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Ch 42 vocabulary


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the point at which a person is aware of pain
the point at which a person feels pain
pain threshold
level of pain a person is willing to put up with
pain tolerance
protective,has an identifiable cause, is of short duration usually less than 6 months
acute pain
lasts longer than anticipated such as cancer pain, low back pain, headache, peripheral neuropathy
chronic pain
a drug seeker, who doctor shops
chronic pain in the absence of an identifiable physical or psychological cause or pain perceived as excessive for the extent of organic pathological condition
idiopathic pain
mental and physical freedom from tension or stress
the client creates an image in the mind, concentrates on that image, and gradually becomes less aware of pain(example) Imagine yoursel lying on a cool bed of grass withthe sounds of rushing water from a nearby stream. It's a balmy day. You turn to see a
guided imagery
stimulation of the skin to relieve pain . A massage, warm bath , ice bag, and transcutaneous electrical nerve stimulation are simple ways to reduce pain perception
cutaneous stimulation
a safe method for postoperative and cancer pain management that most clients prefer.
patient controlled analgesia
the infiltration of a local anesthetic medication to induce loss of sensation to a localized body part
local anesthesia
the injection of a local anesthetic to block a group of sensory nerve fibers
regional anesthesia
commonly used for the treatment of acute postoperative pain, labor, and delivery pain, and chronic pain, especially that associated with cancer
epidural analgesia
incident pain: Pain that is predictable and elicited by specific behaviors
End-of-dose failure pain: Pain that occurs toward the end of the usual dosing interval of a regularly scheduled analgesic
Spotaneous pain: Pain that is unpredictable and
breakthrough pain
A state of adaptation that is manifested by a drug class specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood le el of the drug, and administration of an antagonist.
physical dependence
A state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug's effects over time
drug tolerance
A primary, chronic, neurobiolobic, disease, with generic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use,c
client behaviors(drug seeking)that may occur when pain is undertreated.
need to increase opioid for reasons other than opioid tolerance: progression of disease, onset of new disorder,increased physical activity, lack of adherence, change in opioid formulation, drug-drug interaction.
top layer of skin
the inner layer of skin that provides tensile strength, mechanical support, and protection to the underlying muscles, bones, and organs,it contains mostly connective tissue and few skin cells.
impaired skin integrity related to unrelieved, prolonged pressure, localized areas of tissue necrosis that develop when soft tissue is compressed between a bony prominence and an external surface for a prolonged period of time
pressure ulcer
the mechanical force exerted when skin is dragged across a coarse survace such as bed linen is called _________
red,moist tissue is indicative of ____________
granulation tissue
black or brown tissue which must be removed before healing can proceed
describes the amount, color, consistency, and a odor of wound drainage
the condition of the skin surrounding the wound is evaluated for redness, warmth, maceration, or __________
yellow, stringy substance attached to wound bed tissue can be characteristic of ___________
wound involving a break skin or mucous membranes

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