Class notes
NUR 183 Chapter 35 Notes
- Course
- NUR 183-602
- Institution
- Bergen Community College
This is a comprehensive and detailed note on Chapter 31; Pain for Nur 183. *Essential Study Material!!
[Show more]
Content preview
PAIN Chapter 31What Is Pain?
• ➢Unpleasant sensory/emotional experience
• ➢Can have destructive effects
• ➢Can warn of potential injury
• ➢A multidimensional experience
What Is Pain?
▪ ▪Pain is most common reason people seek medical care in USA
▪ Pain
▪ experience can signifcantly interfere w/ person’s quality of life, afectng nearly every
aspect of life.
▪ severe back pain can afect a pt’s job performance, engagement in social actvites, sexual intmacy,
sleep & rest, ability to exercise, & ability to perform ADLs
▪ These factors can afect intensity of pt’s pain, as well as pt’s response to pain.
▪ ▪ Pain can cause sleep loss, irritability, cognitve impairment, functonal impairment, &
immobility, & it can be destructve to the pt & family.
Classification of Pain
By origin:
Superficial
Visceral
Somatic
Radiating/referred
Phantom
Psychogenic
Superficial
▪ arises in skin or subcutaneous tssue
▪ If you have ever touched a hot object or received a paper cut, you have experienced superfcial pain.
▪ Although injury is superfcial, it may cause signifcant short-term pain.
Visceral
• is caused by stmulaton of deep internal pain receptors
• It is most often experienced in abdominal cavity, cranium, or thorax.
• Not well localized & can be described as tght, pressure, or crampy pain.
, • Descripton of quality & extent of pain often serves as a strong clue to the cause.
Menstrual cramps, labor pain, GI infectons, bowel disorders, & organ cancers all produce visceral
pain.
Somatic
▪ pain originates in ligaments, tendons, nerves, blood vessels, & bones.
▪ Deep somatc pain is more localized & can be described as achy or tender.
▪ A fracture or sprain, arthrits, & bone cancer can cause deep somatc pain.
▪
–Radiating
▪ pain starts at the origin but extends to other locatons.
▪ For instance, the pain of a severe sore throat may extend to ears & head.
▪ Or pain of an episode of gastroesophageal reflux (“heartburn”) may radiate outward from the
sternum to involve the entre upper thorax.
Phantom
pain is perceived to originate from an area that has been surgically removed.
Pts with amputated limbs may stll perceive that the limb exists & experience burning, itching, &
deep pain in that area
Psychogenic
▪ pain is believed to arise from the mind.
▪ Pt perceives the pain despite the fact that no physical cause can be identfed.
▪ can be just as severe as pain from a physical cause
Referred
• pain occurs in an area that is distant from the original site.
• For example, the pain from a heart attack may be experienced down the left arm, through the back,
or into the jaw
By cause
Nociceptve
Neuropathic
•
By quality
By duraton
▪ Acute
▪ Chronic
▪ Intractable
• ➢Nociceptive
pain occurs when pain receptors (nociceptors) respond to stmuli that are potentally damaging, as a
result of noxious thermal, chemical, or mechanical stmuli.
may occur as a result of trauma, surgery, or inflammaton
➢Neuropathic
is a complex & often chronic pain that arises when injury to one or more nerves results in repeated
transmission of pain signals even in absence of painful stmuli
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82388 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now