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23 Cards in this Set
- Front
- Back
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How pain is preceived is...
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-Highly personal
-unique personal and culteral factors |
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5 factors in Chronic pain.
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-pain
-major reason to seek HC -Diagnostic eval -Symptom relief -ADL disruption |
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Define Pain
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By the International Association for the Study of Pain....“An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.”
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Is Pain a Subjective experience?
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Yes, multidemensional phenom, that lies at the intersection between biology and culture
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Name 3 theories of Pain..
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-Specificity, fibers (A,C), via spinal cord
-Pattern,nociceptors respond to temp and pressure. Pn occurs in pattern impulses at the dorsal horn of the SP.C. -Gate control, permits or inhibits at the Dorsal horn of S.C |
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Non-malignant pain is
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Chronic benign pain or intractable pain
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What is malignant pain?
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with progressive terminal illness
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Effects of unrelieved pain..
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-Role changes
-relate to people who understand -powerlessness -Hate HC system -life of pain -Depression -Anxiety -Fatigue and sleep disturbances |
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Goal of pharmacological pain control
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-prevent
-titrate to effect -client contol as much as possible |
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Name some non-invasive methods of pain control...
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massage, acupuncture, thermal, tens, PT, OT
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Central methods of pain control...
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YOga, meditation,etc. Family involvment
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Goals of pain management programs
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-pt to gain contol of pain and life
-decrease pn and disability -decrease depression -inc. ADL's |
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Use of multidisciplinary teams to contol pain...
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PT, RN, Dr., OT, psych.
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What is the fifth vital sign
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Pain management
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What is Fatigue?
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-Nonspecific symptom common with chronic disease or conditions
-Affects all aspects of life -Goal to reduce fatigue or assist in managing effects. -Difficult to define -Little is known about the pathophysiology |
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Conditions that bring about fatigue?
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Pain, fever, infection, diarrhea, berest, stress, sleep problems, anxiety, depression
-Hypothyroidism -chronic renal failure -malignancies -CHF -anemia -diet disorders -chronic lung disease -PD -MS |
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Men and women are how many times at risk for fatigue if they don't stay physically active?
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2x's
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What does fatigue affect?
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-normalcy
-physical function -roles and relationships -socialization -sex -spirit -quality of life |
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Management of fatigue?
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-Improve sleep
-exercise or Pt. -Meds. --Psychostimulants --Dexamethasone --Amantadine (for Multiple Sclerosis) --Antidepressants --Erythropoietin ( for anemia) |
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Depressronion..
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-Suicide risk
-common in chronic or life-threatening illness |
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S/S of depression
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-Profound sadness
-Withdrawal from family and friends -Dramatic changes in behavior patterns -Hopelessness -Feelings of worthlessness and guilt -Suicidal thoughts -May have alcohol or drug use |
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Why do people get depressed?
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-Loss of abilities
-Changes (body image) -Medications -Medical problems -Symptoms (pain, SOB) -Role changes -Social and family limitations -Spiritual Distress |
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How do you manage Depression?
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-Antidepressants
-Management of other symptoms that cause depression (pain) -Counseling -Support from family, friends, and support groups -Spiritual support -Techniques for stress management, relaxation, guided imagery |
