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INBDE Orthodontics NBDE II Review - Prosthodontics Perio Study
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Practice questions for this set
Learn 1 /7 Study with Learn
- PO
- transmucousal/buccal
- intranasal
- rectal
-transdermal
-parental (IV, SQ)
- intraspinal
-implantable pumps
-patient-controlled analgesia
Choose an answer
1 Pain 2 Opioid administration routes
True or False? Women are more likely to be
3 diagnosed with a nonspecific, somatic 4 Biopsychosocial model of pain
disorder
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Terms in this set (113)
Complex, multidimensional experience that can cause suffering
Pain
and decreased quality of life
Percentage of cancer patients 60%
that experience pain during
treatment
Number of people who 25 million
experience acute pain from
injury or surgery
, - System of cardiovascular, metabolic, GI, immunologic, MSK,
neurologic, renal and respiratory
Negative consequences of - Unnecessary suffering
untreated pain - Physical and psychosocial dysfunction
- Immunosuppression
- Sleep disturbances
Biopsychosocial model of pain Affective, behavioral, cognitive, physiologic, and sociocultural
Emotional responses to pain include anger, depression, fear, and
Affective dimension of pain
anxiety. These negative emotions can impair a patient's QOL
Observable actions. Behavioral changes may occur is patient's
Behavioral dimension of pain
who cannot communicate (agitation, combativeness)
Beliefs, attitudes, memories, and meaning attributed to pain
Cognitive dimension of pain
influence the ways in which a person responds to pain
Generic, anatomic, and physical determinants of pain influence
Physiologic dimension of pain
how painful stimuli are processed, recognized, and described
- Age and gender influence nociceptive processes and response
to opioids.
- Families and caregivers influence patient's response to pain
Sociocultural dimension of pain
through their beliefs, behaviors, and support
- Culture affects pain expression, medication use, pain-related
beliefs and coping methods
Less likely to report pain, report more control over it, and are
Pain in men
less likely to use alternative treatments for pain
More often have migraines, back pain, arthritis, fibromyalgia, IBS,
Pain in women
neuropathic pain, abdominal pain.
True or False? Women are more True
likely to be diagnosed with a
nonspecific, somatic disorder
True or False? Women are more False. They are less likely
likely to receive analgesics for
symptoms of chest and
abdominal pain
Nociceptive pain Originates when the tissue is injured
4 Processes of pain perception Transduction, perception, transmission, modulation
Occurs when there is release of chemical mediators. Noxious
stimuli cause cell damage with the release of sensitizing
Transduction
chemical. Then those substances activate nociceptors and lead
to generation of action potential
Involves the conduct of the action potential from the injury site
Transmission to the spinal cord and then to the brainstem, thalamus, and
cerebral cortex
Perception Conscious awareness of pain
Involves signals from the brain going back down the spinal cord
Modulation
to modify incoming impulses
Nociceptive Damage to somatic or visceral tissue
Neuropathic Damage to peripheral nerves of CNS
Numbing, shooting pain, itching, hot, burning, shooting,
Quality of neuropathic pain
stabbing, or electrical shock-like
Somatic pain Superficial and deep
Quality of somatic pain Throbbing and aching
Visceral pain Internal organs
Superficial (somatic) pain Arises from skin, mucous membranes, and SQ tissues
Quality of superficial pain Sharp, burning, or prickly