NSG 3107 Lecture Notes - Lecture 3: Fibromyalgia, Paresthesia, Prilocaine

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An unpleasant sensory and emotional experience which we primarily associate with tissue damage or describe in terms of such damage. Barriers to pain treatments: timing of assessment must be at rest and with movement, underutilization of pain measurement tools couples with inadequate assessment, failure to recognize multidimensional nature of pain, Postsurgical, finger in flame, immediate response to injury. Neuropathic pain: abnormal processing of signals by peripheral or cns. Often require mixed-method dosing: paresthesia: pins and needles, numbness, hyperalgesia: an exaggerated response to a painful stimulus, allodynia: pain evoked by light touch or gently pressure to deep tissues. Types of pain: acute pain: less than 3mo. Associated with identifiable injury, disease or medical procedure. Fracture, surgical procedure, venipunctures, lumbar puncture: chronic pain: greater than 3mo. May be due to underlying disease process or may be considered a disease state in itself. May result in decreased function, mood changes, difficulty sleeping, loss of appetite and irritability.

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