Pain_new_fall10

Pain_new_fall10 - Thefifthvitalsign KimberlyGlennMN,RN,CPN...

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The fifth vital sign Kimberly Glenn MN, RN, CPN Nurs 312 1
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“Pain is whatever the patient says it is” Unpleasant sensory/emotional experience Can have destructive effects Can warn of potential  injury-give me an example A multidimensional experience
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Transduction :   convert pain stimuli to electrical  impulse Transmission :   Conduction of pain message to  spinal cord by neurotransmitters Pain Perception :   cortex (conscious awareness). Influenced  Pain Modulation :   Changing pain perception.  Body moves away from pain
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↑ perception Substance P Prostaglandins Bradykinin Histamine Release of these chemical results in the sympathetic parasympathetic responses. perception Serotonin Endorphins (raise pain  threshhold)
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By cause Nocioceptive: most common. Pain receptors  respond to stimuli (somatic/viseral/cutaneous) Somatic r/t ____________ Viseral r/t _____________ Cutaneous r/t __________ Neuropathic: results from damage to peripheral  or CNS (phantom-limb) Radiating/referred: originate from abdominal  organs
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Age Adolescents don’t often admit Emotions/fatigue More susceptible when under duress  or tired Developmental stage experiences as infant/child will affect  later perceptions. Older adults may  have multiple causes that complicate  describing Sociocultural how one expresses their pain, and if  they really do Communication impairments verbal/non-verbal cues, ??able to  communicate at all Cognitive impairments ??able to communicate at all Prior experience
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Pain management needs to be systematic. Pain management needs to include the client’s quality 
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Pain_new_fall10 - Thefifthvitalsign KimberlyGlennMN,RN,CPN...

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