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What is pain defined as? What percentage of hospitalized clients report pain? Is pain subjective or objective? What does that mean?
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An unpleasant sensory and emotions experience associated with actual or potential harm. 50%. Subjective. Each person will experience pain differently.
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What are the three dimensions of pain and what do they mean?
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1. Cognitive-Evaluative meaning of pain: beliefs, values, evaluations and goals2. Affective-motivational: how does it make us feel, what does it make us do?3. Sensory-discriminative: pain perception;severity and localization
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What is nociceptive pain? What are the three subdivisions of it and their properties?
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Pain associated with tissue damage in viscera, bones, ligaments, muscles, skin.1.Somatic pain: muscular/skeletal, skin; sharp, throbbing, aching, localized2.Visceral pain: organs in thorax; pressure, squeezing, cramping, hard to pin point3. Parietal pain: wall of body cavity
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What is referred pain? Give an Example
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 Pain that is felt somewhere else than where the actual damage is taking place. Pain from pancreas can sometimes be felt in the right shoulder |
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What is the hardest pain to identify? What are some qualities of it?
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Neuropathic pain. Burning, tingling, numbness, stabbing, shooting, electric
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What are the two types of nociceptor sensory nerves and their qualities?
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High speed A-delta fibres(fast-sharp)Slow C-fibres(dull-long lasting)
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What are some barriers to assessing pain in a patient? Why do you need to continually check for pain?
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May be hard to describe in terms, language barriers, young children, elderly, mental status. Need to see if medication is working, can't assume patient has no pain.
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What is acute pain?
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Pain that can last seconds to months, usually following an event or disease. Can indicate damage
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Is acute pain more severe than chronic pain?
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NO, not necessarily
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What are some signs of acute pain?
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Guarding, moaning, agitation, stillness, diaphoresis(sweating), tachycardia/pnea, hypertension, vomiting
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What is chronic pain? What is the problem with it? What effects can this have on a person?
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Pain that lasts more than three months. It does not serve a useful purpose. It can cause a person to go into a depression and withdraw from social aspects of life, change of mood, irritable
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What are some signs of chronic pain?
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Rubbing, Sighing, change in appetite, less movement, exercise, change in sleeping habits.
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What does the American Pain Society insist upon?
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That pain is the 5th vital sign.
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What are some risk factors for pain?
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Demographics(women have higher rates of chronic pain)Work and lifestyleCoexisting diseasesAdequacy of treatment(was it identified and treated fast enough?)
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What are barriers that a patient can perceive in pain control?
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Pain cannot be relieved, will get addicted, don't want to complain, fear of side effects, want another illness to be treated first.
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