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Pain Management Study Guide

AB
PainWhatever the experiencing person says it is, existing whenever she/he says it does.
Peak EffectMaximum Effectiveness
NociceptionRefers to the process by which information about tissue damage is conveyed to the central nervous system (CNS).
PseudoaddictionThe pattern of drug seeking behavior among pain patients because of inadequate management of their pain problem which can be mistaken for addiction.
Physical DependenceA physical response of the body to a substance characterized by signs of withdrawal if the substance is stopped without tapering, markedly reduced after prolonged use, or if an antagonist is administered.
Abstinence (Withdrawal) SyndromePhysical symptoms that can occur after abrupt discontinuation or dose reduction of an opioid or administration of an antagonist.
AddictionA neurobehavioral disorder characterized by compulsive seeking of mood-altering substances and continued use despite harm.
OpiateA drug whose origin is the opium poppy, including codeine and morphine.
Non-OpioidA medication that provides pain relief, but that is not an opiate or a nonsteroid anti-inflammatory drugs (NSAIDS), acetaminophen).
Adjuvant MedicationsMedications that are used to enhance the pain relieving effects of opioids and non-opioids, and treat concurrent symptoms that exacerbate pain such as utilization of anxiolytics, or provide independent analgesia for specific sources of pain (i.e. neurologic pain), such as utilization of tricylic anti-depressants and anti-convulsants.
Pain AssessmentThe comprehensive evaluation of the patient’s pain.
Pain Measurement ToolThe quantitative examination of the intensity of the pain as reported by the patient utilizing a standardized instrument which has demonstrated reliability and validity.
TitrationAdjustment of medication levels within the dosage and frequency ranges.
Neuropathic PainMay be related to illness, injury or undetermined reasons, chronic and hard to treat. Includes phantom pain.
Psychogenic PainCause of pain cannot be identified.
Physical PainCause of pain can be identified.
Referred PainPain originates from internal organs but pain is perceived in an area distant from its point of origin.
Transduction of PainActivation of pain receptors
Transmission of PainConduction Along Pathways
Modulation of PainInitiation of the Protective Reflex Response
Perception of PainAwareness of the Characteristics of Pain
Pain ThresholdAmount of stimulation or point at which a physiological or psychological effect begins to be produced (pain) "Ok this is hurting."
Localized PainPain originates from the skin or from tissues
Somatic PainOriginates in the skin, muscles, bone or connective tissue, can be sharp and well localized, or dull and diffuse, often accompanied by N/V.
Visceral PainIs from organs or hollow viscera pain is dull and poorly localized because of the low number of nociceptors.
Pain IntensityRefers to the magnitude or amount of pain perceived
Pain ToleranceThe highest intensity of pain that the person is willing to tolerate "Can't take anymore!
Pain QualityRefers to how pain feels to the client or words that describe the pain’s nature



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