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Health Assessment Test #2- Pain
Terms in this set (27)
What is pain?
a highly complex and SUBJECTIVE experience that originates from the CNS, PNS, or both
Pain is considered the ____ vital sign
Pain is subjective or objective?
self-report of pain
is the single most reliable indicator of the existence and intensity of pain
neuropathic pain (nervous system)
Indicates type of pain that does not adhere to typical phases inherent in nociceptive pain
hardest to treat
cannot see on x-ray
pain that originates from larger interior organs such as kidneys, stomach, gallbladder
deep somatic pain
comes from sources such as blood vessels, joints, tendons, muscles, and bone
derived from skin surface and subcutaneous tissues; injury is superficial, with a sharp, burning sensation
pain that is felt at a particular site but originates from another location
periumbilical pain is related to....
short term, follows after a accident or injury
long term, continues after healing from injury or surgery (still feeling pain)
types of pain: chronic (malignant)
types of pain: chronic (nonmalignant)
not cancer related
culture, dementia, ESL (english second language), psychotic, critaclly ill
Symptom analysis PQRST
precipitating/palliative (what makes it better/worse)
Quality/Quantity (pain scale/descriptive)
Region/radiation/related symptoms (location/symptoms)
pain is ALWAYS
subjective report is most reliable _______ of pain
Intial pain Assessment questions
where is your pain?
when did your pain start?
what does your pain feel like? (burning,itching,throbbing)
how much pain do you have now?
what makes your pain feel better/worse?
how does the pain limit your functions/activities?
how do you usually behave when your in pain?
why do you think you are having this pain?
Scales for assessing pain
visual analouge scale (VAS)
numeric rating scale (NRS)
simple descriptive scale
faces pain rating scales
Pain scale (0)
pain scale (1,2,3)
pain scale (4,5,6)
pain scale (7,8,9,10)
objective data w/ pain
muscles and skin
change in vital signs
nursing diagnosis (pain)
acute pain vs chronic pain
the nurse is reassessing a pts pain level after pain medication administration following a pain level of 9/10. The pt states that his pain level is now a 3/10. what should the nurse do next?
Verify orders for medications and offer more pain medication, if appropriate. BECAUSE we want the pt to be pain free it is the goal.
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