? How has it progressed?

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20
Q

Aggravating factors

A

What makes the pain worse? Stimuli.

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21
Q

Alleviating factors

A

What makes the pain better? What gives relief?

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22
Q

Physiologic indicators of pain

A

Sympathetic + parasympathetic response

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23
Q

PQRST

A
Provokes
Quality 
Radiate (location)
Severity
Timing
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24
Q

Morphine, hydrocodone, delatid, controlled substances

A

Opioids

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25
Opioids can reduce...
heart rate and respiratory rate
26
Tylenol, ibuprofen, motrin, advil, over the counter.
Nonopioids
27
Medications that don't treat pain directly, but treat source of pain.
Adjuvant Medications.
28
Steroids, Antidepressants, Anticonvulsants
Adjuvant Medications
29
When we stop medication, we go through withdrawal.
Physical dependence.
30
We need more medication to get the same affect.
Tolerance
31
Compulsive abuse of medication.
Addiction
32
Distraction, humor, music therapy, guided imagery, hypnosis, acupuncture, relaxation, therapeutic touch.
Alternative methods to pain
33
Learning your individual triggers to pain, pain precursors.
Biofeedback
34
Electrical nerve stimulation
Cutaneous stimulation
35
4 Processes of Pain
1) transduction 2) transmission 3) perception 4) modulation
36
the activation of pain receptors
Transduction
37
the ability to feel painful stimuli
Nociceptors
38
convey diffuse, visceral pain that is often described as burning and aching.
C-Fibers
39
transmit acute, well localized pain
A-Delta Fibers
40
peripheral nerve fibers that transmit pain from somatic and visceral sites (pain receptors)
Nocioreceptors
41
the amount of stimuli we need in order to have a response
Pain Threshhold
42
conduction of pain sensations from the area of injury to the spinal cord and higher centers within the brain
Transmission
43
the process by which the sensation of pain is inhibited or modified. (way that we can deal/manage the pain within the body)
Modulation
44
endogenous opioid compounds (they are naturally present in the body)
Neuromodulators
45
pharmaceutical agent used to relieve pain
Analgesic
46
An opioid neuromodulator produced at neural synapses at various points along the CNS. Prolonged analgesic effects.
Endorphins
47
most potent analgesic effect
Dynorphin
48
A way that our body can block off severe pain. Large diameter nerves block the transmission of small nerve fibers impulses to the brain to block the pain.
Gate Control Theory
49
sharp pain, preventative in nature because it warns person of tissue damage. After underlying cause is resolved and healing occurs acute pain should disappear.
Acute pain
50
long term pain, no specific time period, lasts beyond normal healing period. May be hard to identify and treat. Can lead to mood changes, irritability and depression.
Chronic Pain
51
when the disease is present but the person does not experience symptoms
Remission
52
Symptoms of disease reappear
Exacerbation
53
termed with cancer or other progressive disorders, pain that progresses with issues
Chronic Malignant Pain
54
pain associated with the injury that is non progressive or is completely healed
Chronic Nonmalignant Pain
55
something that is created in the mind. It's subjective pain--there are no physical signs that the person is/is not in pain.
Psychogenic Pain
56
pain of the skin/subcutaneous tissue. Ex. paper cut that produces sharp pain with burning sensation.
Cutaneous (superficial) Pain
57
Is diffuse or scattered and originates in tendons, ligaments, bones blood vessels and nerves. Ex, strong pressure on a bone or damage to tissue that occurs with a sprain causes deep somatic pain.
Somatic Pain
58
Poorly localized and originates in the body organs in the thorax, cranium and abdomen. This pain occurs as organs stretch abnormally and become distended. Ex. Appendicitis.
Visceral Pain
59
Pain can originate in one part of the body but be perceived in an area distant from it's point of origin.
Referred Pain
60
Dealing with the nerve innervation, it can be hard to treat because we may not be able to pin point the exact cause of the pain. Example heart attack-person feels pain in their left arm but is really experiencing a heart attack.
Referred Pain
61
refers to the normal process that results in noxious stimuli being perceived as painful.
Nociceptive Pain
62
a characteristic feature of neuropathic pain, is pain that occurs after a weak or non-painful stimuli, such as a light touch or a cold drink, which normally should not cause pain.
Allodynia Pain