Pain it forward

Physiologically, pain occurs when sensory nerve endings called nociceptors (also referred to as pain receptors) come into contact with a painful or noxious stimulus. Don't memorize this video, it is a review.

Open Ended

How do humans detect pain peripherally (from the site to the spinal cord)?

Explain the pathway. Use your notes.

The answer will not appear after you input your answer.

Multiple Choice

Where is pain perceived?

• spinal cord

• brain

• skin

• cerebellum

Open Ended

How do humans detect pain centrally (from the spinal cord to the brain)?

Explain the pathway. Use your notes/text.

The answer will not appear after you answer.

Open Ended

Use Nursing Central.

"Paraphrase" the definition for acute pain.

Multiple Select

Select all that apply.

What are some nursing diagnoses when a patient complains of pain?

• Acute pain

• chronic pain

• impaired comfort

• at risk for ineffective coping

• knowledge deficit

Multiple Choice

The difference between the speeds at which the two types of nociceptive nerve fibers (A delta and C) conduct nerve impulses explains why, when you are injured, you first feel a sharp, acute, specific pain, which gives way a few seconds later to a more diffuse, dull pain.

• true

• false

Multiple Choice

Do nurses evaluate pain after an intervention and every time they perform vital signs?

• yes

• no

Open Ended

How is pain transmitted from the body to the brain?

Use your notes and text.

The answer will not appear once you submit your response.

Open Ended

List what excites and inhibits pain signaling.

Use your notes or text. The answer will not appear upon submission.

Match

Match the following.

• pain perception

• pain modulation

• pain transmission

• pain transduction

In this phase, you or your patient becomes aware or conscious of the pain.

When peripheral and central neurotransmitters enhance or dampen the transduction of pain.

The transfer of noxious peripheral stimulus to the CNS.

The conversion of noxious stimuli into a nerve impulse.

• In this phase, you or your patient becomes aware or conscious of the pain.

• When peripheral and central neurotransmitters enhance or dampen the transduction of pain.

• The transfer of noxious peripheral stimulus to the CNS.

• The conversion of noxious stimuli into a nerve impulse.

Open Ended

If Jane does not restore her abilities, she will be unable to disrupt the phases of nociception in others. 

List the phases of nociception?

Open Ended

To help any patient with noceiption concerns, state: 

One non-pharmaceutical intervention to restore healthy noceiption

One pharmaceutical intervention to address pain (requires an MD order).

Looking forward to reading every player's response.

Fill in the Blanks

What will you teach patients about managing their pain?

(do well here, it matters and I want to read each of your responses)

Open Ended

Share what you learned about the "decisions" and "actions" nurses create for patients dealing with pain.

Start your answer with:

1. To best understand pain, nurses need to decide......

2. To best understand pain, nurses actions involve......

Multiple Select

If you administer pain medicine, what is realistic a nursing goal?

Select all that apply.

• Give the maximum dosage written in the order if the patient has pain.

• Administer the most frequent dosage written if the patient has pain.

• Use nursing interventions first that does not require medication first.

• Administer the least amount of pain med ordered if the patient is experiencing pain.

• Administer the least amount of pain medicine to decrease side effects that may impact the patient's progress.

Multiple Choice

True or False:

The A delta fibers are the larger and the most rapidly conducting of the two types, because of their thin myelin covering, and, therefore, they are associated with the sharp, well-localized pain that first occurs. 

A delta fibers are activated by mechanical and thermal stimuli.

• true

• false

Multiple Choice

True or False:

Jane has the ability to manipulate C fibers. C fibers are one class of nerve fiber found in the nerves of the somatic sensory system. They are afferent fibers, conveying input signals from the periphery to the central nervous system.

• true

• false

Open Ended

Nurses need to take a fully active role in educating patients in the pain process and how to use non-pharmacological methods in addition to medications in order to achieve the best quality care and outcomes.

Explain how you will educate a patient about pain control/relief.

Multiple Choice

A patient has complained of pain.

Choose the appropriate set of VS that reflects what’s happening with this patient.

• The patient’s VS should reflect a sympathetic response, which are:

  T>99, HR >100, RR> 20, and SBP >130.

• The patient’s VS should reflect a sympathetic response, which are:

  T>99, HR 57, RR 10, and SBP >130.

• The patient’s VS should reflect a cholinergic response, which are:

  T>97, HR 87, RR 20, and SBP <90.

Poll

This lesson helped my learning.

• Yes.

• A little.