Pain and Management 2201 05

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    Pain and ManagementPain and Management

    Chapter 3Chapter 3

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    DefinitionDefinition

    Pain is a sensation of hurting or strongPain is a sensation of hurting or strong

    discomfort in some part of the body, acuseddiscomfort in some part of the body, acused

    by an injury, disease, or a functionalby an injury, disease, or a functionaldisorder and transmitted through thedisorder and transmitted through the

    nervous system.nervous system.

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    AssessmentAssessment

    PP placeplace

    AA amount use a pain scaleamount use a pain scale

    II interactions (what makes the pain worse)interactions (what makes the pain worse) NN neutralizers (what makes the pain less)neutralizers (what makes the pain less)

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    Acute/Chronic and CancerAcute/Chronic and Cancer

    AcuteAcute recent onset has been experiencedrecent onset has been experienced

    over a period less than 6 months.over a period less than 6 months.

    ChronicChronic may be continuous ormay be continuous orintermittent, occurring over a period ofintermittent, occurring over a period of

    longer than 6 months.longer than 6 months.

    Cancer relatedCancer related -- --may be acute or chronic.may be acute or chronic.

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    TreatmentTreatment

    MedicationsMedications opioid, and nonopioid.opioid, and nonopioid.

    SurgerySurgery to block the transmission of painto block the transmission of pain

    or remove the cause of painor remove the cause of pain

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    Alternative TherapiesAlternative Therapies

    BiofeedbackBiofeedback aimed at helping gain voluntaryaimed at helping gain voluntarycontrol over normally involuntary physiologiccontrol over normally involuntary physiologicfunctions.functions.

    RelaxationRelaxation used to modify muscle tensionused to modify muscle tension ImageryImagery used to produce relaxation and increaseused to produce relaxation and increase

    the production of endorphins.the production of endorphins.

    HypnosisHypnosis

    Transcutaneous Electrical Nerve StimulationTranscutaneous Electrical Nerve Stimulation (TENS) to block or reduce the transmission of(TENS) to block or reduce the transmission ofpainful impulses.painful impulses.

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    Alternative TherapiesAlternative Therapies

    MassageMassage consist of manipulation,consist of manipulation,

    methodical pressure, friction, and kneadingmethodical pressure, friction, and kneading

    of the body.of the body. This type of treatment stimulates bloodThis type of treatment stimulates blood

    flow, induces relaxation, and increases theflow, induces relaxation, and increases the

    production of endorphins.production of endorphins.

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    Humor, Laughter, and PlayHumor, Laughter, and Play

    Humor and laughter control pain in fourHumor and laughter control pain in four

    ways:ways:

    Distracting attentionDistracting attention Reducing tensionReducing tension

    Changing expectationsChanging expectations

    Increasing production of endorphinsIncreasing production of endorphins thethebodys natural pain killers.bodys natural pain killers.

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    MusicMusic

    Music helps alleviate pain.Music helps alleviate pain.

    Put client in a more relaxed statePut client in a more relaxed state

    May also have healing powersMay also have healing powers

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    AcupunctureAcupuncture

    Originated in China more than 5000 yearsOriginated in China more than 5000 years

    agoago

    Technique for treating certain painfulTechnique for treating certain painfulconditions and for producing regionalconditions and for producing regional

    anesthesia via the passage of long, thinanesthesia via the passage of long, thin

    needles through the skin to specific pointsneedles through the skin to specific points

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    AromatherapyAromatherapy

    Is the use of essential oils found in plantsIs the use of essential oils found in plants

    and herbs to relieve painand herbs to relieve pain

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    Therapeutic TouchTherapeutic Touch

    Is a technique that has been taught to thousands ofIs a technique that has been taught to thousands of

    practitioners.practitioners.

    The practitioner begins the therapeutic touchThe practitioner begins the therapeutic touch

    session with a client assessment wherein thesession with a client assessment wherein the

    practitioner places hands 2 to 6 inches above thepractitioner places hands 2 to 6 inches above the

    clients body and makes slow, rhythmic handclients body and makes slow, rhythmic hand

    motions so that the clients blockages in themotions so that the clients blockages in the

    energy field can be found.hand motions replenishenergy field can be found.hand motions replenish

    the energy fieldthe energy field

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    YogaYoga

    Means union, is a system of beliefs and practices,Means union, is a system of beliefs and practices,

    the goal of which is to teach mind and body unitythe goal of which is to teach mind and body unity

    Generally associated with physical postures,Generally associated with physical postures,

    relaxation, and regulation of breathingrelaxation, and regulation of breathing

    Used to promote relaxation, aid circulation, reduceUsed to promote relaxation, aid circulation, reduce

    fatigue, lower blood pressure, regulate heart rate,fatigue, lower blood pressure, regulate heart rate,

    stimulate particular body areas, strengthenstimulate particular body areas, strengthenmuscles, and develop flexibilitymuscles, and develop flexibility