2026 PATIENT CARE STRATEGIES MODULE
QUESTIONS SOLUTIONS STRUCTURED
SCRIPT
◉ Suffering is?
Answer: the emotional component of pain.
◉ How is pain defined by McCaffrey
Answer: whatever the person SAYS it is, and existing whenever the
person says it DOES.
◉ Process of Pain-4
Answer: Process by which people experience pain occurs in 4
phases.
1. Transduction
2. Transmission
3. Perception
4. MOdulation
,◉ Transduction
Answer: conversion of chemical info at a cellular level into electrical
impulses that move toward the spoinal cord.
-begins when injured cells release chems. like Substance P,
Prostaglandins, bradykinin, histamine, and glutamate.
-these chemicals excite Nocireceptors located in the skin, bones,
joints, muscles, and internal organs.
◉ Transduction-Nocireceptor
Answer: Type of sensory nerve recptors activated by noxious stimuli
located in the skin, bones, joints, muscles, and internal organs.
◉ Transmission
Answer: stimuli move from the peripheral nervous system toward
the brain.
-Trans. occurs when peripheral nociceptors from synapses with
neurons within the spinal cord that carry pain impulses and other
sensory info such as pressure.
◉ Trasmission-A-delta fibers/Fast Pain Pathway
, Answer: large myelinated fibers, carry impulses rapidly at a rate of
approximately 5-30 meters per second.
◉ Transmission-C-fibers
Answer: carry impulses at a slower rate of .5 to 2 m/sec. cary
impulses more slowly.
-responsible for THROBBING, ACHING, BURNING SENSATION that
persists after the initial discomfort.
◉ What 2 things happen when the pain impulses reach the
Thalamus?
Answer: 1. thalamus transmits the message to the CORTEX, where
the location and severity of the injury are identified.
2. Notifies the nociceptors that the message has been received and
that continued trasmission is no longer necessary.
◉ Perception
Answer: conscious experience of discomfort.
-occurs when the pain threshold is reached.
-ONce perceived brain determines it's intesity, meaninfulness, and
provokes emotional responses.