NSG 3105 Lecture Notes - Lecture 3: Neuropathic Pain, Threshold Of Pain, Visceral Pain
Document Summary
Pain management: effective pain management promotes optimal healing, prevents complications, allows pts to participate in necessary activities. Should be times to ensure it is in effect during painful activities (ambulating). An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage . Cns pathway: a-delta fibres: fast, myelinated, sharp/acute, trigger withdrawal reflex, c fibres: slow, unmyelinated, diffuse/dull, activation depends on threshold and tolerance. Has an identifiable cause, is of short duration (usually less than 6mo), has limited tissue damage and emotional response. Eventually resolves with or without treatment after a damaged area heals. Unrelieved acute pain can progress to chronic pain. Dull, aching pain, colic pain if localized to bowels. Neuropathic pain: pain that is initiated or causd by a primary lesion or dysfunction in the nervous system; involves the peripheral and/or the cns. Usually described as burning, shooting, stabbing or electrical in nature.