SlideShare a Scribd company logo
1 of 12
Download to read offline
Pain
McCaffery defines pain as
“Whatever the experiencing person says it
is, existing whenever he/she says it does.”
Types
I. Based on duration
•
•
•
•

Acute pain
Chronic pain
Chronic malignant pain
Chronic non-malignant pain
II. Based on the origin
• Cutaneous pain
• Deep somatic pain
• Visceral pain
III. Based on nature of pain
•
•
•
•
•

Radiating pain
Referred pain
Intractable pain
Neuropathic pain
Phantom Limb
Mnemonics for pain assessment
OLD CART
• O- Onset
• L- Location
• D- Duration
• C- Characteristics
• A- Aggravating factors
• R- Radiation
• T- Treatment

PQRST
• P- Provoked
• Q- Quality
• R- Region/Radiation
• Severity
• Timing
Pain Management
I. Pharmacologic pain management

• Opioid analgesics
• NSAID’s
• Adjuvant analgesics
• Patient Controlled analgesia
• Family controlled analgesia
II. Non-pharmacologic management
1. Physical interventions
a. Cutaneous stimulation

•
•
•
•

Massage
Hot or cold application
Accupressure
Contralateral stimulation

b. Immobilization

a. Transcutaneous electrical nerve stimulation (TENS)
2. Mind Body interventions
• Distraction
–
–
–
–
–
–
–
–
–
–

Visual
Auditory
Tactile
Intellectual
Reading
Watching TV
Humour
Massage
Holding a pet/ toy
Crossword puzzles
•
•
•
•

Meditation
Biofeedback
Hypnosis
Therapeutic touch
III. Non-pharmacologic invasive therapies
•
•
•
•
•
•

Nerve block
Cordotomy
Rhizotomy
Neurectomy
Sympathectomy
Spinal cord stimulation
Thank you

More Related Content

What's hot

What's hot (20)

Lecture 19:Pain Dr.Reem AlSabah
Lecture 19:Pain  Dr.Reem AlSabahLecture 19:Pain  Dr.Reem AlSabah
Lecture 19:Pain Dr.Reem AlSabah
 
Physiology of Pain
Physiology of PainPhysiology of Pain
Physiology of Pain
 
Physiology of Pain (PPT) Nervous System Physiology
Physiology of Pain (PPT) Nervous System PhysiologyPhysiology of Pain (PPT) Nervous System Physiology
Physiology of Pain (PPT) Nervous System Physiology
 
PAIN MANAGEMENT
PAIN MANAGEMENTPAIN MANAGEMENT
PAIN MANAGEMENT
 
Pathway , physiology , perception of pain
Pathway , physiology , perception of painPathway , physiology , perception of pain
Pathway , physiology , perception of pain
 
Phantom Limb Syndrome
Phantom Limb Syndrome Phantom Limb Syndrome
Phantom Limb Syndrome
 
Pain management
Pain managementPain management
Pain management
 
Pain management
Pain managementPain management
Pain management
 
Pain physiology
Pain physiologyPain physiology
Pain physiology
 
Pain anatomy and physiology
Pain anatomy and physiologyPain anatomy and physiology
Pain anatomy and physiology
 
Physiology of Pain
Physiology of PainPhysiology of Pain
Physiology of Pain
 
Pharmacology -pain management 3
Pharmacology -pain management 3Pharmacology -pain management 3
Pharmacology -pain management 3
 
Pain and its management
Pain and its  managementPain and its  management
Pain and its management
 
Pain Physiology Presented At St Thomases Hospital 2.3.07
Pain Physiology Presented At St Thomases Hospital 2.3.07Pain Physiology Presented At St Thomases Hospital 2.3.07
Pain Physiology Presented At St Thomases Hospital 2.3.07
 
Pain pathway
Pain pathwayPain pathway
Pain pathway
 
Physiology of pain pathways
Physiology of pain pathwaysPhysiology of pain pathways
Physiology of pain pathways
 
Chronic pain assessment & management
Chronic pain assessment & management Chronic pain assessment & management
Chronic pain assessment & management
 
Pain
PainPain
Pain
 
Anatomy of pain pathway
Anatomy of pain pathwayAnatomy of pain pathway
Anatomy of pain pathway
 
Chronic pain management
Chronic pain managementChronic pain management
Chronic pain management
 

Viewers also liked

세바시 15분 진짜 경쟁력은 원천기술에 있다 - 정윤정 코아옵틱스 대표
세바시 15분 진짜 경쟁력은 원천기술에 있다 - 정윤정 코아옵틱스 대표세바시 15분 진짜 경쟁력은 원천기술에 있다 - 정윤정 코아옵틱스 대표
세바시 15분 진짜 경쟁력은 원천기술에 있다 - 정윤정 코아옵틱스 대표cbs15min
 
Questionare results 2
Questionare results 2Questionare results 2
Questionare results 2krystal11
 
세바시15분 신의 입자를 찾아서 - 이종필 고려대학교 연구교수
세바시15분 신의 입자를 찾아서 - 이종필 고려대학교 연구교수세바시15분 신의 입자를 찾아서 - 이종필 고려대학교 연구교수
세바시15분 신의 입자를 찾아서 - 이종필 고려대학교 연구교수cbs15min
 
Conferencia federacion de dorcas
Conferencia federacion de dorcasConferencia federacion de dorcas
Conferencia federacion de dorcasLuis Roque
 
세바시15분 서로 다름이 융합하면 에너지가 된다 - 최수진 산업통상자원부 바이오 PD
세바시15분 서로 다름이 융합하면 에너지가 된다 - 최수진 산업통상자원부 바이오 PD세바시15분 서로 다름이 융합하면 에너지가 된다 - 최수진 산업통상자원부 바이오 PD
세바시15분 서로 다름이 융합하면 에너지가 된다 - 최수진 산업통상자원부 바이오 PDcbs15min
 
Vision mission tester
Vision mission testerVision mission tester
Vision mission testerZiya-B
 
Silabus mat 9_smp 2013
Silabus mat 9_smp 2013Silabus mat 9_smp 2013
Silabus mat 9_smp 2013dewilya
 
Media hmwk
Media hmwkMedia hmwk
Media hmwkfinneyh
 
Tgif rockin the mic! 12.20
Tgif rockin the mic! 12.20Tgif rockin the mic! 12.20
Tgif rockin the mic! 12.20Cassarah Peony
 
Mis valores sena
Mis valores senaMis valores sena
Mis valores senaJessica10-4
 
Problemas hidrometeorologicos
Problemas hidrometeorologicosProblemas hidrometeorologicos
Problemas hidrometeorologicosKygidieca
 

Viewers also liked (20)

Third Term Grammar 1st ESO
Third Term Grammar 1st ESOThird Term Grammar 1st ESO
Third Term Grammar 1st ESO
 
Kbh1
Kbh1Kbh1
Kbh1
 
세바시 15분 진짜 경쟁력은 원천기술에 있다 - 정윤정 코아옵틱스 대표
세바시 15분 진짜 경쟁력은 원천기술에 있다 - 정윤정 코아옵틱스 대표세바시 15분 진짜 경쟁력은 원천기술에 있다 - 정윤정 코아옵틱스 대표
세바시 15분 진짜 경쟁력은 원천기술에 있다 - 정윤정 코아옵틱스 대표
 
Questionare results 2
Questionare results 2Questionare results 2
Questionare results 2
 
세바시15분 신의 입자를 찾아서 - 이종필 고려대학교 연구교수
세바시15분 신의 입자를 찾아서 - 이종필 고려대학교 연구교수세바시15분 신의 입자를 찾아서 - 이종필 고려대학교 연구교수
세바시15분 신의 입자를 찾아서 - 이종필 고려대학교 연구교수
 
Shock
ShockShock
Shock
 
Conferencia federacion de dorcas
Conferencia federacion de dorcasConferencia federacion de dorcas
Conferencia federacion de dorcas
 
Biología
BiologíaBiología
Biología
 
Data mining
Data miningData mining
Data mining
 
They shall see God
They shall see GodThey shall see God
They shall see God
 
세바시15분 서로 다름이 융합하면 에너지가 된다 - 최수진 산업통상자원부 바이오 PD
세바시15분 서로 다름이 융합하면 에너지가 된다 - 최수진 산업통상자원부 바이오 PD세바시15분 서로 다름이 융합하면 에너지가 된다 - 최수진 산업통상자원부 바이오 PD
세바시15분 서로 다름이 융합하면 에너지가 된다 - 최수진 산업통상자원부 바이오 PD
 
Vision mission tester
Vision mission testerVision mission tester
Vision mission tester
 
Common emergencies
Common emergenciesCommon emergencies
Common emergencies
 
Silabus mat 9_smp 2013
Silabus mat 9_smp 2013Silabus mat 9_smp 2013
Silabus mat 9_smp 2013
 
Media hmwk
Media hmwkMedia hmwk
Media hmwk
 
Tgif rockin the mic! 12.20
Tgif rockin the mic! 12.20Tgif rockin the mic! 12.20
Tgif rockin the mic! 12.20
 
Mis valores sena
Mis valores senaMis valores sena
Mis valores sena
 
Poisoning
PoisoningPoisoning
Poisoning
 
Rebuke
RebukeRebuke
Rebuke
 
Problemas hidrometeorologicos
Problemas hidrometeorologicosProblemas hidrometeorologicos
Problemas hidrometeorologicos
 

Similar to Pain

pain management
pain managementpain management
pain managementIfe Taiwo
 
Pain control in operative dentistry
Pain control in operative dentistryPain control in operative dentistry
Pain control in operative dentistryDilu Davis
 
Prof. mridul m. panditrao's pain pathophysiology, management & role of anaest...
Prof. mridul m. panditrao's pain pathophysiology, management & role of anaest...Prof. mridul m. panditrao's pain pathophysiology, management & role of anaest...
Prof. mridul m. panditrao's pain pathophysiology, management & role of anaest...Prof. Mridul Panditrao
 
Pain ( M.Sc Nursing)
Pain ( M.Sc Nursing)Pain ( M.Sc Nursing)
Pain ( M.Sc Nursing)LAIJU JOY
 
2012 aaom shah neuromusculoskeletal pain lessons from the myofascia
2012 aaom shah neuromusculoskeletal pain lessons from the myofascia2012 aaom shah neuromusculoskeletal pain lessons from the myofascia
2012 aaom shah neuromusculoskeletal pain lessons from the myofasciaNomienredes
 
Lecture 2 Electrotherapy- pain physiology
Lecture 2  Electrotherapy- pain physiologyLecture 2  Electrotherapy- pain physiology
Lecture 2 Electrotherapy- pain physiologySaurab Sharma
 
This unbearable pain
This unbearable painThis unbearable pain
This unbearable painSpinePlus
 
Treating postoperative pain
Treating postoperative painTreating postoperative pain
Treating postoperative painSpinePlus
 
PAIN CONTROL in operative dentistry.pptx
PAIN CONTROL in operative dentistry.pptxPAIN CONTROL in operative dentistry.pptx
PAIN CONTROL in operative dentistry.pptxDentalYoutube
 
Cognitive perception Pattern
Cognitive perception PatternCognitive perception Pattern
Cognitive perception PatternShahFaisal121031
 
53 a focus 6 pain part 1
53 a focus 6 pain part 153 a focus 6 pain part 1
53 a focus 6 pain part 1twiggypiggy
 

Similar to Pain (20)

Physiology of pain2003
Physiology of pain2003Physiology of pain2003
Physiology of pain2003
 
pain management
pain managementpain management
pain management
 
Mechanism of pain.pptx
Mechanism of pain.pptxMechanism of pain.pptx
Mechanism of pain.pptx
 
Pain control in operative dentistry
Pain control in operative dentistryPain control in operative dentistry
Pain control in operative dentistry
 
PAIN AND SURGERY
PAIN AND SURGERYPAIN AND SURGERY
PAIN AND SURGERY
 
Pain management
Pain managementPain management
Pain management
 
Prof. mridul m. panditrao's pain pathophysiology, management & role of anaest...
Prof. mridul m. panditrao's pain pathophysiology, management & role of anaest...Prof. mridul m. panditrao's pain pathophysiology, management & role of anaest...
Prof. mridul m. panditrao's pain pathophysiology, management & role of anaest...
 
Pain.pptx
Pain.pptxPain.pptx
Pain.pptx
 
CRPS.pptx
CRPS.pptxCRPS.pptx
CRPS.pptx
 
Pain ( M.Sc Nursing)
Pain ( M.Sc Nursing)Pain ( M.Sc Nursing)
Pain ( M.Sc Nursing)
 
Dolor1
Dolor1Dolor1
Dolor1
 
Pain assessment
    Pain assessment    Pain assessment
Pain assessment
 
pain & pain pathways
 pain & pain pathways pain & pain pathways
pain & pain pathways
 
2012 aaom shah neuromusculoskeletal pain lessons from the myofascia
2012 aaom shah neuromusculoskeletal pain lessons from the myofascia2012 aaom shah neuromusculoskeletal pain lessons from the myofascia
2012 aaom shah neuromusculoskeletal pain lessons from the myofascia
 
Lecture 2 Electrotherapy- pain physiology
Lecture 2  Electrotherapy- pain physiologyLecture 2  Electrotherapy- pain physiology
Lecture 2 Electrotherapy- pain physiology
 
This unbearable pain
This unbearable painThis unbearable pain
This unbearable pain
 
Treating postoperative pain
Treating postoperative painTreating postoperative pain
Treating postoperative pain
 
PAIN CONTROL in operative dentistry.pptx
PAIN CONTROL in operative dentistry.pptxPAIN CONTROL in operative dentistry.pptx
PAIN CONTROL in operative dentistry.pptx
 
Cognitive perception Pattern
Cognitive perception PatternCognitive perception Pattern
Cognitive perception Pattern
 
53 a focus 6 pain part 1
53 a focus 6 pain part 153 a focus 6 pain part 1
53 a focus 6 pain part 1
 

More from Sanil Varghese (20)

Traction
TractionTraction
Traction
 
Splints
SplintsSplints
Splints
 
Prosthetics
ProstheticsProsthetics
Prosthetics
 
Plaster casts
Plaster castsPlaster casts
Plaster casts
 
Osteoporosis
OsteoporosisOsteoporosis
Osteoporosis
 
Orthopedics radiography sanil
Orthopedics radiography sanilOrthopedics radiography sanil
Orthopedics radiography sanil
 
Orthopedic implants
Orthopedic implantsOrthopedic implants
Orthopedic implants
 
Orthopedic beds
Orthopedic bedsOrthopedic beds
Orthopedic beds
 
Myopathies
MyopathiesMyopathies
Myopathies
 
Musculoskeletal
MusculoskeletalMusculoskeletal
Musculoskeletal
 
Musculo skeletal disorders
Musculo skeletal disordersMusculo skeletal disorders
Musculo skeletal disorders
 
Gout
GoutGout
Gout
 
Fractures
FracturesFractures
Fractures
 
Braces
BracesBraces
Braces
 
Bones
BonesBones
Bones
 
Bone tumors
Bone tumorsBone tumors
Bone tumors
 
Peripheral nerve disrders
Peripheral nerve disrdersPeripheral nerve disrders
Peripheral nerve disrders
 
Peripheral nerve disorders
Peripheral nerve disordersPeripheral nerve disorders
Peripheral nerve disorders
 
Myasthenia gravis new
Myasthenia gravis newMyasthenia gravis new
Myasthenia gravis new
 
Meningitis
MeningitisMeningitis
Meningitis
 

Recently uploaded

Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxPresentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxpdamico1
 
Chronic-Fatigue-Syndrome-CFS-Understanding-a-Complex-Disorder.pptx
Chronic-Fatigue-Syndrome-CFS-Understanding-a-Complex-Disorder.pptxChronic-Fatigue-Syndrome-CFS-Understanding-a-Complex-Disorder.pptx
Chronic-Fatigue-Syndrome-CFS-Understanding-a-Complex-Disorder.pptxSasikiranMarri
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxEx WHO/USAID
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
Informed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxInformed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxSasikiranMarri
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdfDolisha Warbi
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamAkebom Gebremichael
 
Musculoskeletal disorders: Osteoarthritis,.pptx
Musculoskeletal disorders: Osteoarthritis,.pptxMusculoskeletal disorders: Osteoarthritis,.pptx
Musculoskeletal disorders: Osteoarthritis,.pptxraviapr7
 
Tans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxTans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxKezaiah S
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSapna Thakur
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Badalona Serveis Assistencials
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptxTina Purnat
 
Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Prerana Jadhav
 
Valproic Acid. (VPA). Antiseizure medication
Valproic Acid.  (VPA). Antiseizure medicationValproic Acid.  (VPA). Antiseizure medication
Valproic Acid. (VPA). Antiseizure medicationMohamadAlhes
 
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)MohamadAlhes
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..AneriPatwari
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptxBibekananda shah
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurNavdeep Kaur
 
Systemic Lupus Erythematosus -SLE PT2.ppt
Systemic  Lupus  Erythematosus -SLE PT2.pptSystemic  Lupus  Erythematosus -SLE PT2.ppt
Systemic Lupus Erythematosus -SLE PT2.pptraviapr7
 
Nutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience ClassNutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience Classmanuelazg2001
 

Recently uploaded (20)

Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxPresentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
 
Chronic-Fatigue-Syndrome-CFS-Understanding-a-Complex-Disorder.pptx
Chronic-Fatigue-Syndrome-CFS-Understanding-a-Complex-Disorder.pptxChronic-Fatigue-Syndrome-CFS-Understanding-a-Complex-Disorder.pptx
Chronic-Fatigue-Syndrome-CFS-Understanding-a-Complex-Disorder.pptx
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptx
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
Informed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxInformed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptx
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
 
Musculoskeletal disorders: Osteoarthritis,.pptx
Musculoskeletal disorders: Osteoarthritis,.pptxMusculoskeletal disorders: Osteoarthritis,.pptx
Musculoskeletal disorders: Osteoarthritis,.pptx
 
Tans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxTans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptx
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptx
 
Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.
 
Valproic Acid. (VPA). Antiseizure medication
Valproic Acid.  (VPA). Antiseizure medicationValproic Acid.  (VPA). Antiseizure medication
Valproic Acid. (VPA). Antiseizure medication
 
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
 
Systemic Lupus Erythematosus -SLE PT2.ppt
Systemic  Lupus  Erythematosus -SLE PT2.pptSystemic  Lupus  Erythematosus -SLE PT2.ppt
Systemic Lupus Erythematosus -SLE PT2.ppt
 
Nutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience ClassNutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience Class
 

Pain

  • 2. McCaffery defines pain as “Whatever the experiencing person says it is, existing whenever he/she says it does.”
  • 3. Types I. Based on duration • • • • Acute pain Chronic pain Chronic malignant pain Chronic non-malignant pain
  • 4. II. Based on the origin • Cutaneous pain • Deep somatic pain • Visceral pain
  • 5. III. Based on nature of pain • • • • • Radiating pain Referred pain Intractable pain Neuropathic pain Phantom Limb
  • 6. Mnemonics for pain assessment OLD CART • O- Onset • L- Location • D- Duration • C- Characteristics • A- Aggravating factors • R- Radiation • T- Treatment PQRST • P- Provoked • Q- Quality • R- Region/Radiation • Severity • Timing
  • 7. Pain Management I. Pharmacologic pain management • Opioid analgesics • NSAID’s • Adjuvant analgesics • Patient Controlled analgesia • Family controlled analgesia
  • 8. II. Non-pharmacologic management 1. Physical interventions a. Cutaneous stimulation • • • • Massage Hot or cold application Accupressure Contralateral stimulation b. Immobilization a. Transcutaneous electrical nerve stimulation (TENS)
  • 9. 2. Mind Body interventions • Distraction – – – – – – – – – – Visual Auditory Tactile Intellectual Reading Watching TV Humour Massage Holding a pet/ toy Crossword puzzles
  • 11. III. Non-pharmacologic invasive therapies • • • • • • Nerve block Cordotomy Rhizotomy Neurectomy Sympathectomy Spinal cord stimulation