NURS 3280 Chapter Notes - Chapter 41: Reticular Formation, Tricyclic Antidepressant, Guided Imagery
17 Apr 2016
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Empower paients to control their treatment as much as possible: onset and duraion. Referred: common in visceral pain because of lack of pain receptors, pain felt somewhere else. Radiaing: pain extends from original site, may get one-ime epidural injecion of steroid/ xylocaine/bupivacaine. Neuropathic: burning, shooing, numbing, may give opioids, tricyclic anidepressants, aniconvulsants, lidocaine patch. Lower back pain and radiaion down leg caused by rupture of the intravertebral disc are usually worsened by liting/bending: relief. What has paient been doing to control the pain. Heat/cold, massage, stretching, meds, etc: contribuing symptoms. Can afect sexual acivity: arousal, comfortable posiions, performance, etc. Meditaion, yoga, zen, guided imagery, progressive relaxaion exercises. Progressive relaxaion: takes about 15 mins, paient pays atenion to areas of tension, warmth replaces tension, contracion and relaxaion of muscles, deep breathing. Guided imagery: gets paient to focus on an image. Reicular acivaing system inhibits painful simuli if enough sensory input is received.
