Englisch pain

Painassessment and others

Painassessment and others


Set of flashcards Details

Flashcards 145
Language Deutsch
Category English
Level University
Created / Updated 16.01.2015 / 28.05.2016
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Pain assessment: Erklärung des Patienten und Auswirkungen auf den Alltag und Frage!

patient's explanation, patients interpretation + effects on every day life, Questions: "What do you think may be the reason for the pain?", "Does it have any effect on your every day life?"

Pain assessment: Begleitsymptome und Fragebeispiel

additional symptoms, accompanying symptoms, Questions: "Do you have any other symptoms/problems, complains?", "Is there anything else apart from the pain(you have noticed)"?

Pain assessment: Quantität, Frage dazu

quantity: On a scale from zero to ten, how intense/severe is the pain (right now, at the moment etc.), with zero being no pain at all, and ten being the worst pain you can imagine?"

Pain assessment: Qualität und Frage dazu

Quality: Can you describe the pain?, What does the pain feel like?

Pain assessment: Lokalität

localisation: Which part of your body hurts? which part of your body is affected, where does it hurt?

Pain assessment: Lindernde und verschlimmernde Faktoren und Frage dazu

alleviating and aggravating factors: is there anything that makes it better/worse?

Nurse factors in pain assessment

time, experience, "know how", knowledge, prescriptions, missing baseline date's, education, heavy workload, lack of staff. bad communication, lack of skills, use of skills, judgment

pantient's factors in pain assessment

intellecutal impairment, age, diagnosis/diseases, mental deadline, mental status, interdependency with other drugs/medications, dosage range, misconceptions, anxiety/wornes, experience of pain, gender, cultural background, sabotage

Visual displays of pain: was gehört alles dazu? 

body language, facial expression, vocalisation, distance, emotion, other

Visual display of pain: body language

limited movement or keeping very still, guarding parts of the body, an abnormal posture, a change in gait when walking or a change in stature, rocking, picking and restlessness

Visual display of pain: facial expression:

increased oder decreased eye contact, tears, grimacing, muscle tension, an alarmed look, squinting eyes and clenched teeth

Visual display of pain: vocalisation

sighing, crying, moaning, spontaneous noises, a change in pitch, impaired speech, verbal abuse, disjointed verbalisation and calling out

Visual display of pain: distance

becoming quiet, withdrawn and uncommunicative

Visual display of pain: emotion

worried looking, angry, sad or a change in mood

Visual display of pain: other

a lack of interest in food and the environment, or a disrupted sleep pattern

Stimmlage

a change in pitch

säufzen

sighing

stöhnen

moaning

fluchen

verbal abuse

zurückgezogen

withdrawn

abgehackte Sprache

disjointed verbalisation

besorgter Blick

an alarmed look

aufschreien

calling out

Gang, Gangbild

change in gait

zupfen

picking

schaukeln Oberkörper

rocking

zusammengekniffene Augen

squinting eyes

Physical signs of pain: physiological

relatives changed in blood pressure, pulse and respiration rate, sweating, pallor and nausea

Physical signs of pain: physical

in chronic pain, changed in limb size as a result of muscle wasting, neurological abnormalities, changed in temperature and colour, mottling of the skin of an affected limb or muscle spasm

vorbeugen

pre-emtively

Defizit

lack

uneingenommen

non-judgmental

visual analogue scale

10 cm line, "no pain at all", "wort pain imaginable"

NRS and VRS

simple descriptive and numerical scales

Mc Gill Pain Questionnaire

1-12 quantitiy, 12-15 effects of every days life

Mehrdimensional: BPI

brief pain inventory, specialist pain clinics, also in general practice

Multidimensional: LANSS

Neuropathic pain

Allodynia

Allodynie

unbemerkt

unrecognised

What apperas to be the most significant factor that results in inadequate or ineddective pain assessment?