PAIN

CNA 2 OSBN Curriculum

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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.

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