Med/surg Exam 2 Terms

Front 1

a behavioral pattern of a substance use characterized by a compulsion to take the substance (drug or alcohol) primarily to experience its psychic effects

Back 1

a substance that when combined with the receptor produces the drug effect or desired effect. Endorphins and morphine are agonists on the opioid receptors

Front 2

causing pain

Back 2

a substance that blocks ro reverses the effects of the agonist by occupying the receptor site without producing the drug effect. Naloxone (Narcan) is an opioid antagonist

Front 3

using more than one form of analgesia concurrently to obtain more pain relief with fewer side effects

Back 3

a sudden and temporary increase in pain occurring in a patient being managed with opioid analgesia

Front 4

morphine like substances produced by the body. Primarily found in the central nervous system, they have the potential to reduce pain

Back 4

occurs when a patient who has been taking opioids experiences a withdrawal syndrome when the opioids are discontinued; often occurs with opioid tolerance and does not indicate an addiction

Front 5

activation of sensory transduction in nerves by thermal, mechanical, or chemical energy impinging on specialized nerve ending. The nerves involved convey information about tissue damage to the central nervous system.

Back 5

a receptor preferentially sensitive to a noxious stimulus

Front 6

nerve fiber that usually does not transmit pain

Back 6

a morphine like compound that produces bodily effects including pain relief, sedation, constipation, and respiratory depression. This term is preferred over narcotic

Front 7

an unpleasant sensory and emotional experience resulting from actual or potential tissue damage

Back 7

the point at which a stimulus is perceived as painful

Front 8

the maximum intensity or duration of pain that a person is willing to endure

Back 8

self administration of analgesic agents by a patient instructed about the procedure

Front 9

analgesia that results from the expectation that a substance will work, not fromthe actual substance itself

Back 9

chemical substances that increase the sensitivity of pain receptors by enhancing the pain provoking effect of bradykinin.

Front 10

pain perceived as coming from an area different from that in which the pathology is occurring. An example would be the perception of left arm or jaw pain in a person having a myocardial infarction

Back 10

a heightened response seen after exposure to a noxious stimulus. Response to the same stimulus is to feel more pain

Front 11

occurs when a person who has been taking opioids becomes less sensitive to their analgesic properties (and usually side effects). Characterized by the need for increasing doses to maintain the same level of pain relief.

Back 11

use of pharmacologic agents to hasten the death of a terminally ill patient; illegal in most states

Front 12

self determination; in the health care context, the right of the individual to make choices about the use and discontinuation of medical treatment

Back 12

period during which mourning for a loss takes place

Front 13

Greek for "good death" has evolved to mean the intentional killing by act or omission of a dependent human being for his or her alleged benefit

Back 13

ther personal feelings that accompany an anticipated or actual loss

Front 14

a coordinated program of interdisciplinary care and servics provided primarily in the home to terminally ill patients and their families

Back 14

communication and cooperation among members of diverse health care disciplines jointly to plan, implement, and evaluate care

Front 15

a Medicare entitlement that provides for comprehensive, interdisciplinary palliative care and services for eligible beneficiaries who have a terminal illness and a life expenctancy of less than 6 months

Back 15

individual, family, group, and cultural expression of grief and associated behaviors

Front 16

comprehensive care for patients who disease is not responsive to cure; can also extend to patients families

Back 16

use of pharmacologic agents, at the request of the terminally ill patient, to induce sedation when symptoms have not responded to other management measures. The purpose is not to hasten the patients death but to relieve intractable symptoms

Front 17

personal belief systems that focus on a search for meaning and purpose in life,intangible elements that impact meaning and vitality to life, and a conectedness to a higher or transcendent dimension

Back 17

progressive, irreversible illness that despite cure focused medical treatment will result in the patients death

Front 18

the obligation to tell the truth and not to lie or deceive others

Back 18

is the intentional limitation of anothers autonomy, justified by an appeal to beneficence or the welfare or needs of another.

Front 19

is the duty to do good and the active promotion of benevolent acts (goodness, kindness, charity)

Back 19

relates to the concept of privacy

Front 20

is promise keeping; the duty to be faithful to one's commitments.

Back 20

the duty not to inflict harm as well as to prevent and remove harm.