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11 Cards in this Set
- Front
- Back
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Chapter 46
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Pain management
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Pain
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An unpleasant sensory and emotional experience associated with actural or potential tissue damage
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Pain is
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A universal experience
Unique to the individual |
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Descriptors of pain
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Location
Duration-acute, chronic Intensity Etiology-psychological, neuropathic |
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Gate control theory of pain
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The first threory to suggest that psychological factors play a role in the perception of pain
-Kissing a boo-boo to make it better |
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Clinical applications of the
Gate control theory |
Stop nociceptor firing
Apply topical therapies Address client's mood Address client's goals |
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Factors affecing perception of pain
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We all react to pain differently
Ethnic and cultural values Developmental stage Environment and support people Past pain experiences Meaning of pain-spiritual |
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COLDERR mnemonic for pain assessment
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Character
Onset Location Duration Exacerbation Relief Radiation |
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Examples of pain response
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Facial expression
Vocalizations Immobilization Purposeless movements Behavioral changes Rhythmic body movements |
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Nursing diagnosis
Accute Pain |
Increased vital signs
Related to tissue injury REsolves with healing Client restless and anxious Exhibits behaviors indicitive of pain |
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Nursing diagnosis
Chronic pain |
Normal vital signs
Continues beyond healing Client withdrawn and depressed Does not mention unless asked Pain behavior absent |
