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MS Vocabulary Ch. 11 Pain Management

AB
acute paindiscomfort that has a short duration (from a few seconds to less than 6 months) and is associated with tissue trauma, including surgery, or some other recent identifiable etiology
addictionrepetitive pattern of drug seeking and drug use to satisfy a craving for a drug's mind-altering or mood-altering effects
adjuvant drugsmedications that are co-administered when treating pain (e.g. improving analgesic effect without increasing dosage, controlling concurrent symptoms, moderating side effects)
allodyniaexaggerated pain response due to increased sensitivity to stimuli such as air currents, pressure of clothing, vibration
analgesicsubstance that interferes with pain perception
breakthrough painacute pain that occasionally develops in those who have chronic pain
chronic paindiscomfort that lasts longer than 6 months
endogenous opiatesnatural morphine-like substances that modulate pain transmission by blocking receptors for substance P
equianalgesic doseoral dose that provides the same level of pain relief as when the drug is given by a parenteral route
hyperalgesiaamplified pain experience
intractable painpain that does not respond to analgesic medications, noninvasive measures, or nursing management
modulationphase of pain impulse transmission during which the brain ineracts with the spinal nerves to alter the pain experience by releasing pain-inhibiting neurochemicals
neuropathic paindiscomfort that is processed abnormally by the nervous system as a result of damage to either the pain pathways in peripheral nerves or pain processing centers in the brain
nociceptive paindiscomfort that arises from noxious stimuli that are transmitted from the point of cellular injury to the cerebral cortex of the brain
nociceptorsspecialized pain receptors located in the free nerve endings of peripheral sensory nerves
painprivately experienced, unpleasant sensation usually associated with disease or injury - it's whatever the patient says it is, whenever the patient says it is, and whereever the patient says it is
pain managementtechniques used to prevent, reduce, or relieve discomfort
pain thresholdpoint at which pain-transmitting neurochemicals reach the brain, causing conscious awareness of discomfort
pain toleranceamount of discomfort a person endures once the pain threshold has been reached
perceptionphase of pain impulse transmission during which the brain experiences pain at a conscious level, helps to discriminate the location of the pain, determines its intensity, attaches meaninfulness to the event, and provokes emitional responses
physical dependencecondition in which a person experiences physical discomfort when a drug that he or she has taken routinely is abruptly discontinued
referred paindiscomfort that is perceived in a general area of the body, but not in the exact site where a diseased organ is anatomically located
somatic painpain that arises from mechanical, chemical, thermal, or electrical injuries or disorders affecting bones, joints, muscles, skin, or other structures composed of connective tissue
tolerancecondition in which a client needs larger doses of a drug to achieve the same effect as when the drug was first administered
transductionphase of pain transmission involving the conversion of chemical information in the cellular environment to electrical impulses that move toward the spinal cord
transmissionphase of pain transmission during which periperal nerve fibers form synapses with neurons within the spinal cord and the apin impulses move from the spinal cord to sequentially higher levels in the brain
visceral paindiscomfort that arises from diseased or injured internal organs
withdrawal symptomsphysical discomfort that follows when a person abruptly discontinues use of a drug taken routinely for some time


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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