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Pain Final With K I W I N
1.
Acute and chronic
pain Contemporary and alternative treatments
2.
3.
4.
5.
6.
7.
Pain threshold :
amount of pain stimulation a person requires before feeling pain. Pain tolerance : the highest intensity of pain that the person is willing to tolerate.
8.
9.
10.
11.
12.
13.
14.
15.
Gate-control theory
16.
17.
18.
19.
Gate-control theory: may
decrease amount pain medication needed
20.
21.
22.
23.
24.
Other pain scales
are just numeric
25.
26.
27.
WHO Analgesic ladder
28.
29.
WHO 3-step Analgesic
ladder COX-2, Aspirin, Acetaminophen, Diclofenac, Ibuprofen, Tenoxicam, Panadeine, Nurofen. Pain rating 1-2-3 Non-opioid (mild pain) +/- adjuvant Opioid (mild to moderate pain) +/- non-opioid adjuvant +/- adjuvant Codeine, Propoxyphene, Tramadol, Sevredol, DHC Continus, Dihydrocodeine tartate. Pain rating: 4-5-6 Opioid (moderate to severe pain) +/-non-opioid, +/-adjuvant Step 1 Step 2 Step 3 Oxycodone, Morphine, Fentanyl, Pethidine Ketamine Pain rating 7-10
30.
31.
32.
33.
34.
KIWIN™ Classification PROBLEM
IDENTIFICATION Domain: Physiological domain Problem: 24. Pain Priority: High Modifier: Individual Modifier: Actual Signs and Symptoms: 01. expresses discomfort/pain 04. restless behaviour 05. facial grimaces
35.
36.
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