NUR1 235 Lecture Notes - Lecture 3: Respiratory Rate, Auscultation, Palpation
15 Oct 2017
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Transmitted to brain via nociceptors in response to trauma or chemical mediators. Transduction: at interaction with noxious stimulus, afferent nerve fibres carry pain stimulus to the dorsal horn of the spinal cord and the pain signal is transmitted across the synaptic cleft by neurotransmitters: 2. Transmission: from spinothalamic tract in spinal cord to brain stem and thalamus can be blocked by opioid receptors: 3. Perception: conscious awareness of pain involves limbic (emotional integration) and somatosensory (characterization) involvement: 4. Modulation: transmission of pain message can be impacted by descending inhibitory neurotransmitters. There are 2 types of pain fibres: delta and c fibres delta are myelinated and produce a fast response, c fibres are slower and more lingering. The nursing process: adpie/aipie 5 phases: 1. Assessment: collecting data (subjective and objective: 2. Impression/diagnosis: interpreting meaning of data and identifying priorities: 3. Planning: setting directions and identifying desired outcomes: 4. Implementation/intervention: acts to be perfomed, interventions by pt and/or nurse (collaborative: 5.
