Ch 42 Vocabulary

Front 1

the point at which a person is aware of pain

Back 1

perception

Front 2

the point at which a person feels pain

Back 2

pain threshold

Front 3

level of pain a person is willing to put up with

Back 3

pain tolerance

Front 4

protective,has an identifiable cause, is of short duration usually less than 6 months

Back 4

acute pain

Front 5

lasts longer than anticipated such as cancer pain, low back pain, headache, peripheral neuropathy

Back 5

chronic pain

Front 6

a drug seeker, who doctor shops

Back 6

pseudoaddiction

Front 7

chronic pain in the absence of an identifiable physical or psychological cause or pain perceived as excessive for the extent of organic pathological condition

Back 7

idiopathic pain

Front 8

mental and physical freedom from tension or stress

Back 8

relaxation

Front 9

the client creates an image in the mind, concentrates on that image, and gradually becomes less aware of pain(example) Imagine yoursel lying on a cool bed of grass withthe sounds of rushing water from a nearby stream. It's a balmy day. You turn to see a patch of blue wildflowers in bloom and can smell their fragrance.

Back 9

guided imagery

Front 10

stimulation of the skin to relieve pain . A massage, warm bath , ice bag, and transcutaneous electrical nerve stimulation are simple ways to reduce pain perception

Back 10

cutaneous stimulation

Front 11

a safe method for postoperative and cancer pain management that most clients prefer.

Back 11

patient controlled analgesia

Front 12

the infiltration of a local anesthetic medication to induce loss of sensation to a localized body part

Back 12

local anesthesia

Front 13

the injection of a local anesthetic to block a group of sensory nerve fibers

Back 13

regional anesthesia

Front 14

commonly used for the treatment of acute postoperative pain, labor, and delivery pain, and chronic pain, especially that associated with cancer

Back 14

epidural analgesia

Front 15

incident pain: Pain that is predictable and elicited by specific behaviors
End-of-dose failure pain: Pain that occurs toward the end of the usual dosing interval of a regularly scheduled analgesic
Spotaneous pain: Pain that is unpredictable and not associated with any activity or event

Back 15

breakthrough pain

Front 16

A state of adaptation that is manifested by a drug class specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood le el of the drug, and administration of an antagonist.

Back 16

physical dependence

Front 17

A state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug's effects over time

Back 17

drug tolerance

Front 18

A primary, chronic, neurobiolobic, disease, with generic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use,compulsive use, continued use despite harm, and craving

Back 18

addiction

Front 19

client behaviors(drug seeking)that may occur when pain is undertreated.

Back 19

pseucoaddiction

Front 20

need to increase opioid for reasons other than opioid tolerance: progression of disease, onset of new disorder,increased physical activity, lack of adherence, change in opioid formulation, drug-drug interaction.

Back 20

pseudotolerance

Front 21

top layer of skin

Back 21

epidermis

Front 22

the inner layer of skin that provides tensile strength, mechanical support, and protection to the underlying muscles, bones, and organs,it contains mostly connective tissue and few skin cells.

Back 22

dermis

Front 23

impaired skin integrity related to unrelieved, prolonged pressure, localized areas of tissue necrosis that develop when soft tissue is compressed between a bony prominence and an external surface for a prolonged period of time

Back 23

pressure ulcer

Front 24

the mechanical force exerted when skin is dragged across a coarse survace such as bed linen is called _________

Back 24

friction

Front 25

red,moist tissue is indicative of ____________

Back 25

granulation tissue

Front 26

black or brown tissue which must be removed before healing can proceed

Back 26

eschar

Front 27

describes the amount, color, consistency, and a odor of wound drainage

Back 27

exudate

Front 28

the condition of the skin surrounding the wound is evaluated for redness, warmth, maceration, or __________

Back 28

edema

Front 29

yellow, stringy substance attached to wound bed tissue can be characteristic of ___________

Back 29

eschar

Front 30

wound involving a break skin or mucous membranes

Back 30

open