What is pain
the concept of unpleasant sensory, emotional experience with actual or potential tissue damage
Do nonverbal cues always match the reported level of pain
no not always
What is acute pain
result of tissue damange, durgery or trauma,
What is chronic pain
can be time limited or last a lifetime
What is breakthrough pain
chronic pain with acute exacerbations
What is nociceptive pain
physiological pain, tissue injury
What is neuropathic pain
pathophysiologic pain, damage to Peripheral or CNS
What are some components of Pain assessement
Self-report
location
intensity
quality
onset and duration
Aggravating and relieving factors
Effects on quality of life
What pain scale should you use for someone who is nonverbal
hierachy of pain measures
What pain scale should you use for someone who is a young child
FLACC
What pain scale should you use for someone who has advanced dementia
PAINAD
What pain scale should you use for someone who is in CCU
CPOT
What are some pain management ways
Where do opioid analgesics act on
the CNS to inhibit activity of ascending nociceptive pathways
How do NSAIDs decrease pain
by inhibiting cyclo-oxygenase
How do local anesthetics work
by blocking nerve condition when applied to nerve fibers
What is a non-opiod
acetaminophen, NSAIDs (ibuprofen, naproxen, celecoxib)
What is an opiod
morphine, hydromorphone, buprenorphine
What are some adverse effects of analgesic agents
resp depression
sedation
N/V
constipation
pruritis (itchy skin)