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Client comfort & pain management
(some found in NCLEX review set) Chap 55 - Client comfort & pain management
121
Nursing
Professional
01/25/2010

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Term
It is one of the most common reasons that people seek healthcare
Definition
pain
Term
It is the single best indicator of pain.
Definition
client's self-report
Term
nursing care is directed at _______.
Definition
relieving pain
Term
Pain-sensing nerve endings
Definition
Nociceptors
Term
Pain felt in limbs no longer present (ie, amputee patients)
Definition
phantom pain
treat it as any other pain
Term
Physical manifestatin of depression
Definition
Psychogenic pain
Term
psychogenic pain
Definition
Physical manifestation of depression
Term
Those at risk for poor pain management include ____ and ______
Definition
Children / mentally disabled
Term
natural pain-killers. Don't last long.
Definition
endorphins
Term
A form of pain management that utilizes imagination.
Definition
guided imagery
Term
nociceptive pain
Definition
Normal process of stimuli that damages normal tissues or has the potential to do so if prolonged; usually responsive to nonopioids and/or opioids.
Term
Examples include sprains, bone fractures, burns, bumps, bruises, inflammation (from an infection or arthritic disorder), obstructions, and myofascial pain (which may indicate abnormal muscle stresses).
Definition
nociceptive pain
Term
pain threshold
Definition
the point at which pain begins to be felt.
Term
pain tolerance
Definition
the amount of pain that a person can withstand before breaking down emotionally and/or physically.
Term
referred pain
Definition
pain perceived at a site adjacent to or at a distance from the site of an injury's origin.[
Term
NSAID
Definition
Non-steroidal anti-inflammatory drugs, usually abbreviated to NSAIDs or NAIDs, are drugs with analgesic, antipyretic (fever-reducing) and, in higher doses, with anti-inflammatory effects (reducing inflammation)
Term
PCA
Definition
Patient-controlled analgesia (PCA) is a computerized pump that safely permits you to push a button and deliver small amounts of pain medicine into your intravenous (IV) line, usually in your arm.
Term
TENS
Definition
Transcutaneous electrical nerve stimulation - the application of electrical current through the skin for pain control.
Term
Needed in order for patient to feel pain
Definition
an intact nervous system
Term
Chemicals released during inflammatory pain
Definition
histamine, acetocholine, prostaglandis and bradykinin
Term
the four phases of nociception
Definition
Transduction, transmission, perception, modulation
Term
the four phases of nociception
Definition
Transduction, transmission, perception, modulation
Term
normal pain transmission and interpretation
Definition
nociception
Term
nervous system changes painful stimuli in the nerve endings to impulses.
Definition
transduction
Term
transduction
Definition
nervous system changes painful stimuli in the nerve endings to impulses.
Term
The impulses travel from their original site to the brain.
Definition
transmission
Term
transmission
Definition
The impulses travel from their original site to the brain.
Term
The brain recognizes, defines, and responds to pain.
Definition
perception
Term
perception
Definition
The brain recognizes, defines, and responds to pain.
Term
The body activates needed inhibitory responses to the effects of pain (Craven & Hirnle, 2007). If the modulation response of the body is not successful, external intervention is required to manage the pain. Some of these interventions are discussed later in this chapter.
Definition
modulation
Term
modulation
Definition
The body activates needed inhibitory responses to the effects of pain (Craven & Hirnle, 2007). If the modulation response of the body is not successful, external intervention is required to manage the pain. Some of these interventions are discussed later in this chapter.
Term
Acute pain
Definition
Usually a sensation that ends abruptly. Typically lasts less than six months. Usually intermittent, not constant.
Term
Usually a sensation that ends abruptly. Typically lasts less than six months. Usually intermittent, not constant.
Definition
Acute pain
Term
that originates in one body part but is perceived in another part of the body.
Definition
Referred pain
Term
Referred pain
Definition
that originates in one body part but is perceived in another part of the body.
Term
Verey severe pain that may be considered intractable and chronic
Definition
Cancer pain
Term
discomfort that continues for a long period (6 months or longer).
Definition
Chronic pain
Term
Signs of depression
Definition
withdrawn, sleeplessness, appetite changes, other behaviors out of thier norm.
Term
Sustained release pain med. When it isn't lasting long enough. What is that called?
Definition
Breakthrough of pain
Term
effect of most pain medications - slowing down of vitals, etc.
Definition
Conscious setation
Term
Problem with giving a placebo to a patient
Definition
It is only a fake, and you can't lie to the patient about what they're getting.
Term
Issue regarding effectiveness of pain patch
Definition
It's going to take a while. Give something fast acting to relieve in the short-term.
Term
What degree (strength) of pain med should you start with to treat long-term pains?
Definition
start low, work up as necessary. NSAIDs are a good start.
Term
Nociceptive pain
Definition
Acute pain
Term
Chronic pain
Definition
Neuropathic pain - longer than 6 months. Can be difficult to treat. Patient may complain of burning, tingling, shooting pains.
Term
psychogenic pain
Definition
A pain disorder associated with psychological factors. Some types of mental or emotional problems can cause, increase, or prolong pain
Term
Area of brain in which pain threshold is found
Definition
thalmus and cerebral cortex
Term
May decrease endorphine production
Definition
caffein, nicotein, alcohol
Term
Pain relief can ____ the healing process.
Definition
expidite.
Term
Key concepts regarding the documentation of pain management.
Definition
Level
description
action taken
results.
Term
pain rating scales used for children
Definition
Wong-Baker and FLACC
Term
Used on children 3-7 (and those unable to effectively communicate verbally) to determine pain level
Definition
Wong-Baker
Term
Used on children under 3 to determine pain level
Definition
FLACC
Term
Pain assessment tool in which the nurse uses observed behaviors to determine pain level
Definition
FLACC - The nurse observes the child's face, legs, activity, cry, and consolability
Term
A person can continue to function with a pain rating of no more than ___
Definition
3
Term
When would we give planned pain medications?
Definition
Right after surgery and 30 min before a painful procedure.
Term
Cognitive behavioral measure of pain management
Definition
Guided imagery.
Term
Independent nursing intervetion
Definition
Comfort control. No order necessary
Term
what pain scale can be used for a patient 3years or younger?
Definition
FLACC scale
Term
Cause of Myocardial infarction pain
Definition
lack of oxygen
Term
Chronic v acute pain
Definition
retractable
Term
What clients would you use the Wong baker scale for?
Definition
age 3-7 yrs or patients with language barrier.
Term
What requires orders for pain management and what doesn't (examples).
Definition
positioning,breathing techniques,guided imagery.
Term
How to help a client deal with terminal illness.
Definition
Group activities are good.
Term
patient w terminal cancer at pain=7. vitals are unchanged.
Definition
Patient has adjusted.
Term
A pain that originates from one part of the body but is felt in another part of the body is called.....
Definition
referred pain
Term
what is the term used for a chronic pain that resists therapeutic actions.
Definition
intractable pain
Term
differentiate between a pain threshold and a pain tolerance.
Definition
pain tolerance is the maximum point to which a patient can no longer condone pain while pain threshold is a state at which an individual recognizes pain.
Term
what is another word for a nociceptive pain
Definition
Acute pain
Term
another name for a chronic pain is......
Definition
neuropathic pain.
Term
what are the three class of analgesics commonly used to control pain?
Definition
NSAIDS,opoids,adjuvant drugs
Term
what is a phantom pain?
Definition
it is a pain that is felt from an amputated part of the body
Term
what is the 5th vital sign?
Definition
PAIN!
Term
How does TENS help relieve pain
Definition
it sends electric stimulus to the pain site when an individual feels pain.
Term
what are the consequences of unrelieved pain?
Definition
visual disturbances,nausea and vomiting.
Term
what part of the brain perceives pain?
Definition
thalamus and cerebral cortex.
Term
what chemicals are released during inflammatory pain?
Definition
prostaglandins and bradykyn
Term
Causes of pain are........?
Definition
trauma,surgical incision,tumor growth,excess in pressure,heat and cold.
Term
pain is..........
Definition
whatever the person experiencing it says it is
Term
Another definition of pain.......
Definition
Body signal of distress that cannot be ignored.
Term
What can past experiences of pain in our children do?
Definition
desensitize them
Term
how does fentynl patch help control pain?
Definition
it delivers continuous pain relief
Term
NOTE!
Definition
if a client complains of pain,the pain is real.
Term
TENS means......
Definition
transcutaneous electric nerve stimulation
Term
Nerve endings specialized for pain reception
Definition
nocioceptors
Term
What are nocioceptors?
Definition
Nerve endings specialized for pain reception
Term
How is phantom pain treated as compared to other types of pain?
Definition
Treat it as you would any other pain
Term
The most dangerous of the antidepressants
Definition
Triciclets
Term
Children who have past pain experiences tend to be _________ toward pain.
Definition
desensitized.
Term
Signs and symptoms of depression
Definition
extreme fatigue
inability to sleep or sleeping too much
lack of interest in surroundings
lack of or excessive appetite
guilt feelings
sexual impotence
withdrawal from social activities
Term
extreme fatigue
inability to sleep or sleeping too much
lack of interest in surroundings
lack of or excessive appetite
guilt feelings
sexual impotence
withdrawal from social activities
Definition
s/sx depression
Term
Endorphines and enkephalins
Definition
naturally occurring substances that relieve pain
Term
naturally occurring substances that relieve pain
Definition
endorphins and enkephalins
Term
Why exercise and laughter are good pain medicines?
Definition
increases endorphine production.
Term
Caffeine, nicotine, alcohol, salt and sugar
Definition
substances believed to decrease endorphin production
Term
substances believed to decrease endorphin production
Definition
caffeine, nicotine, alcohol, salt, and sugar
Term
What is the traditional Chinese belief regarding pain?
Definition
That pain is related to the imbalance of yin and yang or hot and cold.
Term
What culture tends to believe pain is related to immoral behavior?
Definition
Mexican pain belief
Term
This culture believes religious beliefs may contribute to high pain tolerance
Definition
African American pain belief
Term
This culture tends NOT to express pain
Definition
Native American
Term
This culture tends to express pain quite regularly.
Definition
Jewish
Term
This culture tends to believe that pain is a sign of guilt or punishment from God
Definition
Greek
Term
When is pain assessed?
Definition
whenever vital signs are measured.
Term
What is included in the documentation of pain?
Definition
Pain level
description of pain
action taken
results
Term
The mneumonic used when gathering information on client symptoms (including pain).
Definition
COLDSPA
CHARACTER: Describe the sign or symptom. How does it feel, look, sound, smell, and so forth?
ONSET: When did it begin?
LOCATION: Where is it? Does it radiate?
DURATION: How long does it last? Does it recur?
SEVERITY: How bad is it?
PATTERN: What makes it better? What makes it worse?
ASSOCIATED FACTORS: What other symptoms occur with it?
Term
Nurse documents an infant's FLACC scale as Legs-1, Crying-1. What did she likely observe?
Definition
Legs-1: uneasy, restless and/or tense
Crying-1: Moaning/whimpering, occasional complaints.
Term
Nurse documents an infant's FLACC scale as Legs-0, Crying-0. What did she likely observe?
Definition
Legs: normal position, relaxed
Crying: none.
Term
Nurse documents an infant's FLACC scale as Legs-2, Crying-2. What did she likely observe?
Definition
Legs: kicking or drawn up
Cry: crying/screaming steadily, frequent complaints.
Term
What is uneasy, tense leg activity on the FLACC scale
Definition
level 1
Term
What is leg activity involving kicking and/or drawn up legs
Definition
level 2
Term
An infant's legs appear to be relaxed and/or in normal position. What is your FLACC scale documentation
Definition
Legs: level 0
Term
An infant is sleeping without crying. What is your FLACC scale report.
Definition
Crying: 0
Term
An infant is moaning in its sleep. What is your FLACC scale report?
Definition
Cry: 1
Term
An infant is crying steadily. What is your FLACC scale report
Definition
Cry: 2
Term
What pain assessment scale would be best used on a 2-year-old receiving paralytic medications?
Definition
Wong-Baker.
Term
What is meant by "Character" of the pain
Definition
What the pain feels like: ie, aching, burning, crushing, dull, pounding, etc.
Term
What is meant by "duration" of pain.
Definition
How often and how long it lasts, ie occasional, intermittent, spasmotic, or constant.
Term
Medications that relieve pain
Definition
analgesics
Term
How analgesics provide pain relif
Definition
by altering the body's sodium and potassium levels, thus slowing or haltin pain transmission.
Term
Surgery may be needed to relieve what kind of pain?
Definition
Chronic pain
Term
nursing interventions for pain management.
Definition
diversion, change position, bathing, back rub, massaging hands.
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