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A client having acute pain tells the nurse that her pain has gradually reduced, but that she fears it could recur and become chronic. What is a characteristic of chronic pain?

a) Chronic pain eases with healing and eventually disappears.
b) Chronic pain has far-reaching effects on the client.
c) Chronic pain can be severe in its initial stages.
d) Chronic pain will lead to psychological imbalance.

1 Answer

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Final answer:

Chronic pain is characterized by its persistence beyond the healing of tissues and can involve sterile inflammation and the immune system's components. It includes a psychological dimension, as it can lead to stress and potentially to a psychological imbalance over time. Appropriate management strategies should address both the physical and psychological aspects of pain.

Step-by-step explanation:

One characteristic of chronic pain is that it often persists even after any damaged tissue has healed, unlike acute pain, which is temporary and generally subsides when one recovers from the injury or illness that caused it. Chronic pain is associated with sterile inflammation and involves the activity of components of the immune system, such as macrophages, which can release chemical messengers leading to the persistence of pain. Understanding that pain is not simply a symptom but can be a complex condition involving both physical and psychological challenges is vital in addressing it properly.

Chronic pain may lead to psychological distress over time, as it can significantly impact daily living and well-being. Stress, anxiety, and even depression can occur as a result of ongoing pain, highlighting the psychological aspect of chronic pain. Moreover, it can contribute to a 'maladaptive' stress response when the pain becomes a chronic stressor. The pain perception itself is both a physical and psychological experience, which underscores the necessity to approach chronic pain management with a multifaceted strategy that may include therapies aimed at both relief and psychological support.

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