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chapter 35
Comfort
39
Nursing
Undergraduate 1
12/09/2013

Additional Nursing Flashcards

 


 

Cards

Term
Acute pain
Definition
rapid onset, varies in intensity from mild to severe
Term
Chronic Pain
Definition
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.
Term
Remission
Definition
when the disease is present but the person does not experience symptoms
Term
exacerbation
Definition
-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
Term
Cutaneous pain
Definition
-superficial pain
-usually infolves the skin or subcutaneous tissue.

A paper cut is an example
Term
Somatic pain
Definition
-is diffused or scattered
-originates in tendons, ligaments, bones, blood vessels, and nerves.

EXp: sprain
Term
Visceral pain
Definition
-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.
Term
Referred pain
Definition
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.
Term
Neuropathic pain
Definition
results form an injury to or abnormal functioning of peripheral nerves or the central nervous system (CNS). Burning or stabbing
Term
intractable
Definition
when pain is resistant to therapy and persists despite a variety of interventions
Term
phantom pain
Definition
The pain that is often referred to an amputated leg where receptors and nerves are clearly absent is a real experience for a patient.
Term
psychogenic pain
Definition
a physical cause for the pain cannot be identified
Term
behavioral
Definition
voluntary responses (moving away from pain stimuli, grimacing, crying, gaurding)
Term
physiologic
Definition
involuntary responses (dincreased bp, increased pulse and rr, pupil dilation ect..)
Term
Parasympathetic responses
Definition
nausea vomiting, failing, decreased bp, decreased pulse, rapid irregular breathing
Term
affective psychological responses
Definition
withdrawal, social isolation, fear, depression, anxiety, anger, fatigue...
Term
transduction
Definition
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.
Term
Nociceptors
Definition
Peripheral nerve fibers that transmit pain
Term
Bradykinin
Definition
vasodilator that increases capillary permeability to constrict smooth muscle
Term
prostaglandins
Definition
are hormone-like substances that send additional pain stimuli to the CNS
Term
substance P
Definition
sensitizes receptors on nerves to feel pain and also increases the rate of firing of nerves
Term
Neurotransmitters
Definition
substances that either excite or inhibit target nerve cells.
Term
transmission
Definition
The pathways of pain sensations from the site of an injury to inflammation are conducted along pathways to the spinal cord.
Term
Perception
Definition
the sensory process that occurs when a stimulus for pain is present
Term
pain threshold
Definition
the lowest intensity of stimulus that causes the subject to recognize pain.
Term
neuromodulators
Definition
are endogenous opioid compounds, meaning they are naturally present, morphine-like chemical regulators in the spinal cord and brain.
Term
Gate control theory
Definition
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.
Term
Breakthrough pain
Definition
is a temporary flare-up of moderate to severe pain that occurs even when the patient is taking ATC medications for persistent pain
Term
A patient complains of abdominal pain that is difficult to localize. The nurse categorically interprets this as what type of pain?
Definition
Visceral
Term
A patient compleains of pain in a site that is different from where it originates. The nurse documents this as what type of pain?
Definition
Referred pain
Term
A patient who has fallen and injured his wrist carefully cradles it with the other hand. What type of response is this?
Definition
Behavioral
Term
To help relieve her pain, Ann concentrates on a favorite vacation setting. The nurse interprets this technique as what?
Definition
Imagery
Term
Which of the following descriptions does the nurse use to best describe intractable pain>
Definition
Resistant to treatment
Term
What is an example of a physiological response to pain?
Definition
pupil dilation, involuntary
Term
What treatment is most effective to manage sudden flare-ups of pain?
Definition
supplementing with doses of short-acting opioid
Term
When assessing pain in a child, the nurse needs to be aware of what considerations?
Definition
Inadequate or inconsistent relief of pain is widespread
Term
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?
Definition
ATC (Around The Clock)
Term
The nurse provides vigilant monitoring of a patient receiving epidural analgesia to prevent the occurrence of what?
Definition
Respiratory depression
Term
When assessing a patient receiving a continuous opioid infusion, the nurse immediately notifies the physician when the patient has what finding?
Definition
A sedation of level 4
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