Pain

Question 1

Pain

Answer 1

• The perception or identification of stimuli as painful
• is real to the pt
• is an interpretation of impulses / stimuli
• the 5th vital sign

Question 2

Types of Pain

Answer 2

Mechanical, Thermal, Chemical

Question 3

Acute Pain

Answer 3

• Pain is a symptom
• Signs of inflammation
• Sudden / Onset
• < 6 months
• Responds well to Tx
• Affects self
• Anxious

Question 4

Chronic Pain

Answer 4

• Pain has become a disease
• Signs of inflammation
• > 6 months
• Not well defined
• Less responsive to Tx
• Sudden / Gradual onset
• More likely to be depressed or have psychological affects
• Affects others

Question 5

Sub Acute pain

Answer 5

Recurrence of a pain longer then expected

Question 6

Observation of pain

Answer 6

• Postural asymmetry
• Antalgic movements
• Facial expressions
• Pain verbalizations
• Seek medical assistance
• Signs of inflammation
• Outcome tools

Question 7

How to measure pain?

Answer 7

Visual Analog Scale
Body Diagrams
Ask Questions
Quality of Life Measures
Pain Questionaires

Question 8

Visual Analog Scale

Answer 8

0-1- or facial expression pictures

• Difference between 1-3 is not the same as 8-10
• Doesn’t correlate to % of pain, or change of pain

Question 9

Body Diagrams

Answer 9

Helps to describe quality and location of pain

• Can get messy
• Can show dermitomal or nerve or nondermitomal patters

Question 10

Questions to ask about Pain

Answer 10

• When did the pain start?
• How did it start?
• Over the past 6 months has it gotten better, worse or stayed the same?
• What makes it better or worse?
• Pain medications? (When, How much, How often)
• What cant you do because of the pain?
• How do you sleep?