The Technician's Role in Pain Management

Pain

What is the unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage?

1) Acute pain, 2) Analgesia, 3) Hyperalgesia, 4) Hyperesthesia, 5) Hypoalgesia, 6) Hypoesthesia, 7) Wind-up, 8) Breakthrough pain, 9) Adaptive pain, 10) Allodynia, 11) Anesthesia, 12) Central sensitization, 13) Chronic pain

What are 13 different types of pain-related terms?

Physiologic changes

What is the term to describe delayed healing, leads to decline or demise of patient?

1) Heart rate, Blood pressure, and vasoconstriction are increased, 2) Respiratory rate, shallow breathing, splinting are increased, 3) Inappetence, salivation, V/D, constipation, anal glands expressed 4) Tense muscles, tremors, decreased immune system response, stress leukogram, 5) Increased catabolism

What are types of physiologic changes?

1) Vocalization, whining, growling, 2) Fixed stare, squinted eyes, dilated pupils, 3) Hunched, rigid posture, prayer position, 4) Failure to use litterbox, 5) Unkempt appearance, 6) Guarding, limping, self-mutilation

What are six types of behavioral changes?

Any tissue damage is painful

What is painful to our patients?

Preemptive pain control

What reduces wind-up; progressive stimulation of pain receptors to hyperexcitability, hyperalgesia, allodynia type pain?

1) Thoracotomies, 2) Amputations, 3) Ear Resections, 4) Pelvic Fracture Repair, 5) Nephrectomy, 6) Cervical Disk Surgery

What are considered most painful surgeries?

1) Mastectomy, 2) Mandibulectomy, 3) Thoracic or lumbar disk surgery, 4) Stabilization of a fractured femur or humerus, 5) Cranial abdominal procedures

What are considered moderately to severely painful surgeries?

1) Tracheotomy, 2) Aural hematoma, 3) Fracture stabilization of radius, ulna, tibia, fibula, 4) Castration, 5) Caudal abdominal procedures, 6) Dental cleaning, 7) Tooth extraction

What are considered mildly to moderately painful surgeries?

Maintain analgesic plane achieved during surgery

What is the goal of post-op pain management?

Postoperative Dysphoria

What is the state of restlessness with or without vocalization, emergence delirium, and patients can't be quieted by interaction?

Postoperative Pain

What appears similar to dysphoria, but patients can be quieted/soothed by interaction with humans, but behavior resumes when interaction stops?

2 hours

How often should a pain assessment be performed during the post-op period?