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abnormal pain
pain that moves beyond the expected severity and duration and may require additional medical treatment
acupuncture
pain management technique that includes the insertion of thin steel needles into the skin to stimulate specific points throughout the body
acute pain
short-term pain, typically lasting from minutes to up to three to six months
addiction
most severe form of SUD, in which there is continued use of the substance despite negative consequences
adjuvant
(also, coanalgesic) medication that has an independent effect and also additive analgesic properties when administered with opioids
alternative therapy
treatment used in place of pharmacological pain management
analgesic
medication used to prevent or treat pain
animal-assisted therapy
treatment that utilizes animals to reduce pain, anxiety, or depression
aromatherapy
inhalation or dermal application of essential oils
behavioral pain scale (BPS)
tool used to assess and quantify pain in acute sedated ventilated patients in intensive care units (ICUs)
breakthrough pain
sudden increase in pain that lasts for a short time
ceiling effect
point at which the effect of a drug plateaus, so that increasing the dose will not increase the effect
chiropractic therapy
pain management technique that manipulates the spine, joints, and skeletal system
chronic pain
pain lasting longer than six months
coanalgesic
(also, adjuvant) medication that has an independent effect and also additive analgesic properties when administered with opioids
cognitive behavioral therapy (CBT)
psychological treatment in which patients are taught how to manage and cope with pain more effectively by changing their negative thought pattern, identifying and reducing stressors that exacerbate pain perception, and focusing on adapting to pain in situations when pain cannot be eliminated
complementary therapy
treatment used in combination with pharmacological pain management
critical-care pain observation tool (CPOT)
standardized assessment tool used in critical-care settings to evaluate pain in critically ill patients who are unable to communicate their pain
dependence
inability to function without the use of a substance
FACES scale
visual tool for assessing pain with children and others who cannot quantify the severity of their pain on a numerical scale
FLACC scale
pain scale used to assess pain in children between the ages of 2 months and 7 years, as well as those unable to verbally communicate
guided imagery
positive, relaxing images created in the mind
hypnosis
creation of a trance-like state to enhance awareness of feelings, thoughts, and sensations
massage
pain management technique that manipulates the soft tissues of the body to relieve tension and create relaxation
meditation
practice of breathing and repeating certain words to reduce stress and put the mind at ease
mindfulness
practice of focusing on the present moment to create awareness of thoughts, feelings, the body, and the environment
neuropathic pain
pain caused by damage to nerves or other parts of the nervous system
nociceptive pain
pain caused by damage to body tissue
nociceptor
type of sensory receptor that responds to potentially damaging stimuli by sending nerve signals to the spinal cord and brain
nonopioid
medication that is not an opioid
normal pain
pain of the expected severity and duration, according to its cause
numerical rating scale (NRS)
pain scale that rates pain on a scale of 0 to 10
opioid
class of drug derived from opium, a chemical sourced from poppy plants
opioid use disorder (OUD)
type of SUD caused by a problematic pattern of opioid use leading to physical dependence
pain
uncomfortable or unpleasant sensation that typically signifies injury or illness
pain assessment in advanced dementia (PAINAD) scale
pain scale used to assess pain in patients with advanced dementia
patient-controlled analgesia (PCA)
practice of allowing the patient to self-administer opioid medications using a programmed pump
phantom pain
pain perceived to be coming from a missing body part
pharmacological therapy
treatment that involves drugs or medications
physical therapy
manipulation of joints and soft tissues to restore functional ability and quality of life
referred pain
pain in one part of the body that is caused by pain in a different location of the body
reflexology
pain management technique that applies massage to specific pressure points aligned with the body in the hands and feet
reiki
pain management technique in which one person uses lightly placed hands to guide energy throughout another person’s body
somatic pain
pain experienced in the muscles, skin, or bone
substance use disorder (SUD)
disorder that occurs when the repeated use of alcohol and/or other drugs significantly impairs a person’s health and results in an inability for them to meet major responsibilities at work, school, or home
tai chi
practice that combines exercise and meditation with slow body movement and controlled breathing
therapeutic exercise
stretching and strengthening routines that can help to improve muscle strength and flexibility, reduce joint stiffness, and enhance range of motion
thermotherapy
application of heat or cold to alter the cutaneous, intra-articular, and core temperatures of soft tissues
tolerance
state of requiring more of a drug over time to achieve the same level of pain relief
transcutaneous electrical nerve stimulation (TENS) therapy
treatment that delivers low-voltage electrical current to reduce pain
visceral pain
pain experienced in the internal organs
withdrawal
physical and mental symptoms experienced when a person suddenly stops or decreases the use of an addictive substance
yoga
practice of using specific stretches, poses, meditation, and controlled breathing to balance the mind and body
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