AHN Pain Section 2

Applying heat to injury can be left on how long?

30 minutes

Pain perception involves several different variables including afferent and efferent pathways, to what system

CNS

Gate theory of pain was defined by what person?

Melzak and Wall

Pt. with gall bladder disease c/o pain in the right mid back and asks for some pain medication. The nurse uses knowledge of pain to plan the following care:

The pt. has referred pain sensations and the nurse should follow orders for pain medication administration

transmission of impulses from the spinal cord to the brain is carried by nerves named

afferent

Pt experiences pain when arm is raised this kind of pain is known as the

aggravating factor

The sensation of pain has been defined by the International Association for the study of pain as

an unpleasant sensory and emotional experience

With extensive abdominal operation, analgesics will be most effective if given?

around the clock

SE of analgesic

constipation

What heat or cold tx. would you use on a pt. with PVD?

heat, cold is contraindicated for patients with PVD

Sympathetic response to pain

increased b/p, pulse, & resp. rate

Estimated percentage of persons on prescribed pain protocols that become addicted

less than 1%

Pain assessment includes

location, quality and intensity on an identified scale

Alternative pain management

music, meditation, & yoga

Pain in the older adult is

normally under reported

A 67 yr. old pt. in chronic pain which a daily dose is needed. The preferred method of administration is

oral

Pt. c/o pain after analgesic. The nurse changes the care plan because the

pt's pain threshold has lowered

Pt. c/o pain in arm while having a possible MI this kind of pain is known as

referred pain

SE of morphine

sedation

Gate Control Theory of pain is that the pain is perceived as stimulation of receptors in the

small nerve fibers

How does TENS work?

stimulates both the skin and the underlying tissues to decrease the intensity of the pain

If you don't believe that a order from a physician was wrote correct you need to

tell your RN about the order

opioid analgesic is

used for blocking pain at the CNS level