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Chronic Pain

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NUSC 1P10

on 11 February 2013

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Transcript of Chronic Pain

Chronic Pain Pain: Acute and Chronic Anatomy and Physiology
of Chronic Pain Factors Affecting Chronic Pain: Acquired, Transmission & Prevention
of
Chronic Pain Effects of Hospitalization Chronic Pain Association of Canada Nursing Diagnosis Examples of Chronic Pain
with Treatments Chronic pain affects all aspects of your life and for this reason it is important to treat chronic pain both medically and emotionally. - there are two types of pain: acute and chronic Acquired Patients How Chronic Pain Impacts the Patient and Family? Chronic Pain death itself." "Pain is a more terrible lord of mankind than even ~Dr. Albert Schweitzer Acute Pain -result of disease, inflammation or injury to the tissues and the pain only lasts for a given period of times - this type of pain comes on suddenly and can be diagnosed and treated
For example: after coming out of surgery you may feel nauseous or feeling anxious Chronic Pain -persists over a long period of time and often leads to severe problems for patients For example: a person with arthritis has chronic
pain which affects their everyday
life -age -anxiety
-attention -coping style -meaning of pain -genes
-fatigue
-neurological function
-previous experience
-family and support -pain can arise from the peripheral nervous system (muscles, tendons, etc.) central nervous system (spinal cord, etc.) Nociceptive Neuropathic Idiopathic -nocere: to injure (Latin)
-when nerves transmits information to the central nervous system to the tissues about trauma -pain that arises from abnormal or damaged pain nerves, this takes place either centrally or peripherally - presence of pain where the cause is unidentifiable -have a strain on their lives
-have a strain on families
-home care nurses Prevention - Cancerous Non Cancerous Non Cancerous -headaches--> tricyclic depressants, prevention &NSAIDS
-back pain -->Tylenol, aspirin & exercise/physical therapy
-arthritis -->ibuprofen, aspirin & NSAIDS
-nerve damage--> opioid & Omega-3 fatty acids
-myofascial pain--> physical therapy, ibuprofen, sedativies & naproxen -may originate with initial trauma/injury, or may be an ongoing cause of pain -emotional toll of chronic pain can make pain worse -generalized muscle or nerve pain can lead to chronic pain Transmission -no transmission -cannot always be prevented -get enough sleep, good diet, physical activity, reduce stress to help decrease amount of pain - depression
-social isolation
-anger
-limitations on daily activities
-anxiety
-possible job loss
-sexual dysfunction
-sleep disturbances Family -strain on relationship
-role changes -non profit organization to support people with chronic pain Support people by:
1. advancing the treatment and management of pain
2. education and support
3. promotion of the chronic pain self management program A 56 yr old male comes in with complaints of pains in his back. He states that he has been having consistent pain in his lower back for about a year and has now decided to come to the hospital to seek medical attention since it has affected his ability to perform at his job. He reports that the back pain has left him unhappy and fatigued because he is not able to do things he used to be able to do a year ago. He also reports that it has affected his relationship with his wife and children. You note the patient looks exhausted with dark circles underneath his eyes and that he is constantly rubbing his back. References Nursing Assessment Provoking factors
Quality of pain (throbbing, aching)
Radiation of the pain (localized)
Severity of pain
Timing (constant, periodic) Remember to consider cultural expressions of pain. What are some possible nursing diagnosis?
Is this chronic pain? Potter, P.A., Perry, A.G., Ross-Kerr, J.C., & Wood, M.J. (2010). Canadian Fundamentals of Nursing (4th ed.). Toronto: Elsevier Canada.

Registered Nurses Association of Ontario. (2002). Best Practice Guideline (revised 2007). Assessment and Management of Pain. Retrieved from: http://rnao.ca/sites/rnao-ca/files/Assessment_and_Management_of_Pain.pdf Medicine Net. (2011). Introduction to Chronic Pain. Retrieved from: http://www.medicinenet.com/chronic_pain Chronic Pain Canada. (2008). Chronic Pain Association of Canada. What is Chronic Pain Association of Canada. Retrieved from: http://www.chronicpaincanada.com/ Web MD. (2007). Pain Management Health Center. Chronic Pain Management. Retrieved from: http://www.webmd.com/pain-management/guide/understanding-pain-management-chronic-pain Registered Nurse RN. (2013). Nursing Care Plan and Diagnosis for Chronic Pain. Retrieved from www.registerednursern.com/nursing-care-plan-and-diagnosis-for-chronic-pain/ may be caused by tumor development, invasive procedures, toxicities of treatment, infection, physical limitations
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