Term
| what are the types of pain? |
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Definition
| 1) physiologic: physical breakdown - treated medically. 2) spiritual: "god is punishing me" - may need clergy. 3) existential: "my life circumstance is giving me pain" - may need community group/social services. 4) folk: "someone gave me the evil eye" - may need cultural advisor. 5) psychological: proceed carefully, make sure all other mechanisms have been explored - experience is necessary. |
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Term
| what questions should be asked in the pain hx? |
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Definition
| what do you think caused your pain? why do you think you have pain? how severe is your pain? why do you think it started when it did? what do you think may help? |
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Term
| what characterizes the historical presentation of pain? |
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Definition
| ethical and cultural considerations. experience and expression of pain. beliefs about the causes of pain. attitude toward drs. tx expectations. |
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Term
| what does PQRST stand for? |
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Definition
| P: type of pain, pre & post disposition (how did it start/how did it end). Q: quality and quantity. R: radiation (sympathetic/parasympathetic). S: symptoms associated. T: time - present, recent past and remote |
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Term
| what is tx for the different types of pain? |
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Definition
| 1) physiologic: PQRST then tx directly (analgesics, antibx, physical therapy etc, then ROM and OMT). 2) spiritual: r/o physiologic, then contact clergy. 3) existential: ID circumstances and get community group/social services involved. 4) folk: defer to cultural advisor. 5) psychological: proceed carefully, make sure all other mechanisms have been explored - counseling and avoid addiction loop. |
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Term
| what is the practical approach to CA pain? |
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Definition
| 1) non-opioid+adjuvant therapy. 2) opioid for mild to moderate pain+non opioid + adjuvant therapy. 3) opioid for moderate to severe pain+non opioid + adjuvant therapy. |
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