Ch 42 vocabulary
Terms
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- the point at which a person is aware of pain
- perception
- 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
- pseudoaddiction
- 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
- relaxation
- 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
- addiction
- client behaviors(drug seeking)that may occur when pain is undertreated.
- pseucoaddiction
- 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.
- pseudotolerance
- top layer of skin
- epidermis
- 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.
- dermis
- 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 _________
- friction
- red,moist tissue is indicative of ____________
- granulation tissue
- black or brown tissue which must be removed before healing can proceed
- eschar
- describes the amount, color, consistency, and a odor of wound drainage
- exudate
- the condition of the skin surrounding the wound is evaluated for redness, warmth, maceration, or __________
- edema
- yellow, stringy substance attached to wound bed tissue can be characteristic of ___________
- eschar
- wound involving a break skin or mucous membranes
- open