Algorithms:
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a stepwise decision-making flowchart for a specific care process or
processes. Algorithms guide the clinician through the "if, then" decision
making process
Neuropathic Pain:
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arises from a lesion or disease affecting the somatosensory system. The
origin of neuropathic pain may be peripheral or central.
-Neuralgia and neuropathy are examples related to peripheral neuropathic
pain, which implies damage to the peripheral somatosensory system.
-Central neuropathic pain involves the central somatosensory cortex and
can be experienced by patients after a cerebral stroke.
, -Neuropathic pain can be difficult to manage and frequently requires a
multimodal approach that combines several pharm/nonpharm approaches.
Oral Supplementation:
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necessary for patients who can eat and have normal digestion and
absorption but cannot consume enough regular foods to meet caloric and
protein needs (mild anorexia, burns, trauma)
Music Therapy:
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has a soothing effect, educate the pt and family regarding the role of music
and about other sources of distraction for the patient to assist with
relaxation of pain control
Sedation management based on levels:
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i. Light sedation (minimal sedation, anxiolysis)
ii. Moderate sedation with analgesia (conscious sedation, procedural
sedation)
iii. Deep sedation and analgesia (cardiovascular function remains)
iv. General anesthesia (cardiovascular function may be impaired)
, Sleep Disturbance:
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insufficient duration or stages of sleep that results in discomfort and
interferes with quality of life.
i. May stem from psychological stress associated with critical illness and the
environment, surgical stress, noise, interruptions for care, painful
procedures or physiologic processes, excessive bright light, and muscular
and joint discomfort resulting from bed rest.
ii. May delay recovery
iii. Intensification of pain related to sleep disturbance is a significant
problem in acutely and critically ill patients. (this is because during sleep
somatastatin is released, without this substance, pain is experienced)
Patient Barriers/Misconceptions about Pain Management:
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-Inability to communicate pain level (ventilated),
-altered level of consciousness,
-older patients( feel like pain is a consequence of aging, being afraid to
disturb the healthcare team, cognitive deficits, delirium),
-cultural influences (stoic),
-lack of knowledge (feel like there is risk of or addiction)
ABCDE's of primary survey:
Give this one a try later!
Give this one a try later!
a stepwise decision-making flowchart for a specific care process or
processes. Algorithms guide the clinician through the "if, then" decision
making process
Neuropathic Pain:
Give this one a try later!
arises from a lesion or disease affecting the somatosensory system. The
origin of neuropathic pain may be peripheral or central.
-Neuralgia and neuropathy are examples related to peripheral neuropathic
pain, which implies damage to the peripheral somatosensory system.
-Central neuropathic pain involves the central somatosensory cortex and
can be experienced by patients after a cerebral stroke.
, -Neuropathic pain can be difficult to manage and frequently requires a
multimodal approach that combines several pharm/nonpharm approaches.
Oral Supplementation:
Give this one a try later!
necessary for patients who can eat and have normal digestion and
absorption but cannot consume enough regular foods to meet caloric and
protein needs (mild anorexia, burns, trauma)
Music Therapy:
Give this one a try later!
has a soothing effect, educate the pt and family regarding the role of music
and about other sources of distraction for the patient to assist with
relaxation of pain control
Sedation management based on levels:
Give this one a try later!
i. Light sedation (minimal sedation, anxiolysis)
ii. Moderate sedation with analgesia (conscious sedation, procedural
sedation)
iii. Deep sedation and analgesia (cardiovascular function remains)
iv. General anesthesia (cardiovascular function may be impaired)
, Sleep Disturbance:
Give this one a try later!
insufficient duration or stages of sleep that results in discomfort and
interferes with quality of life.
i. May stem from psychological stress associated with critical illness and the
environment, surgical stress, noise, interruptions for care, painful
procedures or physiologic processes, excessive bright light, and muscular
and joint discomfort resulting from bed rest.
ii. May delay recovery
iii. Intensification of pain related to sleep disturbance is a significant
problem in acutely and critically ill patients. (this is because during sleep
somatastatin is released, without this substance, pain is experienced)
Patient Barriers/Misconceptions about Pain Management:
Give this one a try later!
-Inability to communicate pain level (ventilated),
-altered level of consciousness,
-older patients( feel like pain is a consequence of aging, being afraid to
disturb the healthcare team, cognitive deficits, delirium),
-cultural influences (stoic),
-lack of knowledge (feel like there is risk of or addiction)
ABCDE's of primary survey:
Give this one a try later!
