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Definition
"an unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage" |
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Margo McCaffery definition of pain: |
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Definition
"Whatever a person says it is and existing whenever a person says it does" |
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Pain can be classified by: |
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Definition
location, cause, duration, etc. |
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Origin of pain/ Visceral Pain |
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Definition
Deep internal pain, abdomen, thorax, cranium. |
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Origin of pain/ Deep somatic pain |
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Definition
originates in ligaments, tendons, nerves, blood vessels and bones |
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Origin of pain/ Cutaneous or superficial pain |
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Definition
from skin or subcutaneous tissue |
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Origin of pain/ Radiating pain |
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Definition
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Origin of pain/ Referred pain |
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Definition
occurs in area distant from source; ie H/A |
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Origin of pain/ Phantom pain |
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Definition
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Origin of pain/ Psychogenic pain |
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Definition
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Cause of pain/ Nociceptive pain |
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Definition
most common cause; stimulated nerve endings |
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Cause of pain/ Neuropathic pain |
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Definition
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Definition
short in duration, rapid in onset |
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Duration of pain/ Chronic |
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Definition
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Duration of pain/ Intractable |
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Definition
both chronic and highly resistant to relief |
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Term
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Definition
sharp, dull, aching, throbbing, stabbing, burning, ripping searing, tingling, episodic,intermittent, constant, mild, distracting, moderate, severe, intolerable, ect. |
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Term
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Definition
Mechanical Thermal Chemical |
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Transduction (physiology): |
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Definition
the transportation of stimuli to the nervous system |
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Term
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Definition
the single biggest cause of pain |
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Term
Transmission/ A-Delta fibers |
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Definition
large diameter myelinated fibers that transmit impulses at 6 to 30 mps. Transmit 'fast pain' from acute, focused stimuli. |
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Term
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Definition
smaller unmyelinated fibers. Transmit slow pain. |
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Definition
most important neurotransmitter |
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Term
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Definition
point at which the brain recognizes and defines a stimulus as pain. |
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Term
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Definition
duration and intensity of pain a person is willing to tolerate |
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Term
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Definition
extreme sensitivity to pain |
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Term
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Definition
naturally occurring analgesic neurotransmitters |
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Term
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Definition
naturally occurring analgesic neurotransmitters |
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Term
4 physiological steps involved in the pain process? |
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Definition
Transduction Transmission Pain Perception Pain Modulation. |
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Term
Indicators of pain in cognitively impaired patients: |
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Definition
facial expressions vocalizations changes in physical activity changes in routines changes in mental status |
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Term
sympathetic nervous system |
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Definition
is part of the autonomic nervous system (ANS), which also includes the parasympathetic nervous system (PNS).The sympathetic nervous system activates what is often termed the fight or flight response. |
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parasympathetic nervous system |
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Definition
A part of nervous system that serves to slow the heart rate, increase the intestinal and gland activity, and relax the sphincter muscles. |
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Term
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Definition
divided into two subsystems: the parasympathetic nervous system (PSNS) and sympathetic nervous system |
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Definition
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Unrelieved pain/ endocrine |
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Definition
INCREASED ACTH,cortisol,, ADH, GH, catacholamines, glucagon DECREASED insulin and testosterone |
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Term
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Definition
INCREASED HR, BP, WORKLOAD, O2 DEMAND |
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Definition
weakness, fatigue, immobility |
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Unrelieved pain/ respiratory |
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Definition
splinting: shallow breathing to limit thorasic and abdominal movement. |
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Term
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Definition
secretions and mobility increase |
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Term
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Definition
PULSE BP RESPIRATIONS TEMP PAIN |
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Term
adjuvant (from Latin, adiuvare: to aid) is |
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Definition
a pharmacological or immunological agent that modifies the effect of other agents, such as a drug or vaccine, while having few if any direct effects when given by itself. |
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Definition
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Definition
stimulate Mu receptors; used for acute, chronic and cancer pain |
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Term
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Definition
stimulate some opioid receptors and block others |
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Term
An equianalgesic (or narcotic) chart is: |
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Definition
a conversion chart that lists equivalent doses of analgesics (drugs used to relieve pain). Equianalgesic charts are used for calculation of an equivalent dose (a dose which would offer an equal amount of analgesia) between different analgesics. |
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Term
Morphine ratio oral to IV dose: |
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Definition
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Cordotomy (or chordotomy) is: |
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Definition
a surgical procedure that disables selected pain-conducting tracts in the spinal cord, in order to achieve loss of pain and temperature perception. |
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Term
A rhizotomy (pronounced /raɪˈzɒtɵmi/ ry-zot-ə-mee) is: |
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Definition
a term chiefly referring to a neurosurgical procedure that selectively severs problematic nerve roots in the spinal cord, most often to relieve the symptoms of neuromuscular conditions such as spastic diplegia and other forms of spastic cerebral palsy[1]. |
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Term
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Definition
the surgical removal of a nerve or a section of a nerve. |
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Term
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Definition
a procedure where a sensory ganglion or autonomic ganglion is removed. |
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Term
The reticular formation is: |
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Definition
a part of the brain that is involved in actions such as awaking/sleeping cycle, and filtering incoming stimuli to discriminate irrelevant background stimuli. |
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Term
The reticular activating system (RAS) is: |
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Definition
an area of the brain (including the reticular formation and its connections) responsible for regulating arousal and sleep-wake transitions.The RAS is composed of several neuronal circuits connecting the brainstem to the cortex. These pathways originate in the upper brainstem reticular core and project through synaptic relays in the rostral intralaminar and thalamic nuclei to the cerebral cortex |
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Definition
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types of brain waves/ alpha |
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Definition
high frequency, medium amplitude, irregular waves |
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types of brain waves/ beta |
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Definition
high frequency, low amplitude, irregular waves |
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Term
types of brain waves/ theta |
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Definition
high amplitude common in children, but rare in adults. |
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Term
types of brain waves/ delta |
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Definition
low frequency, high amplitude, regular waves common in deep sleep. |
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Term
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Definition
non-rem sleep is produced by withdrawl of neurotransmitters from the reticular formation and inhibition of arousal mechanisms in the cerebral cortex |
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Term
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Definition
brain is highly active with rapid, low amplitude waves similar to theo that occur when a person is awake and alert. REM sleep is primarily initiated by the reticular formation. Accounts for about 25% of sleep. |
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Term
Polycythemia (also known as polycythaemia or erythrocytosis) is: |
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Definition
a disease state in which the proportion of blood volume that is occupied by red blood cells increases. Blood volume proportions can be measured as hematocrit level. |
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Definition
grinding and clenching of teeth |
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