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rapid onset, varies in intensity from mild to severe |
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may be limited, intermittent, or persistent but lasts beyond the normal healing period. is often perceived as meaningless and may lead to withdrawal, depression, anger, frustration, and dependency. |
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when the disease is present but the person does not experience symptoms |
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-the symptoms reappear.
Pain associated with progressive disorders is termed chronic malignant pain. People whose tissue injury is nonprogressive or healed is termed chronic nonmalignant |
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-superficial pain -usually infolves the skin or subcutaneous tissue.
A paper cut is an example |
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-is diffused or scattered -originates in tendons, ligaments, bones, blood vessels, and nerves.
EXp: sprain |
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-poorly localized -originates in body organs in the thorax, cranium, and abdomen.
Occurs as organs stretch abnormally and become distended, ischemic, or inflamed. Guarding may occur as a defense mechanism. |
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pain that can originate in one part of the body but be perceived in an area distant from its point of origin.
EX: heart attach pain is frequently referred to the neck, shoulder, or arms. |
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results form an injury to or abnormal functioning of peripheral nerves or the central nervous system (CNS). Burning or stabbing |
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when pain is resistant to therapy and persists despite a variety of interventions |
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The pain that is often referred to an amputated leg where receptors and nerves are clearly absent is a real experience for a patient. |
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a physical cause for the pain cannot be identified |
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voluntary responses (moving away from pain stimuli, grimacing, crying, gaurding) |
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involuntary responses (dincreased bp, increased pulse and rr, pupil dilation ect..) |
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Parasympathetic responses |
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nausea vomiting, failing, decreased bp, decreased pulse, rapid irregular breathing |
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affective psychological responses |
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withdrawal, social isolation, fear, depression, anxiety, anger, fatigue... |
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the activation of pain receptors. The conversion of pain stimuli into electrical impulses that travel from periphery to the spinal cord at the dorsal horn. |
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Peripheral nerve fibers that transmit pain |
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vasodilator that increases capillary permeability to constrict smooth muscle |
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are hormone-like substances that send additional pain stimuli to the CNS |
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sensitizes receptors on nerves to feel pain and also increases the rate of firing of nerves |
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substances that either excite or inhibit target nerve cells. |
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The pathways of pain sensations from the site of an injury to inflammation are conducted along pathways to the spinal cord. |
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the sensory process that occurs when a stimulus for pain is present |
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the lowest intensity of stimulus that causes the subject to recognize pain. |
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are endogenous opioid compounds, meaning they are naturally present, morphine-like chemical regulators in the spinal cord and brain. |
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provides the most practical model regarding the concept of pain. the transmission of painful stimuli and recognizes a relation between pain and emotions. small nerve fibers conduct excitatory pain toward the brain,but large diameter fibers inhibit the transmission of pain impulses from the spinal cord to the brain. |
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is a temporary flare-up of moderate to severe pain that occurs even when the patient is taking ATC medications for persistent pain |
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A patient complains of abdominal pain that is difficult to localize. The nurse categorically interprets this as what type of pain? |
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A patient compleains of pain in a site that is different from where it originates. The nurse documents this as what type of pain? |
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A patient who has fallen and injured his wrist carefully cradles it with the other hand. What type of response is this? |
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To help relieve her pain, Ann concentrates on a favorite vacation setting. The nurse interprets this technique as what? |
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Which of the following descriptions does the nurse use to best describe intractable pain> |
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What is an example of a physiological response to pain? |
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pupil dilation, involuntary |
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What treatment is most effective to manage sudden flare-ups of pain? |
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supplementing with doses of short-acting opioid |
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When assessing pain in a child, the nurse needs to be aware of what considerations? |
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Inadequate or inconsistent relief of pain is widespread |
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When developing the plan of care for a patient with chronic pain, the nurse plans interventions based on knowledge that chronic pain is most effectively relieved when analgesics are administered in what matter? |
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The nurse provides vigilant monitoring of a patient receiving epidural analgesia to prevent the occurrence of what? |
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When assessing a patient receiving a continuous opioid infusion, the nurse immediately notifies the physician when the patient has what finding? |
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