Pain Concept Map Nursing

PAIN
DEFINITION
an unpleasant sensory and
emotional experience
associated with actual or
potential tissus damage
transduction
Goal
pain control
Complications of
unrelieved pain
  • Physiological stress
response
  • impaired mobility
  • chronic pain
  • sleep disturbances
transmission
Perception
modulation
tissue injury &
inflammation activate
nociceptors
C fibres transmit the pain
impulse to the spinal cord
and activate 2nd order
neurons that transmit the
impulse to the brain
Pain is perceived and
responses are activated
MINIMAL
MODERATE
SEVERE
NOCICEPTIVE
CHRONIC
ACUTE
NEUROPATHIC
  • pain scale
  • vital signs
  • non-verbal (grimacing, moaning,
  • guarding)
  • asverse effects of opioids (respiratory
  • depression nausea, pruritis,
  • constipation)
  • non-opioids (acetaminophen,
salicylates, NSAIDs)
  • opioids (morphine,
hydromorphone, fentanyl;
Routes - epidural, PCA, tablests,
& PRN due to breakthrough
pain)
  • adjuvant (baclofen,
cyclobenzaprine)
  • Anesthetic (local, regional,
general)
  • Naloxone (for opioid overdose)
ASSESSMENT
MANAGEMENT
VARIATIONS
SCOPE
PHYSIOLOGICAL
PROCESS
CONSEQUENCES
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