The nurse in charge is caring for an Italian client. He’s complaining of pain, but he falls asleep right after his complaint and before the nurse can assess his pain. The nurse concludes that:
A. He may have a low threshold for pain.
B. He was faking pain.
C. Someone else gave him medication.
D. The pain went away.
Correct Answer: A. He may have a low threshold for pain.
People of Italian heritage tend to verbalize discomfort and pain. The pain was real to the client, and he may need medication when he wakes up. Italian females reported the highest sensitivity to both mechanical and electrical stimulation, while Swedes reported the lowest sensitivity. Mechanical pain thresholds differed more across cultures than did electrical pain thresholds. Cultural factors may influence response to type of pain test.
Option B: Our pain threshold is the minimum point at which something, such as pressure or heat, causes us pain. For example, someone with a lower pain threshold might start feeling pain when only minimal pressure is applied to part of their body. Pain tolerance and threshold varies from person to person.
Option C: When we feel pain, nearby nerves send signals to the brain through the spinal cord. The brain interprets this signal as a sign of pain, which can set off protective reflexes. For example, when one touches something very hot, the brain receives signals indicating pain. This in turn can make one quickly pull the hand away without even thinking.
Option D: Biofeedback is a type of therapy that helps increase the awareness of how the body responds to stressors and other stimuli. This includes pain. During a biofeedback session, a therapist will teach the client how to use relaxation techniques, breathing exercises, and mental exercises to override the body’s response to stress or pain.