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7 Cards in this Set
- Front
- Back
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What are the 4 Dimensions of pain?
(ABCS) |
- Affective Dimension (feelings, emotional response, self-esteem)
- Behavioral Dimension (how you act and respond to pain) - Cognitive Dimension (how you think about and view pain) - Sensory Dimension (where pain located and what it feels like) |
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Physiologic Dimension of Pain, 4 Steps
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- Transduction (Noxious stimuli translated into electrical activity at the sensory endings of nerves (nociceptors) to neurochemical transmission)
- Transmission (neurochemical travels thru nerve to SC, brain stem, thalamus, cerebral cortex) - Perception (brain becoming aware) - Modulation (body/brain's response to decrease or move away from pain) |
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3 Major Types of Acute Pain and Characteristics of each
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- Somatic (body pain, arises from nerves in skin or close to surface)
* Sharp, Dull or Diffuse and often associated with N/V - Visceral (arises from organs) * Dull, poorly localized also with N/V, hTN, restlessness - Referred Pain (perceived in area distant from the source) |
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3 Major Types of Chronic Pain
(lasts 6 months or more) |
- Malignant (cancer)
- Non-Malignant (back ache) - Intermittent (arthritis) |
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4 Categories of Pain
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- Recurrent acute (migraine)
- Ongoing time-limited (burn, cancer, terminal illness) - Chronic non-malignant (back pain) - Chronic intractable non-malignant pain syndrome (disabling disease state, debilitating illness - leads to social/psychological disability) |
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Pain Ladder (bottom to top steps)
based on the Pharmacological Approach (other Approaches include Non-Pharmacological and Invasive) |
1 - Mild - Non-opioid +- adjuvant (mild pain)
2 - Persistant or Increasing - Opioid for mild-moderate +- Non-opioid +- adjuvant (few days post-op) 3 - Persisting or increasing - Opioid for severe +- Non-opioid +- adjuvant (post-op) |
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Characteristics of Pain when doing a Pain Assessment
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Duration, Location, Quality, Intensity (scale), Factors associated WITH, Precipitating Factors, Aggravating Factors, Alleviating Factors
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