Phar 1821 (2022) week 9 lecture note
Week 9 – Pain #1
LO - Understand that pain is a key sign and symptom
- Know which meds are commonly prescribed/recommended for pain
management
- Know that non-pharmacological treatments can be effective (and safer)
- Appreciate how evidence informs practice
First aid for Suggestions on immediate treatment for sprains, strains, joint injuries – to prevent
sprains, strains, further damage include...
joint injuries
RICE
- Rest
o Keep the injured area supported and avoid using it for 48-72 hours
- Ice
o Apply ice to the injured area for 20 mins every two hours for the
first 48-72 hours
- Compression
o Apply a firm elastic bandage over the area, extending above and
below the painful site
- Elevation
o Raise the injured area above the level of the heart at all times
Referral – as soon as possible, see a doc
No heat – heat will increase bleeding
No alcohol – alcohol increases bleeding and swelling
No running – running or exercise increases blood flow, delaying healing
No massage – massage increases swelling and bleeding, also delaying healing
Pain is common
Pain - An unpleasant sensory & emotional experience associated with
actual/potential tissue damage, described in terms of such damage
, - “What the patient experiences” - Part of the symptoms and signs that
patient describes to us
- Pain is often described based on the part of the body that is affected
- Pain is a symptom that has a cause
- Types of pain:
o Acute
o Continuous
o Chronic
o Episodic
o Nociceptive – pain receptors
o Incident
o Neuropathic
o Breakthrough
Nature of
human
response to
pain
Pain – combination of neurology & physiology
, Understanding
of Pain
Pathways involved in pain & complexities ab pain
- Damage to a hand is transmitted to spinal cord by different fibres/nerves
- Those nerves can be blocked by anaesthetics (general anaesthetics)
- Local application at the site of injury – where med might reduce the
inflammation
- Hyperalgesia
Week 9 – Pain #1
LO - Understand that pain is a key sign and symptom
- Know which meds are commonly prescribed/recommended for pain
management
- Know that non-pharmacological treatments can be effective (and safer)
- Appreciate how evidence informs practice
First aid for Suggestions on immediate treatment for sprains, strains, joint injuries – to prevent
sprains, strains, further damage include...
joint injuries
RICE
- Rest
o Keep the injured area supported and avoid using it for 48-72 hours
- Ice
o Apply ice to the injured area for 20 mins every two hours for the
first 48-72 hours
- Compression
o Apply a firm elastic bandage over the area, extending above and
below the painful site
- Elevation
o Raise the injured area above the level of the heart at all times
Referral – as soon as possible, see a doc
No heat – heat will increase bleeding
No alcohol – alcohol increases bleeding and swelling
No running – running or exercise increases blood flow, delaying healing
No massage – massage increases swelling and bleeding, also delaying healing
Pain is common
Pain - An unpleasant sensory & emotional experience associated with
actual/potential tissue damage, described in terms of such damage
, - “What the patient experiences” - Part of the symptoms and signs that
patient describes to us
- Pain is often described based on the part of the body that is affected
- Pain is a symptom that has a cause
- Types of pain:
o Acute
o Continuous
o Chronic
o Episodic
o Nociceptive – pain receptors
o Incident
o Neuropathic
o Breakthrough
Nature of
human
response to
pain
Pain – combination of neurology & physiology
, Understanding
of Pain
Pathways involved in pain & complexities ab pain
- Damage to a hand is transmitted to spinal cord by different fibres/nerves
- Those nerves can be blocked by anaesthetics (general anaesthetics)
- Local application at the site of injury – where med might reduce the
inflammation
- Hyperalgesia