NURS- 175 Exam 3 Newest Actual Exam Preparation With
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Definition of pain - ANSWERS--whatever the experiencing person
says it is, existing whenever the experiencing person says it does
Classifications of Pain - ANSWERS--- Duration
- Localization/location
- Etiology
Duration - ANSWERS--- Acute
- Chronic
Acute Pain - ANSWERS--- Rapid onset, varies in intensity and duration
- Protective in nature
Chronic Pain - ANSWERS--- May be limited, intermittent, or
persistent
- Lasts beyond the normal healing period
- Periods of remission or exacerbation are common
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Localization/location - ANSWERS--- Cutaneous
- Somatic
- Visceral
- Referred
Cutaneous pain - ANSWERS--Superficial pain usually involving skin or
subcutaneous tissue
- papercut
Somatic pain - ANSWERS--- diffused/scattered
- originated in tendons, ligaments, bones, blood vessels, or nerves
- Ex: sprained ankle
Visceral pain - ANSWERS--- poor located
- originated in body organs (thorax, cranium, abdomen)
Referred pain - ANSWERS--Pain in an area removed from that in
which stimulation has its origin
- Ex: MI
Etiology - ANSWERS--- Nociceptors
- Neuropathic
- Intractable
- Phantom
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- Psychogenic
Nociceptive pain - ANSWERS--- nociceptors initiate pain & are
activated by damage/threat to peripheral tissue
- most common type
Neuropathic pain - ANSWERS--Pain that results as a direct
consequence of a lesion or disease affecting abnormal functioning of
the peripheral nervous system (PNS) or central nervous system (CNS)
- Ex: pins & needles
Intractable pain - ANSWERS--Severe pain that is extremely resistant
to relief measures
- Ex: cancers
Phantom pain - ANSWERS--Sensation of pain without demonstrable
physiologic or pathologic substance; commonly observed after the
amputation of a limb
Psychogenic pain - ANSWERS--Pain for which no physical cause can
be identified
Pain Assessment Tools - ANSWERS--- Numerical pain scale
- Wong-Baker FACES
- Beyer Oucher pain scale
- CRIES pain scale
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- FLACC scale
- COMFORT scale
Numerical Pain Scale - ANSWERS--Rating pain on a 1-10 scale
Wong-Baker FACES - ANSWERS--Asks children to compare their pain
to a series of faces ranging from a broad smile to a tearful grimace
Beyer Oucher Pain Scale - ANSWERS--- Use in young patients,
combines a 0-100 scale with six photographic images of children in
pain
- Helpful in older children and various ethnic groups
CRIES Pain Scale - ANSWERS--A tool intended for use with neonates
and infants from 0-6 months
FLACC Scale - ANSWERS--- Faces, Legs, Activity, Cry, Consolability
- Designed for infants and children from age 2 months- 7 years who
are unable to validate the presence or severity of pain, rates each of
the five categories on a 0-2 scale
- children may be asked to record their pain experiences in a daily
diary
COMFORT Scale - ANSWERS--- used to assess pain and distress in
critically ill pediatric patients