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Pain PowerPoint Presentation

Pain

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Pain

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Presentation Transcript

  1. Pain

  2. Pain • All-consuming reality • Client wants pain relief • No two persons experience pain the same way • The client’s pain is real

  3. Origins of pain • Physical • Psychogenic

  4. Stimuli • Pain results when nerve endings are stimulated • Mechanical • Thermal • Chemical

  5. Impulse travels via • Delta fibers • Mylinated • Fast conducting • Actue • Well-localized • C fibers • Unmylinated • Slow conducting • Chronic • Diffuse pain

  6. Suffering • Subjective • Influenced by • Culture • Gender • Age • Religion • Anxiety • Competing demands for attention • Support persons

  7. Pain Behaviors • Listen to client’s description • Observe pain behavior • Grimacing, moaning, crying • Restlessness • Protecting the painful area • Moving away from painful stimuli

  8. Description of pain • P – precipitating or aggravating factors • Q – quality or character • R – relieving factors • S – severity • T – time relationships • Periodicity • duration

  9. Assessing pain • Determination of pain exists • Descriptive characteristics of the pain • Physiologic responses • Behavioral responses • How affected by others • How influences daily activities • Coping mechanisms used

  10. FLACC Scale

  11. Nursing Interventions • Remove the cause • Distraction • Imagery • Relaxation

  12. Dependent interventions – analgesic administration • Non-narcotics • Narcotic agonists • Narcotic antagonists

  13. Pain is usually under-treated • Physicians • Nurses • Patients/Clients

  14. Analgesic administration • Timing is important • Before pain is severs • Nurse needs to know onset, peak, duration, side-effects • PCA • Placebos