Nursing 2230A/B Chapter Notes - Chapter 7: Psychogenic Pain, Chronic Pain, Referred Pain
13 Mar 2018
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Cancer pain: acute, chronic, or both, nociceptive (damages normal tissues if prolonged), neuropathic (abnormal processing of sensory input), or both, referred pain is pain felt distant form a tumour site. Identifying cause is first and most important step. Pain: nociceptive is divided into somatic or visceral, neuropathic is from abnormal or damaged pain nerves, breakthrough pain is when pain breaks through the regular pain medication. This is then called incident pain when it is followed by activity related action (sneezing, coughing, movement). Ironically, pain is often overestimated when no pain is reported, and underestimate when mild to intense pain is reported. Physiological: age, young children don"t understand procedures that cause pain, toddlers are unable to recall explanations about pain. Difficulty expressing: older adults are more sensitive to severe pain. Social: attention, the more they"re focusing on the pain or a procedure the higher the intensity, previous experience, family and social support.
