1. PAIN

2. SUBJECTIVE, INDIVIDUALIZED PERCEIVED ONLY BY THE PATIENT PAIN

3. CHRONIC ACUTE INTRACTABLE

4. THEY HAVE PAIN NEVER SECOND GUESS THEM IF PATIENT C/O PAIN

5. TYPES OF PAIN ACUTE- SUDDEN ONSET,SEVERE CHRONIC- LESS SEVER, DURATION IS GREATER THAN SIX MONTHS CHRONIC INTRACTABLE- CANNOT BE CONTROLLED TRANSIENT – COMES AND GOES,SHORT DURATION, FREQUENTLY NOT SIGNIFICANT

6. PAIN CAN BE PART OF NORMAL HEALING (SURGICAL) HELPS LOCATE THE SOURCE OF TISSUE DAMAGE CAN OCCUR IN THE ABSENCE OF PHYSICAL INJURY (PSYCHOLOGICAL PAIN)

7. NOXIOUS STIMULI THAT CAN CAUSE PAIN HEAT AND COLD PRESSURE CHEMICALS ELECTRIC SHOCK TRAUMA

8. NOCICEPTERS SPECIALIZED NERVE ENDINGS ARE STIMULATED BY TISSUE DAMAGE OR INSULT SEND PAIN MESSAGE TO BRAIN

9. NOCICEPTERS RESPOND TO… TEMPERATURE EXTREMES- BURN,FROSTBITE MECHANICAL DAMAGE- CRUSHING,SCRAPING DISSOLVED CHEMICALS- ACIDS,POTASSIUM,

10. PHYSIOLOGY OF PAIN PAIN IS NECESSARY SIGNAL OF TISSUE INJURY OR DAMAGE A PROTECTIVE MECHANISM

11. WHAT INFLUENCES PERSONS REACTION TO PAIN CULTURAL VALUES PAST EXPERIENCES RELIGIUOUS BELIEFS PRESENCE OR LACK OF EMOTIONAL SUPPORT ANXIETY

12. PAIN SCALE A TOOL USED TO MEASURE A PERSON’S PERCEPTION OF PAIN INTENSITY AND QUALITY FACES NUMBER CHART

13. PAIN RELIEF ANALGESIC NARCOTIC NON NARCOTIC MESSAGE ACUPUNCTURE TENS BIOFEEDBACK MEDITATION,RELAXATION

14. PSYCHOLOGICAL PAIN IS AS REAL AS PHYSICAL PAIN CAN BE ACUTE,CHRONIC OR INTRACTABLE, TRANSIENT