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?