NSB103 Lecture Notes - Lecture 4: Neuropathic Pain, Visceral Pain, Subcutaneous Tissue
Week 4: Pain Assessment Lecture
Clinical Reasoning Cycle
1.
• Who is the person?
• Where are they living?
• Who supports them?
• What is their experience?
• Present, past family history
2. Collect cure and information
• Subjective data - pain score
• Objective data
3. Processing the information
• Compare the data against normal parameters
• Analyse, organise and categorising
4. Identify potential health issues/problem
• Relate back to the data for relevance and direction
5. Setting some goals
Understanding Pain
• Sensory or emotional experience associated with actual or potential tissue damage.
• Subjective, emotional, individual
Classification of Pain
Cancer pain
• Due to compression of peripheral nerves form the damage to these structures following
surgery, chemo, radiation or tumour growth and infiltration
Cutaneous pain
• Skin or subcutaneous tissue
Nociceptive pain:
• Visceral pain (abdominal cavity, thorax and cranium)
• Somatic pain (ligaments, tendons, bones, blood vessels, nerves)
Neuropathic pain (Non-nociceptive)
• Due to injury or dysfunction of the peripheral and/or central nervous system
Pain classification by duration:
• Chronic: constant pain that persists for 6 months or more
• Acute: recent, short term
Radiating Pain: experienced at source and radiating to other tissues. Nerve or nerve root in the
spinal column under pressure
Referred pain: perceived in body area away from the pain source
Neuropathic pain: abnormal processing of pain messages, damage to nerves
Intractable pain: pain highly resistant to usual analgesic measure
Phantom pain: perceived in nerves left by a missing, amputated or paralysed body part
find more resources at oneclass.com
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Document Summary
Clinical reasoning cycle: who is the person, where are they living, who supports them, what is their experience, present, past family history, collect cure and information. Subjective data - pain score: objective data, processing the information, compare the data against normal parameters, analyse, organise and categorising. Identify potential health issues/problem: relate back to the data for relevance and direction, setting some goals. Sensory or emotional experience associated with actual or potential tissue damage. Cancer pain: due to compression of peripheral nerves form the damage to these structures following surgery, chemo, radiation or tumour growth and infiltration. Nociceptive pain: visceral pain (abdominal cavity, thorax and cranium) Somatic pain (ligaments, tendons, bones, blood vessels, nerves) Neuropathic pain (non-nociceptive: due to injury or dysfunction of the peripheral and/or central nervous system. Pain classification by duration: chronic: constant pain that persists for 6 months or more, acute: recent, short term. Radiating pain: experienced at source and radiating to other tissues.
