patient factors affecting pain report

Factors Influencing the Pain Response

• Past Experience. It is tempting to expect that a person who has had multiple or prolonged experiences with pain would be...
• Anxiety and Depression. Although it is commonly believed that anxiety will increase pain, this is not necessarily true.
• Culture. Beliefs about pain and how to respond to it differ from one cul-ture to the next.

Full Answer

What are the factors that affect pain?

A person’s pain experience is influenced by a number of factors, including past experiences with pain, anxiety, culture, age, gen-der, and expectations about pain relief. These factors may in-crease or decrease the person’s perception of pain, increase or decrease tolerance for pain, and affect the responses to pain.

What are the effects of past experiences with pain?

The individual who has pain for months or years may become irritable, withdrawn, and depressed. The undesirable effects that may result from previous experi-ence point to the need for the nurse to be aware of the patient’s past experiences with pain.

How does experience with pain affect tolerance to pain?

These factors may in-crease or decrease the person’s perception of pain, increase or decrease tolerance for pain, and affect the responses to pain. It is tempting to expect that a person who has had multiple or prolonged experiences with pain would be less anxious and more tolerant of pain than one who has had little pain.

How does a person respond to pain?

The way a person responds to pain is a result of many separate painful events during a lifetime. For some, past pain may have been constant and unrelenting, as in prolonged or chronic and persistent pain. The individual who has pain for months or years may become irritable, withdrawn, and depressed.

What factors affect patients response to pain?

The perception of, expression of, and reaction to pain are influenced by genetic, developmental, familial, psychological, social and cultural variables. Psychological factors, such as the situational and emotional factors that exist when we experience pain, can profoundly alter the strength of these perceptions.

What are the 11 components of pain assessment?

Patients should be asked to describe their pain in terms of the following characteristics: location, radiation, mode of onset, character, temporal pattern, exacerbating and relieving factors, and intensity. The Joint Commission updated the assessment of pain to include focusing on how it affects patients' function.

How do you collect data about pain from your patients?

Nurses can help patients more accurately report their pain by using these very specific PQRST assessment questions:P = Provocation/Palliation. What were you doing when the pain started? ... Q = Quality/Quantity. What does it feel like? ... R = Region/Radiation. ... S = Severity Scale. ... T = Timing. ... Documentation.

What is the standard for pain assessment?

Patients' self-reporting (expression) of their pain is regarded as the gold standard of pain assessment measurement as it provides the most valid measurement of pain (Melzack and Katz, 1994).

What are the 3 pain scales?

Using the Pain ScaleIf you want your pain to be taken seriously, ... 0 – Pain Free.1 – Pain is very mild, barely noticeable. ... 2 – Minor pain. ... 3 – Pain is noticeable and distracting, however, you can get used to it and adapt.4 – Moderate pain. ... 5 – Moderately strong pain.More items...

What is the 10 point pain scale?

Numeric rating scales (NRS) A person rates their pain on a scale of 0 to 10 or 0 to 5. Zero means “no pain,” and 5 or 10 means “the worst possible pain.” These pain intensity levels may be assessed upon initial treatment, or periodically after treatment.

What are the 3 different assessment tools for pain?

Pain Assessment ScalesNumerical Rating Scale (NRS)Visual Analog Scale (VAS)Defense and Veterans Pain Rating Scale (DVPRS)Adult Non-Verbal Pain Scale (NVPS)Pain Assessment in Advanced Dementia Scale (PAINAD)Behavioral Pain Scale (BPS)Critical-Care Observation Tool (CPOT)

Why is pain assessment included in patient assessment?

Purpose of pain assessment Detect and describe pain to help in the diagnostic process; Understand the cause of the pain to help determine the best treatment; Monitor the pain to determine whether the underlying disease or disorder is improving or deteriorating, and whether the pain treatment is working.

How do you ask a patient about pain?

History of Your PainWhat caused my pain in the first place?Did my pain start suddenly or gradually?How long have I been in pain?What am I currently doing to manage my pain?Is there anything I'm doing that's reducing my pain?What pain medications have I taken in the past, and how did they work for me?More items...

What are the 4 types of pain?

THE FOUR MAJOR TYPES OF PAIN:Nociceptive Pain: Typically the result of tissue injury. ... Inflammatory Pain: An abnormal inflammation caused by an inappropriate response by the body's immune system. ... Neuropathic Pain: Pain caused by nerve irritation. ... Functional Pain: Pain without obvious origin, but can cause pain.

What are the aggravating factors of pain?

Aggravating/alleviating factors Other factors (movement, physical therapy, activity, intravenous sticks or blood draws, mental anguish, depression, sadness, bad news) may intensify the pain.

Why is depression associated with cancer?

Just as anxiety is associated with pain because of concerns and fears about the underlying disease, depression is associated with chronic pain and unrelieved cancer pain. In chronic pain situa-tions, depression is associated with major life changes due to the limiting effects of the pain, specifically unemployment.

Why do elderly people get confused after surgery?

However, confusion in the elderly may be a result of untreated and unrelieved pain.

Why are elderly people reluctant to seek help?

Although many elderly people seek health care because of pain, others are reluctant to seek help even when in severe painbecause they consider pain to be part of normal aging. Assessment of pain in older adults may be difficult because of the physiologic, psychosocial, and cognitive changes that often accompany aging.

What are the factors that influence pain?

A person’s pain experience is influenced by a number of factors, including past experiences with pain, anxiety, culture, age, gen-der, and expectations about pain relief .

What happens when you have never had severe pain?

Conversely, someone who has never had severe pain may have no fear of such pain. The way a person responds to pain is a result of many separate painful events during a lifetime.

Why do antianxiety medications prevent pain?

The routine use of antianxiety medications to treat anxiety in someone with pain may prevent the person from reporting pain because of sedation and may impair the patient’s ability to take deep breaths, get out of bed, and cooperate with the treatment plan.

What factors help explain differences in a cultural group?

Factors that help to explain differences in a cultural group include age, gender, education level, and income . In addition, the degree to which a patient identifies with a culture influences the degree to which he or she will adopt new health behaviors or cling to traditional health be-liefs and practices.