重庆医科大学：《护理学基础》课程教学资源（PPT课件）11-3 舒适（疼痛）

Chapter 11 Comfort .30 25 CHEN Xiaoju Nursing college,Chongqing Medical University

CHEN Xiaoju Nursing college, Chongqing Medical University

comfort What is Comfort? Comfort is a mental state of physical and psychological health,no pain,no anxiety and relaxing at ease. It is a kind of high-individualized sense. Which Factors will Influence Comfort?

Comfort? Comfort is a mental state of physical and psychological health, no pain, no anxiety and relaxing at ease. It is a kind of high-individualized sense. Which Factors will Influence Comfort?

Pain The worst discomfort is pain. IASP(1979):"an unpleasant,subjective sensory and emotional experience associated with actual or potential tissue damage,or described in terms of such damage". (一种与实际或潜在的组织损伤有关的不喻快的主观 感觉或情绪体验，或是对这种损害的描述)

The worst discomfort is pain. IASP(1979) : “an unpleasant, subjective s e n s o r y a n d e m o t i o n a l e x p e ri e n c e associated with actual or potential tissue damage, or described in terms of such damage”. (一种与实际或潜在的组织损伤有关的不愉快的主观 感觉或情绪体验，或是对这种损害的描述)

Learning Objectives 1.Identify the classification of pain. 2.Discuss the factors influencing pain. 3.Explain how to assess pain and list the scales to assess the intensity of pain. 4.List nursing measures for patient with pain

Learning Objectives 1. Identify the classification of pain. 2. Discuss the factors influencing pain. 3. Explain how to assess pain and list the scales to assess the intensity of pain. 4. List nursing measures for patient with pain

Contents Scientific knowledge Base Pain Pain and Nursing Process 我要学习啦

Contents 1 2

Part 1 Scientific knowledge Base Pain When there're human beings, there's pain.Pain have been viewed as a punishment for wrongdoing,or as a warning of physical illness

When there’re human beings, there’s pain. Pain have been viewed as a punishment for wrongdoing, or as a warning of physical illness

Scientific knowledge Base Pain Nature of Pain(疼痛的性质) Pain is subjective and highly individualized. The nature of stimulus for pain may be physical and /or mental,so damage may be done to actual tissues or to a person's ego

Nature of Pain(疼痛的性质) • Pain is subjective and highly individualized. • The nature of stimulus for pain may be physical and /or mental , so damage may be done to actual tissues or to a person’s ego. 1

Scientific knowledge Base Pain Nature of Pain We cannot measure pain objectively. The only thing that the nurse can do to assess pain is to observe the clients'words and behavior,for the client is the only one who can tell what the pain is like

Nature of Pain • We cannot measure pain objectively. • The only thing that the nurse can do to assess pain is to observe the clients’ words and behavior, for the client is the only one who can tell what the pain is like. 1

Scientific knowledge Base Pain Nature of Pain Pain is also a protective physiological mechanism to the body. When it is necessary to monitor pain,the nurse can do pain assessment routinely as the fifth vital sign along with temperature, pulse,respirations and blood pressure

Nature of Pain • Pain is also a protective physiological mechanism to the body. • When it is necessary to monitor pain, the nurse can do pain assessment routinely as the fifth vital sign along with temperature, pulse, respirations and blood pressure. 1

Scientific knowledge Base Pain Classification of pain Pathological Physiological classification Nociceptive Pain Neuropathic Pain 躯体性疼痛 神经性疼痛 Somatic pain Centrally generated pain 身体痛 中枢神经性疼痛 Visceral pain Peripherally generated pain 内脏痛 周围神经性疼痛

Classification of pain Pathological Physiological classification 1 Nociceptive Pain 躯体性疼痛 Neuropathic Pain 神经性疼痛 Somatic pain 身体痛 Visceral pain 内脏痛 Centrally generated pain 中枢神经性疼痛 Peripherally generated pain 周围神经性疼痛