pain managment

Question 1

pain can be both ______ and _______

Answer 1

physical and emotional

Question 2

is pain the same for everyone

Answer 2

no

Question 3

the 4 steps of pain

Answer 3

transduction
transmission
modulation
perception

Question 4

what is transduction

Answer 4

the site of pain

Question 5

what is transmission in pain

Answer 5

transmitting the signal of pain to spinal cord

Question 6

what is modulation

Answer 6

input to the spinal cord and from the brain

Question 7

what is perception in pain

Answer 7

recognition

Question 8

factors that can affect pain

Answer 8

development
phycological
cultural and religious
social and environment
past experiences

Question 9

what are the four key pain theories called

Answer 9

specificity
sensory interaction
gate control
neuromatrix

Question 10

acute pain

Answer 10

sudden or slow onset from mild to sever pain with predictable end, less than 6 months

Question 11

chronic pain

Answer 11

sudden or slow onset from mild to sever, not predictable lasting more than 6 months

Question 12

types of pain

Answer 12

nociceptive pain
visceral
samatic
referred
radiating
neuropathic
Psychangenic
cancer
breakthrough

Question 13

nociceptive painis the

Answer 13

most common response to trauma

Question 14

visceral pain

Answer 14

pain arriving from organs

Question 15

samatic pain

Answer 15

results from injury to skin, muscles, and joints

Question 16

referred pain

Answer 16

originates from one area but felt in another area

Question 17

radiating pain

Answer 17

extends from source adjacent area of the body

Question 18

neuropathic is when

Answer 18

transmission of a pain signal from site of injury to higher brain centers via nervous system

Question 19

phantom pain

Answer 19

brain feel pain from ampulated area

Question 20

psychangenic pain

Answer 20

preciver pain without physical cause

Question 21

cancer pain

Answer 21

pain that stems from cancer or cancer treatment

Question 22

breakthrough pain

Answer 22

spike in pain when chronic pain exist

Question 23

when assessing pain what are 4 important things you must do

Answer 23

determine the current nature of the pain

review pain history and therapies

explore psychosocial, religious and cultoral factors

collaborate with client and other members of the healthcare team to plan effective treatment of pain

Question 24

pain can be resulting from

Answer 24

physical injury
part of a disease
symptom of injure
emotional distress

Question 25

mental factors acute pain

Answer 25

in acute pain anxiety increases severity of the pain experienced and reduces Indvidual ability to tolerate and cope with the pain

Question 26

mental factors chronic pain

Answer 26

Individual with chronic pain are more likely to suffer from depression and fatigue and are more likely to attempt suicide

Question 27

opioid drug treatment should be avoided in older adults or used with extreme caution due to

Answer 27

it having adverse effects and possible interaction with other medication

Question 28

what are the psylogical pain indicators

Answer 28

sweating pallor possible increase in pulse, respiration and blood pressure

Question 29

pain assessment questions

Answer 29

where is the pain is it dull sharp stabbing does it hurt now is it growing when did it start is it persistent or does it come and go what makes it worse/better do you have any other symptoms with the pain how bad is it on a scale of 1-10 do you have analgesic therapy

Question 30

pain can be experinced as

Answer 30

crying moaning screaming

Question 31

phycological responses to pain include

Answer 31

anxiety fear depression anger irritability restlessness hopelessness

Question 32

if patient is angry fearfull or anxious priorites

Answer 32

physical needs

Question 33

nonverbal indicators of pain

Answer 33

vocal complaints demonstrated by moans groans grunts cries gasps sighs. narrowed eyes, tightened lips, dropped jaw, clenched teeth holding onto rails restlessness not staying still rubbing affected area vocal complaints

Question 34

how is nonverbal pain indicators graded

Answer 34

by how often its seen or heard

Question 35

what are the 4 surgical intervention for sever pain

Answer 35

cordotomy neurectomy sympathectomy rhizotomy

Question 36

complimintary treatment include

Answer 36

music therapy -chiropractic therapy Massage therapy -keiki treatments -medication/yoga -positioning -distraction -acupuncture -breathing/relaxation techniques -guided imagery

Question 37

it is always best to wait until client feel pain to give medication

Answer 37

false

Question 38

patient lie about pain level

Answer 38

false

Question 39

Ages gender emotions conjuctive function sociocultural factors and the ability to communicate may effect pain level

Answer 39

true

Question 40

Damage and hyper sensitivity anywhere along pain path way can alter patient perception of pain

Answer 40

true

Question 41

-neurologic injuries that result in permanent damage to the spinal cord prevent a person from feeling pain an areas below the level which spinal cord was injured or severed

Answer 41

true

Question 42

Acute injury or tissue damage triggers physiological stress response, which may have adverse effects for the patient if left untreated

Answer 42

true

Question 43

what are the pain medications

Answer 43

Opioid analgesics- narcotics -morphine -codeine sulfate -oxycodone -hydromorphone -fentanyl -propoxyphene -antidote for acetaminophen

Question 44

common side effects of pain medicine

Answer 44

sedation, disorientation, coma, constipation, respiratory, depression

Question 45

pain therapy that involves insertion of thin needles into a specific body organ

Answer 45

acupuncture

Question 46

which neruro transmitter transports pain impulses from the periphery to the central nervous system

Answer 46

substance p