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07 Acute Postoperative Pain Management - Unfinished
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stream-alaska-illinois-foxtrot-friend-uranus
Status
Last Update
Fields
Published
07/30/2024
TransmissionTransductionModulationPerception
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{{c1::Neuroplasticity}} is the ability of the nervous system to change its biochemical and molecular structure, physiologic function
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Neuroplastic changes leads to a heightened pain response known as {{c1::central sensitization}}
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Central sensitization may eventually lead to {{c1::chronic postoperative pain}}
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Pain may be classified according to: {{c1::Duration}}, Mechanism, Intensity/Severity
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Pain may be classified according to: Duration, {{c2::Mechanism}}, Intensity/Severity
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Pain may be classified according to: Duration, Mechanism, {{c3::Intensity/Severity}}
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Chronic pain is pain lasting for greater than {{c1::3 months}}
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Chronic pain has a {{c1::gradual}} onset
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{{c1::Chronic pain::Type of pain}} persists beyond tissue healing
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{{c1::Acute pain::Type of pain}} is almost always nociceptive
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2 types of acute pain: {{c1::Somatic pain}} and {{c2::Visceral pain}}
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2 types of somatic pain: {{c1::Superficial somatic pain}} and {{c2::Deep somatic pain}}
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{{c1::Superficial somatic pain::Type of pain}} is characteristically well-localized and described as a sharp, pricking, throbbing, or burning sensatio…
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{{c1::Deep somatic pain::Type of pain}} usually has a dull, aching quality and is less well-localized
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{{c1::Visceral pain::Type of pain}} is due to a disease process or abnormal function involving an internal organ or its covering
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4 subtypes of visceral pain{{c1::True localized visceral painLocalized parietal painReferred visceral painReferred parietal pain}}
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{{c1::True visceral pain:Type of pain}} is frequently associated with abnormal sympathetic or parasympathetic activity
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{{c1::Parietal pain:Type of pain}} is typically sharp and often described as a stabbing sensation that is either localized to the area around the orga…
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{{c1::Origin of tissue injury}} causing the pain distinguishes the three mechanisms of pain
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Nociceptive painNeuropathic painNociplastic pain
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{{c1::Nociceptive pain}} is pain caused by damage or injury to non-neural tissue, except neural or nervous tissue
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{{c1::Neuropathic pain}} is pain caused by a lesion or disease of the somatosensory nervous system
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{{c1::Nociplastic pain}} is pain due to no identifiable tissue damage or an injury that is too mild to consider the cause of the pain
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Neuropathic pain may be {{c1::central}} (as in post-stroke pain) or {{c2::peripheral}} (as in phantom limb pain)
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{{c1::Neuropathic pain}} is pain that ONLY involves nervous tissue
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{{c1::Nociplastic pain}} classically occurs in the absence of nerve injury
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{{c1::Nociplastic pain}} is associated with psychological and social stressors
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OnsetProvoking or palliating factorsQuality or description of painRegional or location and radiating pattern of the painSeverityTiming or Temporal
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{{c1::Numerical pain scale}} is a scale that rates the pain from 0 (no pain) to 10 (worst pain)
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{{c1::Categorical rating scale/Verbal pain rating scale}} is the scale used if patient can’t classify the numerical value
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{{c1::Wong Baker Faces Pain Scale}} is the scale that needs a visual aid to present to the patient
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The patient’s {{c1::self-report}} is considered the most reliable pain indicator of the patient’s pain.
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Categorical rating scale equivalent to the numerical pain scale{{c1::Mild}} pain: 1 - 3{{c2::Moderate}} pain: 4 - 6{{c3::Severe}} pain: 7 - 10
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Wong Baker Faces pain scale equivalent to the numerical pain scaleNo pain ({{c1::smiling}}) - 0Hurts worst ({{c2::crying}}) - 10
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Principles of pain management: Ask the patient. Assess pain both at {{c1::rest}} and on {{c2::movement}}
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Principles of pain management: Document pain and response to treatment, including {{c1::adverse effects}}
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Principles of pain management: Evaluate before treatment, then {{c1::reevaluate after regularly}}
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Blood pressurePulse rateRespiratory rateTemperatureO2 Saturation
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5th vital sign: {{c1::O2 saturation}}
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The number one cardinal rule in pain assessment is {{c1::ASK THE PATIENT}}
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