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CH 43 PAIN MANAGEMENT
PAIN MANAGEMENT
54
Nursing
Undergraduate 1
01/10/2011

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Term
ACUTE PAIN*******************
Definition
1) SHORT IN DURATION
2) HAS AN IDENTIFIABLE CAUSE
3) HAS LIMITED TISSUE DAMAGE
4) HAS LIMITED EMOTIONAL DAMAGE
5) RESOLVES W OR WITH OUT A TX
6) USUALLY SUDDEN
Term
IDOPATHIC**************
Definition
OCCURS AND YOU DO NOT KNOW WHY
Term
CHRONIC PAIN*************
Definition
LAST LONGER
DOSE NOT HAVE AN IDENTIFIAVLE CAUSE
LEADS TO GREAT PERSONAL SUFFERING
EX: RHEUMATIOD ARTHRITIS, LOW BACK PAIN, PERIPHERAL NEUROPATHY,
SOMETIMES YOU CAN IDENTIFY SOMETIMES YOU CANT
Term
ONSET AND DURATION OF PAIN
Definition
WHEN IT STARTED AND HOW LONG IT LASTS
Term
LOCATION
Definition
WHERE PAIN IS
Term
INTENSITY
Definition
SCALE OF 1-10
Term
QUALITY
Definition
WHAT DOSE IT FEEL LIKE AND IT REDIATE OR IS IT LOCAL PAIN
Term
PAIN PATTERN
Definition
IS THE PAIN WHEN YOU SIT, STAND, WALK ECT.
Term
RELIEF MEASURES
Definition
WHAT HELPS THE PAIN
Term
CONTRIBUTING SYMPTOMS
Definition
DEPRESSION, ANXIETY ETC
Term
EFFECTS OF PAIN ON THE CLIENT
Definition
HOW THE PAIN HAS EFFECTED THE CLIENT
Term
BEHAVERAL EFFECTS
Definition
FACIAL EXPRESSION,ARE THEY ADGECTED, ATTITUDE
Term
EFFECTS ON ABILITY TO PERFORM ADL'S
Definition
CAN THEY TAKE CARE OF THEMSELVES
Term
HOW DO YOU ASSESSMENT OF PAIN
Definition
A- ASK
B- BELIEVE
C-CHOOSE(APPROIATEMED THAT IS EFFECTIVE)
D-DELIVER(GIVE TO PT AS ORDERED)
E- EMPOWER(HAVE PT MAKE CHOICE WHICH MED IS WANTED AS LONG AS ORDERED BY DR)
Term
AHCPR
Definition
AGENCY FOR HEALTH CARE POLICY AND RESEARCH PUBLIC HEALTH SYSTEMS
Term
NRS
Definition
NUMERICAL RATING SCALE, PT RATES INTENSITY BY 1-10
Term
VDS
Definition
VERBAL DESRIPTOR SCALE, PT RATES PAIN FROM NO PAIN, MILD, MODERATE,SEVERE, UNBERABLE
Term
VISUAL ANALOG SCALE
Definition
PT RATES PAIN NO PAIN, UNBERABLE PAIN
Term
WONG-BAKER FACES
Definition
PAIN RATING SCALE MOSTLY FOR CHILDREN
Term
HOW DO YOU MAKE A PAIN ASSESSMENT ON A NON VERBAL CLIENT
Definition
ATTEMPT CLIENTS ROPORT OF PAIN USING SIMPLE YES OR NO QUESTIONS
SEARCH FOR POTINTAL CAUSES OF PAIN
OBSERVE CLIENTS BEHAVIORS(FACIAL, AGITAION, BODY MOVEMENTS)
OBTAIN VITAL SIGNS(SENSITIBE INDICATORS OF PAIN)
Term
PLANNING IN PAIN MANAGEMENT
Definition
1)SELECT INTERVENTIONS FOR RELIEF OF THE CLIENTS PAIN
2)PRIORITIXE INTERVENTIOS BADES ONTHE LEVEL OF THE CLIENTS PAIN
3)GOALS AD OUTCOMES
A) THE GOAL OF PAIN MANAGEMNT PERMITS THE CLIENT TO FUNCIONTO THE BEST POSSIBLE EXTENT
B)THE CLIENT AND NURSE NEED TO FIRST IDENTIFY WHAT THE PAIN HAS PREVENTED THE CLIENT FROM DOING
C) PROIRITIES-PLANNED INTERVENTIONS NEED TO BE APPROPRIATE FOR THE NATURE/TYPE OF PAINEX:ACUTE INSIONAL PAIN VS LABOR PAINS
D)AN INTERVENTION MAY WORK FOR ONE PT MAY NOT WORK FOR ANOTHER PT
E)SEVERE PAIN REQUIRES RELIEF OF PAIN ASAP
F)PAIN INTENSITY OF 7 OR GREATER REQUIRES IMMEDIATE ATTIONION******
Term
NURSES ROLE IN IMPLEMENTING PAIN CONTROL
Definition
1)HELP RELIEVE PAIN
2)ASSESS THE EFFECTIVENESS OF INTERVENTIONS
3)MONITOR FOR ADVERS REACTIONS
4)SERVE AS A PT ADVOCATE FOR PAIN RELIEF
5)EDCUATE PT AND FAMILY
Term
WHAT ARE THE WAYS TO CONTROL PAINFUL STIMULI IN CLIENTS ENVIRONMENT *******
Definition
1)SMOOTH PT WRINKELED BED LINEN
2)REPOSITION PT/MONTAIN COMFORTABLE POSITION
3)LOOSEN RESTRICTIVE BANDAGES
4)CHANGE WET DRESSINGS/LINENS
5)RESTICT BRIGHT LIGHTS
Term
NOCICEPTIVE PAIN ****************
Definition
NORMAL PROCESSING OF STIMULI THAT DAMAGES NORMAL TISSUES OR HAS THE POTIENTAL TO DO SO IF PROLONGED;USUALLY RESPONSIVE TO NONOPOIDS AND OR OPOIDS
Term
SOMATIC PAIN************
Definition
COMES FROM THE BONE,JOINT,MUSCLE,SKIN, OR CONNECTIVE TISSUE. IT IS USUALLY ACHING OR THROBBING IN QUALITY AND IS WELL LOCALIZED
Term
VISCERAL PAIN************
Definition
ARISES FROM VISCERAL ORGANS, SUCH AS THE GASTRONITESTIONAL TRACT AND PANCREAS: INCLUDE THE FOLLOWING TUMOR INBOLBEMENT OF THE ORGAN CAPSULE THAT CAUSES ACHING AND FAIRLY WELL LOCALIZED PAIN; OBSTRUCTION OF HOLLOW VISCUSK WHICH CAUSES INTERMITTENT CRAMPING AND POORLY LOCALIZED PAIN
Term
NEUROPATHIC PAIN ************
Definition
ABNORMAL PROCESSING OF SENSORY INPUT BY THE PERIPHERAL OF CENTRAL NERVOUS SYSTEM;TREATMENT USUALLY INCLUDES ADJUVANT ANALGESICS
Term
DEAFFERENTION PAIN******
Definition
INJURY TO EITHER THE PERIPHERAL OR CENTRAL NERVOUS SYSTEM EX:PHANTOM PAIN
Term
SYMPATHETICALLY MAINTAINED PAIN*******
Definition
ASSOC WITH DYSREGULATIONS OF THE AUTONMATIC NERVOUS SYSTEM: PAIN ASSOC WITH REFLEX SYMPATHETIC DYSTROPHY/ CAUSALGIA
Term
PERIPHERALLY GENERATED PAIN**********
Definition
PAINFUL POLYNEUROPATHIES; CLIENT FEELS PAIN ALONG THE DISTRIBUTION OF MANY PERIPHERAL NERVES,EX:DIABETIC NEUROPATHY, ALCHOL NUTRITIONAL NEUROPATHY AND GUILLIAN BARRE SYNDROME
Term
PANIFUL MONONEUROPATHIES************
Definition
USUALLY ASSOC WITH A KNOWN PERIPHERAL NERVE INJURY AND PAIN IS FELT AT LEAST PARTLY ALONG THE DISTRIBUTION OF THE DAMAGED NERVE;EX: NERVE ROOT COMPRESIONS, NERVE ENTRAPMENT, TRIGEMINAL NEURALGIA
Term
TEACH PT TO TAKE CONTROL OF PAIN HOW?
Definition
1)USE OF PAIN RELIEF AT THE START OF PAIN
2)PREVENT PREDICTABLE PAIN
Term
ACUPUNCTURE
Definition
DONE BY DR,INSERTION OF NEEDLES THAT HELP MODIFY THE PRECEPTION OF PAIN(BIGGEST RISK IN INFECTION)
Term
RELAXATION
Definition
DEEP BREATHE
Term
GUIDED IMAGERY
Definition
PT TO THINK ABOUT "HAPPY PLACE"
Term
DISTRACTION
Definition
COMMON FOR KIDS GET THEM TO THINK ABOUT SOMETHING ELSE
Term
BIOFEEDBACK
Definition
THINGS YOU USUALLY CANT CONTROL YOU CAN LIKE BP/RESP
Term
ATC
Definition
AROUND THE CLOCK
Term
FOR MODERATE PAIN USE********
Definition
NONOPOIDS ANALGESICS OR OPOIDS COMBINATION DRUGS FOR MILD TO MODERATE PAIN
Term
CAN YOU GIVE OPIIDS WITH NONOPOIDS?****
Definition
YES
Term
WHAT AGE GROUP DO YOU AVOID COMBINATIONS OF OPIOIDS?****
Definition
OLDER ADULTS
Term
HOW LONG DO MEDS TO TAKE EFFECT****
Definition
ACUTE PAIN RELEVES PAIN QUICKER THAN ORAL ONE HOUR FOR IV MEDS UP TO 2 HOURS FOR ORAL MEDS
Term
AVOID IM IN WHICH ADULTS?****
Definition
OLDER ADULTS
Term
WHEN SHOULD YOU GIVE MEDS ATC
Definition
CHRONIC PAIN
Term
W
Definition
Term
WHAT ARE THE NURSING PRINCIPLES FOR ADMINISTERING ANALGESICS*********
Definition
1)KNOW PT PREVIOUS RESPONSE TO ANALGESICS
2)SELECT PROPER MEDS WHEN MORE THAN ONE IS ORDERED
3)KNOW THE ACCURATE DOSAGE
4)ASSESS THE RIGHT TIME AND INTERVAL FOR ADMINISTRATION
Term
DRUGS AFFECTING THE CENTRAL NERVOUS SYSTEM**********
Definition
ANALGESIC-ANTIPYRETIC-ANTIINFLAMMATORY AND RELATED DRUGS
Term
WHAT ARE TYPES OF ANALGESIC, ANTIPYRETIC, ANTIINFLAMMATIOR, AND REALATED DRUGS
Definition
ASPRIN
TYLENOL(ACETAMINOPHEN)
Term
WHAT ARE TYPES OF NON STERIODAL ANTIINFLAMMATIORY DRUGS (NSAIDS)*****
Definition
IBUPROFEN(MOTRIN)
KETOROLAC (TORADOL)
NAPROXEN (NAPROSYN)
COX 2 INHIBITOR(CELEBREX)
Term
DRUGS AFFECTING THE CENTRAL NERVOUS SYSTEM***************
Definition
OPIOID ANALGESICS
OPIOID ANTAGONISTS
AGONIST-ANTAGONISTS
Term
OPOIDS ANALGESICS
Definition
MORPHINE SULFATE(MS04)
CODEINE SULFATE
FENTANYL(DURAGESIC)
PROPOXYPHENE NAPSYLATE(DARVON-N)
OXYCODONE(ROXICODONE)
OXYCODONE/ASPRIN (PERCODAN)
OXYCODONE/ACETAMINOPHEN(PEROCET)
Term
OPOID ANTAGONISTS
Definition
NALOXONE(NARCAN)
Term
AGONIST-ANTAGONISTS
Definition
PENTAZOCINE(TALWIN)
Term
TYPES OF SURGICAL PAIN CONTROL
Definition
NERVE BLOCK
RHIZOTOMY
CHORDOTOMY
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