Assignment: Nerve Stimulation

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Assignment: Nerve Stimulation

Assignment: Nerve Stimulation

The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.

To prepare:

· Review the neurological system.

· Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Post a 2 page description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. Then, explain how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

What is TENS therapy (transcutaneous electrical nerve stimulation)?
TENS (transcutaneous electrical nerve stimulation) is pain-relieving technique that employs low-voltage electrical current. 
TENS unit is battery-operated gadget that sends electrical impulses to the surface of your skin through electrodes. 
The electrodes are put on or near nerves or trigger sites where pain is present.


What is the mechanism of transcutaneous electrical nerve stimulation (TENS)?
Transcutaneous electrical nerve stimulation (TENS) is thought to act in two ways. 
According to one idea, the electric current activates nerve cells, which then inhibit the passage of pain signals, altering your pain experience. 
Another notion is that nerve stimulation increases endorphin levels, which are the body’s natural painkillers. 
The endorphins then work to inhibit pain perception.


What is the purpose of transcutaneous electrical nerve stimulation (TENS) therapy?
TENS therapy has been used to treat both chronic (long-term) and acute (short-term) pain, and it is currently being researched. 
TENS has been used to treat variety of conditions, including:


Osteoarthritis is type of arthritis that affects the joints (disease of the joints).


Fibromyalgia is condition that causes aching and suffering in muscles, tendons, and joints throughout the body, particularly along the spine.


Tendinitis is condition that affects the tendons in (an inflammation or irritation of tendon).


Bursitis is painful infection of the bursa (inflammation of the fluid-filled sacs that cushion joints).


The discomfort of childbirth.


Low back discomfort.


Pelvic pain that persists.


Diabetic neuropathy is condition caused by diabetes (damage to the nerves that connect the brain and spinal cord to the rest of the body).


Peripheral arterial disease (also known as “hardening of the arteries”) is condition in which the arteries that provide blood to the body become clogged.


What disorders and parts of the body should not be treated with transcutaneous electrical nerve stimulation (TENS)?


If you have any of the following conditions, do not use TENS therapy at these specific body locations:


Implantable medical equipment (cardioverter/defibrillator, neurostimulators, bone growth stimulators, indwelling blood pressure monitors, etc.). 
TENS therapy should not be used over or near locations where an electronic device has been implanted. 
TENS may cause these gadgets to break down.


Are you expecting child? 
TENS therapy should not be used on the abdomen, pelvis, lower back, or acupuncture sites on the knee, hand, or ankle. 
TENS, on the other hand, can be utilized to relieve labor discomfort.)


Electrodes should not be used on regions of the body where cancer is known or suspected. 
TENS should not be used if you have unidentified pain or cancer history within the last years.


Electrodes should not be used on your head, neck, or shoulders. 
Seizures could be caused by the impulses.


Thrombophlebitis, or deep vein thrombosis. 
TENS therapy should not be used since it can boost blood circulation, which can raise the likelihood of blood clot dislodging.


bleeding (hemorrhagic) condition or tissue that has recently or is currently bleeding. 
TENS therapy may enhance tissue bleeding or raise the risk of bleeding in people who have bleeding disorders.


Heart disease is serious condition. 
If you have heart disease, heart failure, or arrhythmias, do not use TENS therapy on your chest.


Furthermore, TENS should not be used:


If you have tuberculosis, you should avoid contaminated tissues, wounds caused by osteomyelitis, and tuberculosis. 
TENS therapy has the potential to transmit infections.


To areas of tissue that have recently received radiation treatment.


To injured skin (save for open wounds when electrical stimulation is being used to repair tissue). 
Therapy should be guided by qualified therapist in these circumstances.)


On the head, near or over the eyes or mouth, on the front or side of the neck, or near or over the eyes or mouth.


Near the genitals or reproductive organs.


To parts of the body that are deafeningly deafeningly deafeningly deafeningly


To ensure the safe use of TENS in people who have difficulty talking or who have mental disability and are unable to provide feedback.


Always with your healthcare professional before using TENS if you have any current or previous health issues, concerns, or questions.




What are the components and functions of transcutaneous electrical nerve stimulation (TENS) device?


The TENS device is about the size of small cell phone and is powered by battery. 
variety of electrode wires and termination pads are included with the device. 
The electrodes are connected to the gadget on one end and affixed to pads measuring roughly inches by inches on the other. 
Each pad has an adhesive backing and is placed on your skin along nerve pathways in the treatment area. 
(An acupuncturist may connect the TENS unit to acupuncture needles instead of making direct contact with the skin.)


The device sends out electrical energy pulses. 
The intensity, frequency, length, and kind of pulses can all be changed (burst or continuous). 
The parameters of the equipment are determined and adjusted by doctor, physical therapist, or acupuncturist.
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