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Transcript of CNA 2 OSBN Curriculum ev/flash/flvplayer/movie.php? movie=. com/flv/m265b_sec03_300k.f...
PAIN
CNA 2 OSBN Curriculum
http://www.medcomrn.com/dev/flash/flvplayer/movie.php?movie=http://ss1.medcomrn.com/flv/m265b_sec03_300k.flv&title=&detectflash=false
Hurt/Ache/Be SorePsychological vs. Physical PainAcute vs. Chronic PainComponents
◦Physical◦Emotional◦Spiritual◦Social
Pain
Pain is SubjectiveWhat ever the Patient Says it IS Individuals Judge Own PainRange
◦Mild◦Occasional◦Severe◦Constant
Individualized
Acute PainSudden & SharpWarning Sign or Threat to Body
◦Surgery◦Broken Bones◦Dental Work◦Burns/Cuts◦Labor/Childbirth
Persist s after Injury ResolvedNo Know Cure
◦ArthritisUnknown Cause
Chronic Pain
Damage to ◦Peripheral Nervous System: PNS◦Central Nervous System: CNS
Examples◦Shingles◦Trigeminal Neuralgia
Phantom Pain
Neuropathic/Neurogenic Pain
Originates from◦Ligaments◦Tendons◦Bones◦Blood Vessels◦Nerves
SprainsBroken Bones
Somatic Pain
From Viscera or OrgansReferred Pain Irritable Bowel SyndromePainful Menstruation
Visceral Pain
Terminally Ill PatientsSevere PainCancerEnd Of Life
Terminal Pain
Behavioral◦ Crying/Grimacing/Moaning◦ Irritability◦ Reluctance to Move◦ Depression
Physiological◦ Elevated VS◦ N/V◦ Pale/Flushed Skin◦ Shivering/Diaphoretic
Chronic Pain Patients◦ May appear “Normal”
Manifestations of Pain
Past Experience Value & Meaning of Pain Support from Others Age Anxiety Attitude & Thresholds Awareness/Distractions Relaxation Progressive Relaxation Culture Fatigue Fear of Pain
Factors Influencing Pain
What to observe◦Body Response◦Behavior
Subjective◦ Say
Objective◦ Observe
5th Vital Sign◦ Record w/VS◦ Before Activity◦ When Appropriate
Collecting Responses
“Are you having pain?” “Where is your pain?” “On a 1-10 scale, 10 the worst, what is your
pain?”◦ Can use Faces
“Describe your pain.”◦Location◦Duration◦Type◦Intensity
Collecting Responses
Appropriate Rest Not When Pt. Tires Pt. Preference Coordinate Care
◦ Emotional Needs◦ Nutritional/Fluid Needs◦ Elimination◦ Communicating w/Pt.◦ Observations of Pain
Planning Activities
To Relieve Pain◦Repositioning◦Wrinkle Free◦Not Lying on Tubes◦Blankets of Warmth◦Touch/Empathy/Caring◦Calm/Quiet Environment◦Complementary Therapies
CNA2 Actions
This project was funded $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.
This work is licensed under a Creative Commons Attribution 4.0 International License.