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pain
pain
38
Nursing
Undergraduate 2
02/12/2011

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Term
an unpleasant sensory and emotional experience associated with actual and potential tissue damage
Definition
pain
Term
somatic sensory receptors
Definition
provides awareness of touch, sensation and pain
Term
nociception
Definition
perception of pain
Term
nociceptors
Definition
free nerve endings (pain receptors) that transduce noxious stimuli into nerve impulses.
Term
nociceptors found in
Definition
skin, muscle, connective tissue, circulatory system, and abdominal pelce and thoracic viscera
Term
transduction
Definition
represents the conversion of pain stimuli into a neuronal action potential, at level of peripheral nerves
Term
transmission
Definition
conduction of action potential, neuronal action potential transmitted through the cns for pain to be percieved
Term
A-delta fibers
Definition
(neospinaothalamic tract)mylenated (fast transmission), 10% of sensory fibers, sensation of sharp, stinging, cutting, pinching pain, transmitted to thalamus where pain first enters consciousness
Term
pain tolerance
Definition
relates more to total pain experience, maximum intensity or duration of pain that a person is willing to endure before the person wants something done about pain. (psychological, familial, cultural and environmental factors influence)
Term
pain threshold
Definition
closely associated with the point at which a stimulus is percieved as painful. threshold to pain is fairly uniform from one person to another
Term
C fibers
Definition
unmylenated, small daimeter, slowest rate of conduction. warm hot sensation, mechanical, chemical, heat and cold induced pain sensation.
Term
slow wave, 2nd pain, slower onset, longer duration. believed to be responsible for central sensitization to chronic pain
Definition
C fibers
Term
A fibers
Definition
mylenated. fastest rate of conduction. convey cutaneous pressure, touch sensation, cold sensation, mechanical pain, heat pain.
Term
fast pain, 1st pain, typically mechanical or thermal
Definition
A fibers
Term
somatosensory system
Definition
relays info about 4 major modalities. touch, temp, PAIN, and body position.
Term
dermatomes
Definition
the region of the body wall that is supplied by a single pair of dorsal root ganglia
Term
neuropathic pain
Definition
pain that originates from pathology of the nervous system. When peripheral nerves are affected by injury or disease it can lead to unusual and sometimes intractable sensory disturbances.
Term
widespread pain that is not otherwise explainable, evidence of sensory deficit, (numbness, paresthesia) burning pain, pain that occurs with light stroking of skin, and attacks of pain that occur without seeming provocation
Definition
neuropathic pain
Term
What is responsible for stimulating pain response
Definition
pressure (injury) then, chemical mediators stimulate dermatomes and nociceptors.
Term
fractured ankle, which nerve fibers are stimulated?
Definition
A fibers
Term
acute pain
Definition
less than 6 months, quick, 1st pain, A fibers
Term
what chemical mediators stimulate dermatomes?
Definition
prostaglandin and bradykinin
Term
T or F. Some nerves are highly selective of the stimuli they respond to and others respond to multiple stimuli
Definition
T
Term
Neuron produced peptides
Definition
Substance P, Glutamate and aspartate
Term
Substance P
Definition
extremely important in moving impulse from peripheral nerve through spinal cord to CNS, excites pain response
Term
Glutamate
Definition
Lower activation threshold and causes sensitization.
Term
mediators in spinal cord
Definition
Lower activation threshold, cause sensitization of CNS, and helps trigger impulse to neurons that extend to the midbrain. (so stimuli can be moved up through CNS)
Term
distractibility
Definition
degree a person can ignore the pain
Term
Visceral pain
Definition
major organs, referred pain
Term
pain in the internal organs and abdomen, poorly localized as a result of the lessesr number of nociceptors, underlying cause mostly disease process, appendicitis, colon cancer
Definition
acute visceral pain
Term
aging and pain
Definition
older adults have increased threshold to pain. peripheral neuropathies, skin thickness changes, decrease in pain tolerance
Term
modulation of pain
Definition
inhibiting or changing of pain impulse.
Term
descending inhibitory mechanisms
Definition
certain nociceptive stimuli can activate these pathways reducing pain. structures located in spinal dorsal horn, (reticular formation, periaqueductal grey, cerebral cortex ie; brain) net effect: blocked or diminished pain signal
Term
who are the two BEST nursing classmates ever?
Definition
Katie Fitzpatrick and Tori Mitchell!! :) haha
Term
endogenous antinociceptive mediators
Definition
enkephalins, endorphins, dynorphins (opiate like chemicals within body)
Term
exogenous mediators (pain meds)
Definition
bind to opiate receptors in body
Term
pain perception (affect)
Definition
thalamus, lymbic system, reticular)
Term
pain perception (cognitive)
Definition
cerebral cortex, memory
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