Podcast
Questions and Answers
A patient reports a throbbing headache accompanied by sensitivity to light and sound. Which aspect of pain provides the MOST relevant information for the nurse to consider, according to the presented pain concepts?
A patient reports a throbbing headache accompanied by sensitivity to light and sound. Which aspect of pain provides the MOST relevant information for the nurse to consider, according to the presented pain concepts?
- The subjective nature of pain and the patient’s personal experience. (correct)
- The physiological process of transduction at the site of tissue injury.
- The objective measure of pain intensity using a standardized pain scale.
- The transmission of electrical signals through afferent nerves to the spinal cord.
A nurse is educating a patient about pain management options. In what order should the nurse prioritize the following actions?
A nurse is educating a patient about pain management options. In what order should the nurse prioritize the following actions?
- Educating, Advocating, Monitoring, Evaluating.
- Monitoring, Evaluating, Educating, Advocating.
- Advocating, Monitoring, Educating, Evaluating. (correct)
- Evaluating, Monitoring, Advocating, Educating.
During the assessment of a patient experiencing chronic pain, the nurse notes that the patient's facial expressions and body language do not consistently align with the pain intensity reported. Which factor should the nurse consider FIRST?
During the assessment of a patient experiencing chronic pain, the nurse notes that the patient's facial expressions and body language do not consistently align with the pain intensity reported. Which factor should the nurse consider FIRST?
- The patient's cognitive, affective, behavioral, and sensory factors influencing pain perception. (correct)
- The patient is attempting to cope with the pain, leading to suppression of behavioral responses.
- The patient has developed tolerance for the pain, resulting in decreased pain perception.
- The patient is likely exaggerating pain to seek stronger medications.
A patient who has had surgery reports incisional pain. Which physiological process is responsible for converting the initial injury stimulus into an electrical signal?
A patient who has had surgery reports incisional pain. Which physiological process is responsible for converting the initial injury stimulus into an electrical signal?
A patient reports pain in their lower back. The nurse understands that for the patient to consciously register this sensation as pain, which step of nociception must occur?
A patient reports pain in their lower back. The nurse understands that for the patient to consciously register this sensation as pain, which step of nociception must occur?
Which physiological response is least likely to be observed in a patient experiencing chronic pain compared to acute pain?
Which physiological response is least likely to be observed in a patient experiencing chronic pain compared to acute pain?
Which of the following best describes the concept of pain threshold?
Which of the following best describes the concept of pain threshold?
A patient who cannot communicate verbally is grimacing, agitated and guarding their abdomen. What pain scale adaptations would be most effective in assessing this patient's pain?
A patient who cannot communicate verbally is grimacing, agitated and guarding their abdomen. What pain scale adaptations would be most effective in assessing this patient's pain?
A patient reports a pain level of 10/10 due to burns. Which nursing diagnosis takes the highest priority?
A patient reports a pain level of 10/10 due to burns. Which nursing diagnosis takes the highest priority?
The gate control theory of pain proposes that:
The gate control theory of pain proposes that:
A patient with chronic joint pain reports feeling helpless and unable to perform daily activities. Besides pain management, which intervention is most important?
A patient with chronic joint pain reports feeling helpless and unable to perform daily activities. Besides pain management, which intervention is most important?
Which theory posits that pain is a multidimensional experience shaped by a genetically controlled network of neurons unique to each individual?
Which theory posits that pain is a multidimensional experience shaped by a genetically controlled network of neurons unique to each individual?
Which component is not a characteristic of a SMART (Specific, Measurable, Achievable, Relevant, Time-bound) patient-centered goal for pain management?
Which component is not a characteristic of a SMART (Specific, Measurable, Achievable, Relevant, Time-bound) patient-centered goal for pain management?
What type of pain originates in one area but is felt in another part of the body?
What type of pain originates in one area but is felt in another part of the body?
Pain that continues even after the original painful stimulus is gone is characteristic of:
Pain that continues even after the original painful stimulus is gone is characteristic of:
Which of the following patient statements indicates effective coping with chronic pain, according to the information provided?
Which of the following patient statements indicates effective coping with chronic pain, according to the information provided?
A patient taking newly prescribed pain medication is expected to have an increased ability to concentrait within 2 hours of receiving the prescribed does. What should the nurse emphasize about this goal?
A patient taking newly prescribed pain medication is expected to have an increased ability to concentrait within 2 hours of receiving the prescribed does. What should the nurse emphasize about this goal?
Phantom limb pain is a type of neuropathic pain that is BEST explained by which of the following processes?
Phantom limb pain is a type of neuropathic pain that is BEST explained by which of the following processes?
How do physiologic stress responses affect a patient when acute pain is left untreated?
How do physiologic stress responses affect a patient when acute pain is left untreated?
A patient consistently requests pain medication, but exhibits minimal behavioral signs of pain. Which action should the nurse prioritize?
A patient consistently requests pain medication, but exhibits minimal behavioral signs of pain. Which action should the nurse prioritize?
Which of the following is NOT a component of the SOCRATES pain assessment tool?
Which of the following is NOT a component of the SOCRATES pain assessment tool?
According to the sensory interaction theory, how does stimulating large-diameter nerve fibers affect pain signals?
According to the sensory interaction theory, how does stimulating large-diameter nerve fibers affect pain signals?
Which of these is the MOST appropriate way to assess pain in patients who are unable to communicate?
Which of these is the MOST appropriate way to assess pain in patients who are unable to communicate?
Which of the following nonpharmacologic pain management techniques relies on focusing the mind to promote relaxation and reduce pain perception?
Which of the following nonpharmacologic pain management techniques relies on focusing the mind to promote relaxation and reduce pain perception?
A patient is prescribed an opioid analgesic via patient-controlled analgesia (PCA). What is the primary advantage of PCA over traditional opioid delivery methods?
A patient is prescribed an opioid analgesic via patient-controlled analgesia (PCA). What is the primary advantage of PCA over traditional opioid delivery methods?
Which of the following statements best describes the use of adjuvant medications in pain management?
Which of the following statements best describes the use of adjuvant medications in pain management?
A patient with chronic back pain is being treated with a combination of ibuprofen, massage therapy, and meditation. This approach is an example of what?
A patient with chronic back pain is being treated with a combination of ibuprofen, massage therapy, and meditation. This approach is an example of what?
A nurse is educating a patient on the use of transdermal opioid patches. What is a key point to emphasize regarding the safe use of this medication?
A nurse is educating a patient on the use of transdermal opioid patches. What is a key point to emphasize regarding the safe use of this medication?
What is the primary goal of palliative care in the context of pain management?
What is the primary goal of palliative care in the context of pain management?
According to the provided information, what percentage of nurses are estimated to abuse drugs or alcohol during their careers?
According to the provided information, what percentage of nurses are estimated to abuse drugs or alcohol during their careers?
A patient reports experiencing constipation while taking opioid analgesics for chronic pain. Which of the following adjuvant medications would be most appropriate to manage this side effect?
A patient reports experiencing constipation while taking opioid analgesics for chronic pain. Which of the following adjuvant medications would be most appropriate to manage this side effect?
A patient expresses concern about becoming addicted to pain medication. Which nursing intervention best addresses this barrier to adequate pain management?
A patient expresses concern about becoming addicted to pain medication. Which nursing intervention best addresses this barrier to adequate pain management?
A healthcare facility lacks a formal pain management team or standardized pain assessment protocols. What initial action should a nurse take to address this systemic barrier?
A healthcare facility lacks a formal pain management team or standardized pain assessment protocols. What initial action should a nurse take to address this systemic barrier?
A patient's insurance denies coverage for a prescribed pain medication. What is the nurse's most appropriate next step?
A patient's insurance denies coverage for a prescribed pain medication. What is the nurse's most appropriate next step?
Which documentation practice is most important for evaluating the effectiveness of a pain management intervention?
Which documentation practice is most important for evaluating the effectiveness of a pain management intervention?
A patient's pain relief goals are consistently unmet despite various interventions. What should the nurse do?
A patient's pain relief goals are consistently unmet despite various interventions. What should the nurse do?
A nurse is developing a care plan for a patient in pain. What is the MOST essential element that should be included in the definition of pain to individualize the plan?
A nurse is developing a care plan for a patient in pain. What is the MOST essential element that should be included in the definition of pain to individualize the plan?
A patient reports increasing pain despite receiving regular doses of analgesics. What is the nurse's MOST appropriate next action?
A patient reports increasing pain despite receiving regular doses of analgesics. What is the nurse's MOST appropriate next action?
A patient with acute pain following a car accident is experiencing an elevated heart rate and blood pressure. Considering the physiology of pain, what initial response is the MOST likely cause of these vital sign changes?
A patient with acute pain following a car accident is experiencing an elevated heart rate and blood pressure. Considering the physiology of pain, what initial response is the MOST likely cause of these vital sign changes?
A nurse is caring for a diverse group of patients each experiencing pain. Which factor should the nurse prioritize when tailoring pain management strategies to each individual?
A nurse is caring for a diverse group of patients each experiencing pain. Which factor should the nurse prioritize when tailoring pain management strategies to each individual?
During a pain assessment, a patient with chronic arthritis appears withdrawn and reports a pain level of 7 out of 10, even though they are able to perform some range-of-motion exercises. Which approach is MOST appropriate for the nurse to explore?
During a pain assessment, a patient with chronic arthritis appears withdrawn and reports a pain level of 7 out of 10, even though they are able to perform some range-of-motion exercises. Which approach is MOST appropriate for the nurse to explore?
A patient recovering from surgery is experiencing significant pain and expresses feelings of hopelessness and isolation. Besides 'Acute Pain,' which additional nursing diagnosis is MOST relevant to address the patient's overall well-being?
A patient recovering from surgery is experiencing significant pain and expresses feelings of hopelessness and isolation. Besides 'Acute Pain,' which additional nursing diagnosis is MOST relevant to address the patient's overall well-being?
A nurse is setting patient-centered goals for pain management. Which outcome criterion would BEST indicate effective pain management?
A nurse is setting patient-centered goals for pain management. Which outcome criterion would BEST indicate effective pain management?
When planning pain management for a patient with chronic back pain, which approach is MOST important for the nurse to consider?
When planning pain management for a patient with chronic back pain, which approach is MOST important for the nurse to consider?
A patient with a serious injury reports no pain relief after prescribed analgesics and non-pharmacologic interventions. What is the most appropriate next step for the nurse?
A patient with a serious injury reports no pain relief after prescribed analgesics and non-pharmacologic interventions. What is the most appropriate next step for the nurse?
Which of the following vital sign changes indicates a physiologic response to acute pain?
Which of the following vital sign changes indicates a physiologic response to acute pain?
When administering analgesics to an elderly patient, what principle should guide the nurse's actions?
When administering analgesics to an elderly patient, what principle should guide the nurse's actions?
A nurse administers intravenous morphine at 0830. When should the nurse first reassess the patient to evaluate the medication's effectiveness?
A nurse administers intravenous morphine at 0830. When should the nurse first reassess the patient to evaluate the medication's effectiveness?
During episodes of acute pain, the endocrine system releases excessive hormones. For which potential metabolic imbalance should the nurse monitor?
During episodes of acute pain, the endocrine system releases excessive hormones. For which potential metabolic imbalance should the nurse monitor?
A patient reports a pain level of 8 out of 10, but is laughing and talking normally with visitors. Which factor should the nurse consider FIRST?
A patient reports a pain level of 8 out of 10, but is laughing and talking normally with visitors. Which factor should the nurse consider FIRST?
A patient with chronic pain requests opioid medication every 2 hours, but the prescribed interval is every 4 hours. What should the nurse do FIRST after hearing this request?
A patient with chronic pain requests opioid medication every 2 hours, but the prescribed interval is every 4 hours. What should the nurse do FIRST after hearing this request?
The nurse is teaching a patient about managing chronic pain at home. Which statement indicates the best understanding of non-pharmacological pain management techniques?
The nurse is teaching a patient about managing chronic pain at home. Which statement indicates the best understanding of non-pharmacological pain management techniques?
A patient with chronic pain reports that the prescribed pain medication is no longer effective. What is the nurse's most appropriate first action?
A patient with chronic pain reports that the prescribed pain medication is no longer effective. What is the nurse's most appropriate first action?
A patient is being discharged with a prescription opioid and expresses concern about side effects. Which teaching point is most important for the nurse to emphasize?
A patient is being discharged with a prescription opioid and expresses concern about side effects. Which teaching point is most important for the nurse to emphasize?
A patient is prescribed a non-pharmacological pain management technique for chronic headaches. Which outcome would indicate the intervention was effective?
A patient is prescribed a non-pharmacological pain management technique for chronic headaches. Which outcome would indicate the intervention was effective?
A nurse is caring for a post-operative patient who is using a patient-controlled analgesia (PCA) pump. The nurse assesses the patient and notes a decreased respiratory rate. What action should the nurse take first?
A nurse is caring for a post-operative patient who is using a patient-controlled analgesia (PCA) pump. The nurse assesses the patient and notes a decreased respiratory rate. What action should the nurse take first?
When developing a pain management plan for an older adult patient, which consideration is most important for the nurse to address?
When developing a pain management plan for an older adult patient, which consideration is most important for the nurse to address?
A patient with a history of opioid abuse is experiencing acute pain after surgery. What is the most appropriate approach to managing this patient's pain?
A patient with a history of opioid abuse is experiencing acute pain after surgery. What is the most appropriate approach to managing this patient's pain?
A patient reports breakthrough pain despite regularly taking long-acting opioid medication. Which intervention is most appropriate for the nurse to implement?
A patient reports breakthrough pain despite regularly taking long-acting opioid medication. Which intervention is most appropriate for the nurse to implement?
Which of the following aspects of pain assessment is most helpful in differentiating between nociceptive and neuropathic pain?
Which of the following aspects of pain assessment is most helpful in differentiating between nociceptive and neuropathic pain?
A patient experiencing acute pain exhibits signs of hyperglycemia. Which physiological process best explains this response?
A patient experiencing acute pain exhibits signs of hyperglycemia. Which physiological process best explains this response?
A patient who underwent a below-the-knee amputation three days ago reports pain in the amputated limb. Which explanation BEST describes the underlying cause of this type of pain?
A patient who underwent a below-the-knee amputation three days ago reports pain in the amputated limb. Which explanation BEST describes the underlying cause of this type of pain?
A patient with type 2 diabetes is admitted with a fractured femur. What is the rationale for prioritizing pain management and blood glucose monitoring for this patient?
A patient with type 2 diabetes is admitted with a fractured femur. What is the rationale for prioritizing pain management and blood glucose monitoring for this patient?
A patient reports phantom limb pain following an amputation. Which statement accurately describes the physiological process involved in this type of pain?
A patient reports phantom limb pain following an amputation. Which statement accurately describes the physiological process involved in this type of pain?
A patient with diabetes who has a fractured femur is experiencing uncontrolled pain. What effect is the pain likely to have on the patient's blood glucose levels?
A patient with diabetes who has a fractured femur is experiencing uncontrolled pain. What effect is the pain likely to have on the patient's blood glucose levels?
Three days post-amputation, a patient reports feeling burning pain in the missing limb. What intervention is MOST crucial for the nurse to implement?
Three days post-amputation, a patient reports feeling burning pain in the missing limb. What intervention is MOST crucial for the nurse to implement?
A patient with a fractured femur and a history of diabetes is scheduled for surgery. What is the MOST important consideration for the nurse regarding pain management during the perioperative period?
A patient with a fractured femur and a history of diabetes is scheduled for surgery. What is the MOST important consideration for the nurse regarding pain management during the perioperative period?
A patient with diabetes complains of increased pain and requests pain medication more frequently. What action should the nurse take FIRST?
A patient with diabetes complains of increased pain and requests pain medication more frequently. What action should the nurse take FIRST?
Flashcards
What is Pain?
What is Pain?
A complex experience with physical and emotional aspects, unique to each individual.
Nurse's Role in Pain Management
Nurse's Role in Pain Management
Pain assessment, monitoring, advocating, educating, and evaluating pain relief.
Transduction in Pain
Transduction in Pain
Conversion of stimuli into electrical impulses at the site of tissue injury.
Transmission in Pain
Transmission in Pain
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Perception of Pain
Perception of Pain
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Pain Threshold
Pain Threshold
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Pain Tolerance
Pain Tolerance
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Pain Modulation
Pain Modulation
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Sensory Interaction Theory
Sensory Interaction Theory
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Gate Control Theory
Gate Control Theory
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Neuromatrix Theory
Neuromatrix Theory
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Neuropathic Pain
Neuropathic Pain
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Dysesthesia
Dysesthesia
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Allodynia
Allodynia
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Hyperalgesia
Hyperalgesia
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Patient Barriers to Pain Management
Patient Barriers to Pain Management
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Provider Barriers to Pain Management
Provider Barriers to Pain Management
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Overcoming Systemic Barriers
Overcoming Systemic Barriers
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Pain: Physiological Responses
Pain: Physiological Responses
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Documenting Medication Effectiveness
Documenting Medication Effectiveness
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Pain: Behavioral Responses
Pain: Behavioral Responses
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Evaluating Pain Intervention Success
Evaluating Pain Intervention Success
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Pain: Psychological Responses
Pain: Psychological Responses
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Acute Pain Supporting Data
Acute Pain Supporting Data
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Chronic Pain Supporting Data
Chronic Pain Supporting Data
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Difficulty Coping Supporting Data
Difficulty Coping Supporting Data
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SMART Goals
SMART Goals
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Patient Pain Level Goal
Patient Pain Level Goal
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Multimodal Pain Management
Multimodal Pain Management
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Nonpharmacologic Pain Relief
Nonpharmacologic Pain Relief
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Pharmacologic Pain Management
Pharmacologic Pain Management
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Non-opioid Analgesics
Non-opioid Analgesics
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Opioid Analgesics
Opioid Analgesics
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Addiction
Addiction
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Adjuvant Medications
Adjuvant Medications
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Palliative Care
Palliative Care
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Pain Definition
Pain Definition
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Nurse's Role in Pain
Nurse's Role in Pain
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Physiology of Pain
Physiology of Pain
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Influences on Pain
Influences on Pain
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Pain Nursing Diagnoses
Pain Nursing Diagnoses
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Pain Outcome Criteria
Pain Outcome Criteria
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Pain Management Plan
Pain Management Plan
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Physiologic Stress Response
Physiologic Stress Response
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Pain Assessment Factors
Pain Assessment Factors
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Optimal Pain Medication Dose
Optimal Pain Medication Dose
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Most Accurate Pain Level Assessment
Most Accurate Pain Level Assessment
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Nonpharmacological Pain Relief Methods
Nonpharmacological Pain Relief Methods
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Benefits of Music Therapy
Benefits of Music Therapy
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Repositioning Benefits
Repositioning Benefits
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Evaluate Medication Effectiveness
Evaluate Medication Effectiveness
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Pain: Patient's Perspective
Pain: Patient's Perspective
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Lack of Pain Relief
Lack of Pain Relief
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Acute Pain: Physiologic Response
Acute Pain: Physiologic Response
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Analgesics for Elderly
Analgesics for Elderly
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IV Pain Meds: Reassessment Time
IV Pain Meds: Reassessment Time
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Acute Pain: Endocrine Effect
Acute Pain: Endocrine Effect
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Opioid Withdrawal
Opioid Withdrawal
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Pre-existing Hypotension
Pre-existing Hypotension
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Pain Intensity Assessment
Pain Intensity Assessment
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Pain-Induced Hyperglycemia
Pain-Induced Hyperglycemia
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Phantom Pain
Phantom Pain
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Radiating Pain
Radiating Pain
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Referred Pain
Referred Pain
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Psychogenic Pain
Psychogenic Pain
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Prioritizing Analgesia
Prioritizing Analgesia
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Glucose Monitoring & Pain
Glucose Monitoring & Pain
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Hormones and Hyperglycemia
Hormones and Hyperglycemia
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Study Notes
Normal Structure and Function: Nociception
- At the site of tissue injury, nociceptors detect pain stimuli and transduce this electrochemical response into an electrical impulse (signal).
- The action potential, or electrical signal, transmits through an afferent nerve to the spinal cord and brain.
- Once pain is noticed, the brain can change the perception of it by sending inhibitory input to the spinal cord to impede the transmission
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