Pain and comfort Flashcards
(21 cards)
acute vs. Chronic pain
Acute < 3 months
Chronic > 3 months
What type of pain is easy to distinguish where injury is?
Somatic - skin tissue membranes (easy)
Visceral (internal organs) = poorly localized injury or stretching of organs
what is neuropathic pain? examples:
damage to autonomic motor, and or sensory
- burning, tingling, stinging, numbness, shooting
what is centrally generated pain vs. peripherally generated pain?
centrally (from brain) - phantom limb pain
peripherally - specific damage to peripheral nerves like diabetes
what is mixed pain syndrome?
ex: tumor in the back causing pinching
using nocireceptors (on skin) , and neuropathic pain from pintching
Who would be at risk for pain?
Any acute or traumatic injuries
procedures
chronic conditions
what is the population at risk for pain
infants
children
adults and older adults
who would you assess a child for pain?
you would use the face scale for people younger than 7 years old
When would you use a 1-10 pain scale?
coherent, able to understand you, kids older then 7 years old
what are the consequences of untreated pain? endocrine/ metabolic imbalance?
weight loss, diabetes, fluid overload
what are the consequences of untreated pain? cardiovascular?
hypertension, tachycardia, angina, stable angina, DVT, MI
what are the consequences of untreated pain? respiratory?
increased RR pnemonia,
what are the consequences of untreated pain? genitourinary?
urinary retention, electrolyte imbalance
what are the consequences of untreated pain? gastrointestinal?
appetite loss, anorexia, constipation,
what are the consequences of untreated pain? musculoskeletal?
decreased mobility, fatigue, weakness
what are the consequences of untreated pain? neurological ?
confusion, inability to reason
what are the consequences of untreated pain? immune system?
prolonged stress response, infection, decreased immune system
What is the Flacc scale used for?
inflants/ patients that are unresponsive/ not able to communicate
what are non pharmacological interventions?
reposition, Heat or ice, splinting, distraction, oils, laughter
What does cold therapy do?
decreased metabolic demand,
constrics
decrease nerve conduction (numbness)
reduces permiability
what does heat therapy?
increased vaso dialation,
promotes relaxation, and decreased inflammation.