Epistemis
Glossary

Palliative and pain

346 entries in this specialty.

Abbey pain scale Rapid observational instrument that scores behavioral and physiological changes to record pain in elderly people with aphasia.

Also: Abbey scale · Abbey observational scale

Comprehensive palliative approach Interdisciplinary strategy that includes the control of physical symptoms, psychological, social and spiritual support of the terminally ill patient.

Also: holistic palliative care · palliative care plan

Spiritual accompaniment Therapeutic and existential support aimed at listening to and validating the transcendental concerns, faith, guilt and legacies of the patient who is at the end of life.

Also: palliative existential support · terminal spiritual care

Active agony Final phase of the dying process characterized by the progressive functional collapse of vital organs, loss of alertness and imminent physical signs of death within a few hours or days.

Also: terminal agonic period · last days phase active

Localized cryogenic allodynia Perception of acute pain caused by the cutaneous application of cold stimuli of innocuous intensity.

Also: thermal allodynia in the cold · allodynia to the cold

Patient-controlled analgesia Method of administration of analgesic drugs where the patient himself regulates the doses on demand using an electromechanical device with pre-programmed safety limits.

Also: PCA · self-controlled analgesia

Preventive multimodal analgesia Combined use of multiple analgesic agents with different mechanisms of action to optimize the relief of chronic pain.

Also: combined analgesic therapy · balanced analgesia

Painful central deafferentation anesthesia Spontaneous perception of pain in a territory that lacks normal sensitivity.

Also: painful anesthesia · central neuropathic pain

Painful anesthesia of sensory deafferentation Spontaneous painful perception in a territory that lacks normal sensitivity.

Also: painful anesthesia · central neuropathic pain

Painful anesthesia of central sensory deafferentation Spontaneous painful perception in a territory that lacks normal sensitivity.

Also: painful anesthesia · central neuropathic pain

Painful anesthesia of tactile deafferentation Spontaneous perception of pain in a skin territory devoid of normal sensitivity.

Also: painful anesthesia · central neuropathic pain

Painful post-denervation anesthesia Spontaneous and persistent painful sensation located in a skin territory completely devoid of tactile sensitivity.

Also: tactile deafferentation pain · painful anesthesia

Painful anesthesia post-sensory denervation Constant presence of burning pain with neuropathic characteristics in a skin area without tactile sensitivity.

Also: painful anesthesia · neuropathic pain due to deafferentation

Chronic refractory angina Chest pain of ischemic cardiac origin that persists despite maximum pharmacological and interventional treatment.

Also: chronic refractory anginal pain · refractory ischemic chest pain

Spiritual anguish in a dying patient Intimate suffering associated with lack of mental peace, hopelessness, guilt or religious conflicts as death approaches.

Also: existential pain in agony · terminal spiritual pain

existential anhedonia Absolute loss of the ability to experience satisfaction, pleasure or emotional connection with the environment and loved ones, common in patients with existential suffering.

Also: severe palliative disinterest · terminal existential apathy

Antorcha existencial paliativa Process of elaborating the legacy of life, reconciliation and spiritual closure carried out by the patient in the terminal phase.

Also: biographical closure of the patient · terminal transcendence

Continuous intrathecal infusion device Constant release device for analgesic drugs surgically implanted in the subarachnoid space.

Also: intrathecal analgesic pump · scheduled spinal infusion

Lumbar adhesive arachnoiditis Chronic inflammation of the meninges that causes the roots of the cauda equina to adhere, causing severe and intractable pain.

Also: postoperative spinal arachnoiditis · lumbar arachnoiditis

Terminal oncological asphyxia Acute and intolerable respiratory compromise caused by total mechanical occlusion of the larynx or trachea due to tumor growth.

Also: refractory tumor asphyxia · terminal drowning due to tumor

Terminal tumor asthenia Generalized weakness, extreme fatigue and persistent inability to physically recover secondary to the cachectic metabolic state caused by advanced cancer.

Also: end-of-life tumor fatigue · terminal palliative asthenia

Chronic pain astrocyte Glial cell of the dorsal horn of the spinal cord whose chronic inflammatory activation sustains pain.

Also: reactive astrocyte in pain · astrocyte pain glia

Palliative home care Specialized interdisciplinary care model that provides symptomatic care, psychological and medical support directly in the home of the terminally ill patient.

Also: home palliative support · palliative care at home

Suprascapular nerve entrapment Compression of the fibers of the suprascapular nerve that causes chronic shoulder pain and functional impotence.

Also: compression of the suprascapular nerve · suprascapular pain

Tight myofascial pain band Set of rigidly palpable muscle fibers associated with the presence of active or latent trigger points.

Also: tight band of muscle pain · myofascial tight band

Tight myofascial back band Rigid muscle fibers that contain trigger points of reported painful characteristics.

Also: tight muscle band · myofascial tight band

Tight myofascial band for painful back Rigid muscle fibers that contain trigger points of reported painful characteristics.

Also: tight muscle band · myofascial tight band

Tight myofascial band of painful back muscle Rigid muscle fibers that contain trigger points of reported painful characteristics.

Also: tight muscle band · myofascial tight band

Tight myofascial muscle painful band Rigid muscle fibers that contain trigger points for characteristics referred to the physical examination.

Also: tight muscle band · myofascial tight band

Tight painful muscle band in back Rigid muscle fibers that contain trigger points for characteristics related to the exploration.

Also: tight muscle band · myofascial tight band

Localized muscular tense band Group of hyperirritable muscle fibers that is palpated as a rigid rope within a skeletal muscle with trigger points.

Also: tight band of myofascial pain · tight muscle band

Analgesic stellate ganglion block Injection of local anesthetics into the cervical sympathetic chain to treat neuropathic pain in the upper limb.

Also: cervical sympathetic block · stellate ganglion block

Analgesic sympathetic chain blockade Injection of local anesthetics or neurolytic agents into sympathetic ganglia to treat neuropathic pain of vegetative origin.

Also: analgesic sympathetic block · sympathetic neurolysis

Celiac plexus block due to tumor Analgesic interruption of celiac sympathetic fibers, indicated in upper abdominal pain caused by pancreatic or gastric cancer.

Also: neurolysis of the celiac plexus due to cancer · oncological celiac block · celiac plexus neurolysis

Analgesic sympathetic block Interventional technique consisting of the injection of local anesthetics or neurolytic substances on ganglia of the vegetative system to mitigate visceral pain.

Also: analgesic sympathetic neurolysis · neurovegetative block

Intermittent subcutaneous boluses Periodic administration of drug doses through a fixed subcutaneous cannula to avoid repeated punctures.

Also: intermittent subcutaneous bolus route · repeated subcutaneous administration

Continuous intrathecal infusion pump Subcutaneous device designed to permanently infuse analgesics into the spinal subarachnoid space.

Also: intrathecal morphine pump · continuous spinal opioid infusion

Intrathecal morphine pump Implantable device programmed to constantly infuse morphine directly into the spinal subarachnoid space.

Also: continuous intrathecal infusion of opioids · intrathecal morphine pump

Medullary axonal sprouting Collateral growth of myelinated touch fibers towards layers of the spinal cord that process pain after nerve damage.

Also: spinal axonal sprouting · axonal branching of pain

Transdermal buprenorphine High potency partial agonist opioid formulated in polymeric patches for continuous skin absorption, indicated for stable chronic pain.

Also: buprenorphine patch · buprenorphine patch

Campbell pain in dementia Observational scale designed to assess behavioral and respiratory signs indicative of pain in demented elderly people.

Also: Campbell scale · Campbell pain scale

Medullary N-type calcium channel Cav2.2 cation channel that modulates the entry of calcium and the release of pain vesicles in the dorsal horn.

Also: Cav2.2 of pain · Cav2.2 spinal canal

Painful NaV1.7 sodium channel Subunit of the voltage-dependent sodium channel whose alteration is associated with insensitivity to pain or erythromelalgia.

Also: NaV1.7 of pain · peripheral NaV1.7 channel

Painful NaV1.8 sodium channel Selective sodium channel of nociceptors responsible for maintaining the sustained firing of potentials in inflammation.

Also: NaV1.8 of pain · peripheral NaV1.8 channel

Painful NaV1.9 sodium channel Sodium channel regulator of resting membrane potential and basal excitability of peripheral nociceptors.

Also: NaV1.9 of pain · peripheral NaV1.9 channel

Painful cervicogenic headache Unilateral or predominantly occipital headache that arises as a referral due to joint or soft tissue alterations in the first vertebrae of the cervical spine.

Also: headache of cervical origin · cervical root headache

Headache of mechanical cervical origin Headache caused by cervical degenerative disorders, with typically occipital or fronto-temporal referred pain.

Also: mechanical cervicogenic headache · headache of cervical origin

Rebound headache due to medication Chronic headache paradoxically induced by the daily or frequent consumption of migraine abortive drugs.

Also: headache due to overuse of analgesics · rebound headache

Headache due to pharmacological rebound Headache induced by excessive consumption of acute treatments designed for headache.

Also: headache due to painkiller abuse · overuse headache

Spinal clonidine for pain Alpha-two adrenergic agonist administered epidurally or intrathecally to mitigate refractory neuropathic pain.

Also: intrathecal clonidine · spinal adrenergic adjuvant

Intrathecal clonidine Alpha-two adrenergic agonist analgesic adjuvant injected directly into the cerebrospinal fluid to enhance the pain suppressing effect of spinal opioids.

Also: spinal clonidine · intrathecal infusion of clonidine

CMM Metastatic spinal cord compression: oncological emergency caused by vertebral collapse or tumor invasion of the epidural space that compresses the spinal cord.

Also: malignant spinal epidural compression · malignant spinal cord compression

Palliative coanalgesic for pain Non-analgesic drug for primary indication that helps control specific neuropathic or bone pain.

Also: analgesic adjuvant · palliative coanalgesic

Oncological spinal cord compression Syndrome caused by direct physical pressure on the spinal cord or roots of the cauda equina due to tumor infiltration or metastatic vertebral collapse.

Also: malignant epidural compression · CMO

Clinical conspiracy of silence Restrictive agreement that hides diagnostic or prognostic information from a palliative patient to avoid distress.

Also: family silence pact · plot of medical silence

Family silence conspiracy Implicit or explicit agreement between family members and doctors to hide diagnostic information or the real prognosis from a patient with an advanced pathology.

Also: plot of silence · family silence pact

Opioid dose conversion Mathematical calculation used to estimate the equipotent dosage of a new opioid when performing a drug rotation.

Also: equianalgesic conversion · opioid equianalgesia calculation

Equianalgesic conversion of opioids Estimation of the equianalgesic dosage of a new opioid when rotating analgesics.

Also: analgesic equivalence · equianalgesic rotation

Oncologic cordotomy for pain Surgical or percutaneous section of the lateral spinothalamic tract for the relief of refractory unilateral cancer pain.

Also: percutaneous anterolateral cordotomy · neurosurgery of oncological pain

Terminal crisis symptoms Rapidly developing situation that generates severe suffering in the terminally ill patient and requires immediate home medical intervention.

Also: acute palliative emergency · palliative end-of-life crisis

McGill Pain Questionnaire Multidimensional tool that evaluates pain by analyzing qualitative descriptors of a sensory, affective and temporal nature.

Also: McGill questionnaire · McGill multidimensional test

DN4 painful discrimination questionnaire Quick ten-item test that discriminates the neuropathic component of physical discomfort.

Also: DN4 of pain · DN4 questionnaire

DN4 questionnaire for pain of neuropathic origin Rapid diagnostic test that discriminates the neurological component of the physical discomfort.

Also: DN4 of pain · DN4 questionnaire

DN4 questionnaire for pain of localized neuropathic origin Rapid diagnostic test that discriminates the neuropathic component of physical discomfort.

Also: DN4 of pain · DN4 questionnaire

DN4 neuropathic pain questionnaire Rapid clinical screening test that associates symptoms reported by the patient and direct tactile physical examination.

Also: DN4 test · DN4 questionnaire · DN4 of pain

DN4 questionnaire for localized neuropathic pain Rapid diagnostic test that discriminates the neuropathic component of physical discomfort.

Also: DN4 of pain · DN4 questionnaire

Terminal agitated delirium State of severe psychomotor agitation, confusion, combativeness and extreme physical restlessness in an agonizing palliative patient.

Also: terminal hyperactive delirium · terminal agitation

Terminal hyperactive delirium Acute mental confusion characterized by severe psychomotor agitation, frightening hallucinations, disorientation and physical combativeness in the dying patient.

Also: agitated end-of-life delirium · terminal psychomotor agitation

Terminal hypoactive delirium Neuropsychiatric dysfunction of consciousness that presents with extreme lethargy, apathy, motor slowing and environmental disconnection in agonizing palliative patients.

Also: palliative lethargic delirium · hypoactive delirium in agony

Facet denervation by radiofrequency Selective percutaneous thermal destruction of the medial sensory branches that innervate the facet joints.

Also: facet radiofrequency rhizotomy · facet radio frequency

Terminal existential depression Reactive emotional suffering in the face of the imminence of death that occurs with intense hopelessness, loss of identity and habitual roles.

Also: hopelessness at the end of life · terminal emotional distress

Desire to anticipate death Manifestation of severe suffering in which the terminally ill person requests to hasten his death as a consequence of refractory pain or perceived helplessness.

Also: desire to hasten death · DAM

Noxious stimulus detection Process by which peripheral nociceptors register harmful mechanical, thermal or chemical tissue aggression.

Also: nociceptive transduction · peripheral nociception

Dynorphin of the marrow Endogenous opioid peptide involved in both analgesia and pain facilitation in conditions of spinal inflammation.

Also: spinal dynorphin · medullary dynorphin

End of life dyspnea Subjective sensation of suffocation, lack of air or persistent respiratory difficulty in the patient in the phase of active agony.

Also: terminal refractory dyspnea · terminal dyspnea

End-of-life dyspnea of agony Persistent feeling of shortness of breath in a patient who is in the last few days.

Also: terminal dyspnea · terminal refractory dyspnea

Oncological end-of-life dyspnea Persistent and intolerable feeling of lack of air in a patient who is in agony.

Also: terminal dyspnea · terminal refractory dyspnea

Refractory end-of-life dyspnea Severe and unbearable sensation of lack of air in the dying patient who does not give in to optimal doses of opioids.

Also: terminal refractory dyspnea · refractory terminal dyspnea

Terminal end-of-life dyspnea Persistent feeling of shortness of breath in a patient who is in the last few days.

Also: terminal dyspnea · terminal refractory dyspnea

Terminal oncological end-of-life dyspnea Sense of very intense shortness of breath in a patient who is in the last few days.

Also: terminal dyspnea · terminal refractory dyspnea

Terminal clinical dysthanasia Systematic and futile use of invasive medical technology to precariously delay the inevitable death of a terminally ill patient, prolonging their suffering.

Also: therapeutic fierceness · medical therapeutic obstinacy

DN4 neuropathic pain Questionnaire that combines subjective symptoms and physical sensory tests to discriminate neuropathic from nociceptive pain.

Also: DN4 scale · DN4 pain scale

Refractory anginal pain Persistent chest discomfort of cardiac ischemic origin that does not respond to standard drugs and in which revascularization options are not viable.

Also: painful refractory angina · intractable angina pectoris

Intercostal scar pain Persistent neuropathic pain localized along the affected dermatome after thoracic surgery.

Also: chronic post-thoracotomy pain · post-thoracotomy intercostal neuralgia

Convergence pain Referred pain caused by the convergence of visceral and somatic afferents on the same second-order sensory spinal neuron.

Also: viscerosomatic referred pain · viscerosomatic convergence of pain

Nonspecific lumbar disc pain Deep nociceptive and lumbar pain caused by fiber rupture or degeneration of lumbar intervertebral discs.

Also: lumbar discogenic pain · lumbar disc pain

End of dose pain Painful exacerbation that appears predictably before the time scheduled for the administration of the next dose of the basal analgesic elapses.

Also: intercurrent breakthrough pain · end-of-interval analgesic leak

Phantom limb pain Painful sensation of a neuropathic nature perceived illusorily in an area of ​​the body that has previously been removed or amputated.

Also: phantom pain · absent limb pain

Cervical pain Referred headache or shoulder discomfort due to osteoarthritis of the cervical facet facets or neck ligaments.

Also: referred cervicogenic pain · cervicogenic headache

Pain of the amputation end Nociceptive or neuropathic pain located in the area of the post-surgical stump, caused by scarring or neuromas.

Also: stump pain · local amputation pain

Lumbar discogenic pain Nociceptive discomfort caused by internal degeneration of the lumbar intervertebral disc, in the absence of radiculopathy or obvious disc herniation.

Also: lumbar disc pain · painful lumbar discopathy

Central dysfunctional pain Pain ​​that arises from an alteration in the sensory processing of the nervous system, in the absence of organic damage.

Also: nociplastic pain · dysfunctional central pain

Spiritual pain Experience of suffering related to guilt, lack of reconciliation and the fruitless search for the meaning of one's own existence in stages of terminality.

Also: terminal existential anguish · crisis of transcendence

Post-surgical phantom pain Persistent painful perception of a limb or anatomical part of the body that has been previously removed.

Also: phantom limb pain · refractory phantom pain

Persistent idiopathic pain Chronic physical discomfort of unknown cause after exhaustive clinical tests, which does not correlate with demonstrable tissue or neurological damage.

Also: idiopathic pain · chronic pain of unknown origin

Mechanical incidental pain Acute and predictable painful exacerbation triggered by specific daily physical activities, such as moving the patient, walking or coughing.

Also: incidental pain due to movement · mechanical evoked pain

Chronic postoperative groin pain Pain ​​with neuropathic characteristics in the groin secondary to injury or nerve entrapment in a hernia plasty.

Also: post-inguinal herniorrhaphy neuralgia · chronic inguinal pain

Breakthrough oncological pain Transient peaks of high-intensity acute pain that affect cancer patients who have their chronic background pain adequately controlled.

Also: DIO · oncological escape pain

Neuropathic lancinating pain Paroxysmal pain characterized by sudden, sharp sensations described by the patient as punctures, stabs or local electric shocks.

Also: paroxysmal stabbing pain · electrical pain

Diano-discogenic low back pain Lumbar pain caused by tears in the thickness of the intervertebral disc, exacerbated by standing.

Also: lumbar discogenic pain · intervertebral disc pain

Oncological neuropathic pain Pain ​​arising from the invasion, direct infiltration or physical compression of peripheral or central nervous structures by a tumor mass.

Also: neuropathic tumor pain · pain of oncological nervous origin

Neuropathic pain due to deafferentation Pain ​​caused by the permanent loss of sensory afferent connections after trauma or nerve section.

Also: pain due to deafferentation · painful anesthesia due to denervation

Chronic nociplastic pain Persistent painful state caused by altered central nociceptive processing, without obvious physical damage or objective neurological injury.

Also: sensitized central pain · generalized dysfunctional pain

Metastatic bone pain Continuous and progressive somatic pain that is exacerbated by physical load, caused by infiltration and cortical destruction of bones by tumor cells.

Also: neoplastic bone pain · metastatic osteolytic pain

Refractory tumor bone pain Very severe persistent discomfort in the periosteum or bone due to bone metastases that does not respond to common analgesic treatments.

Also: refractory metastatic bone pain · neoplastic bone pain

Chronic idiopathic pelvic pain Persistent painful discomfort in the pelvis of unknown cause that affects quality of life and is associated with discomfort.

Also: persistent chronic pelvic pain · pelvic pain syndrome

Persistent pelvic pain Chronic pain located in anatomical structures of the pelvis that persists for more than six months and does not respond to an obvious infectious or neoplastic origin.

Also: chronic pelvic pain syndrome · idiopathic pelvic pain

Radicular projected pain Painful sensation perceived along the sensory distribution of a nerve root that is undergoing a proximal compressive or inflammatory process.

Also: projected radicular pain · harmful root irradiation

Nociceptive somatic pain Well localized pain caused by the activation of nociceptors in the skin, muscles, joints, tendons or bones.

Also: musculoskeletal somatic pain · pain of somatic structures

Continuous dull pain Permanent painful physical sensation, characterized by being constant, low intensity, oppressive in nature and poorly located spatially.

Also: persistent dull discomfort · continuously taxing pain

Total palliative pain Clinical concept describing the total suffering of the terminally ill patient, integrating physical, psychological, spiritual and sociocultural dimensions.

Also: holistic palliative pain · comprehensive suffering of the patient

Oncological visceral pain Deep, dull, oppressive and poorly localized discomfort caused by tumor infiltration of internal abdominal or pelvic organs.

Also: visceral tumor pain · viscera pain due to cancer

Visceral pain due to peritoneal invasion Deep and diffuse nociceptive pain caused by neoplastic infiltration of the abdominal peritoneal and mesenteric membranes.

Also: painful peritoneal carcinomatosis · pain due to peritoneal carcinomatosis

Analgesic rescue dose Administration of a rapid-release analgesic drug to mitigate an acute crisis of incidental or escape pain.

Also: fast-acting analgesic rescue · palliative rescue medication

Anticipated mourning of mourners Adaptive and emotional process of assimilation of the loss that is initiated by the patient's loved ones prior to the patient's actual death.

Also: anticipation duel · pre-death mourning

Refractory chronic complicated grief Penalty of torpid evolution that remains unchanged for more than twelve months with maladjustment.

Also: persistent pathological grief · persistent complicated grief

Family anticipation mourning Process of emotional adaptation of the bereaved in the face of the imminent death of the patient in the dying phase.

Also: anticipated duel · family pre-death mourning

Unauthorized mourning of mourners Mourning process that lacks acceptance or support in the social and moral environment of the mourner.

Also: unvalidated duel · marginalized mourning

Unauthorized mourning of family members Mourning process that lacks acceptance or moral support in the social and moral environment of the mourner.

Also: unvalidated duel · marginalized mourning

Unauthorized mourning of bereaved relatives Mourning process that lacks acceptance or moral support in the social and moral environment of the mourner.

Also: unvalidated duel · marginalized mourning

Unauthorized mourning of direct relatives Mourning process that lacks acceptance or moral support in the social and moral environment of the mourner.

Also: unvalidated duel · marginalized mourning

Unauthorized or marginalized mourning Reaction to loss that is not recognized or disapproved by the sociocultural environment of the mourner, making it difficult for them to adapt.

Also: unvalidated duel · socially marginalized mourning

Unauthorized mourning due to social stigma Mourning process that lacks social acceptance due to the circumstances of the loss.

Also: grief not socially validated · marginalized mourning

Socially unauthorized duel Grieving process that lacks acceptance, support or moral and cultural validation in the social environment of the person experiencing the loss.

Also: unvalidated duel · socially marginalized mourning

Inhibited or repressed grief Emotional state where the mourner consciously or unconsciously represses the natural expressions of sadness and mourning after a loss.

Also: repressed grief · denied duel

Grief not socially validated Mourning process that does not have validation, acceptance or support from the moral or social environment of the mourner.

Also: unauthorized duel · socially marginalized mourning

Repressed grief of chronic course State characterized by the conscious or unconscious avoidance or containment of normal manifestations of sadness.

Also: inhibited duel · chronic denied grief · chronic repressed grief

Edmonton Symptom Assessment System Daily self-assessment where the palliative patient rates the intensity of ten common symptoms from zero to ten.

Also: Edmonton ESAS scale · Edmonton scale

Oncologic refractory emesis Persistent nausea and vomiting in patients with advanced cancer that does not respond to treatment with multiple common antiemetics.

Also: oncological refractory vomiting · refractory palliative emesis

Spinal enkephalin Locally acting opioid peptide that binds to presynaptic receptors in the spinal cord to reduce the secretion of pain neurotransmitters.

Also: met-enkephalin · spinal leu-enkephalin

Futile clinical cruelty Unnecessary application of aggressive therapeutic measures that only precariously prolong the patient's agony without offering real benefits.

Also: therapeutic obstinacy · clinical dysthanasia

Analgesic equivalence Mathematical relationship of analgesic equipotency used when substituting one opioid for another to calculate a safe initial dosage.

Also: equianalgesic conversion factor · opioid equipotency

Abbey Pain Scale in Dementia Rapid observational method to record pain in elderly people unable to communicate.

Also: Abbey scale · Abbey pain scale

Abbey pain scale in senile dementia Rapid observational method to record pain in elderly people unable to communicate.

Also: Abbey scale · Abbey pain scale

Abbey pain scale in advanced senile dementia Rapid observational method to record pain in elderly people unable to communicate.

Also: Abbey scale · Abbey pain scale

Abbey geriatric pain scale Rapid observational method to record pain in elderly people unable to communicate verbally.

Also: Abbey scale · Abbey pain scale

Abbey non-verbal pain scale Rapid observational method to record pain in elderly people unable to communicate.

Also: Abbey scale · Abbey pain scale

Campbell Pain Scale in Dementia Observational questionnaire used to assess pain in elderly patients with severe dementia.

Also: Campbell pain · Campbell scale

Campbell Pain Scale in Advanced Dementia Observational questionnaire used to assess pain in patients with severe dementia.

Also: Campbell pain · Campbell scale

Campbell Pain Scale in Severe Dementia Observational questionnaire used to assess pain in patients with severe dementia.

Also: Campbell pain · Campbell scale

Campbell Pain Scale in Severe Senile Dementia Observational questionnaire used to assess pain in patients with severe dementia.

Also: Campbell pain · Campbell scale

Campbell Geriatric Pain Scale Observational questionnaire used to assess pain in elderly patients with severe dementia.

Also: Campbell pain · Campbell scale

Children's behavioral pain scale Behavioral observation method to quantify pain in preverbal pediatric patients.

Also: FLACC scale · FLACC child pain

Children's acute pain behavioral scale Behavioral observational method to quantify pain in preverbal pediatric patients.

Also: FLACC scale · FLACC child pain

Children's behavioral scale for pediatric pain Behavioral observational method to evaluate pain in preverbal pediatric patients.

Also: FLACC scale · FLACC child pain

Children's behavioral scale for acute pediatric pain Behavioral observational method to evaluate pain in preverbal pediatric patients.

Also: FLACC scale · FLACC child pain

Children's behavioral scale for severe acute pediatric pain Behavioral observational method to evaluate pain in preverbal pediatric patients.

Also: FLACC scale · FLACC child pain

Abbey pain scale Rapid observational instrument that scores behavioral changes and physical indicators to record pain in aphasic demented elderly.

Also: Abbey pain scale · observational assessment of Abbey

Campbell pain scale Observational questionnaire adapted to record the presence and intensity of pain in patients with advanced dementia or severe cognitive disability.

Also: Campbell pain scale · Campbell observational assessment

Functional Karnofsky scale Index from zero to one hundred used in oncology and palliatives to estimate the degree of physical autonomy of the patient regarding their ordinary tasks.

Also: KPS · functional Karnofsky index

Ramsay palliative monitoring scale Observational classification to assess the degree of sedation in the dying patient.

Also: Ramsay sedation · Ramsay sedation scale

Ramsay scale for terminal palliative monitoring Observational classification to assess the degree of sedation in the dying patient.

Also: Ramsay sedation · Ramsay sedation scale

Ramsay scale for continuous terminal palliative monitoring Observational classification to assess the degree of sedation in the dying patient.

Also: Ramsay sedation · Ramsay sedation scale

Ramsay sedation scale Simple observational method that assesses the depth of a patient's sedation through their response to verbal or physical stimuli.

Also: Ramsay scales · Ramsay scale for terminal sedation

Ramsay scale for palliative sedation Six-level classification used to monitor the depth of sedation in the dying patient.

Also: Ramsay sedation · Ramsay sedation scale

DN4 pain scale Screening questionnaire for neuropathic pain that associates the patient's self-description of sensations with direct physical tactile sensory tests.

Also: DN4 scale · DN4 neuropathic pain test

Edmonton ESAS Scale Tool where the patient rates the intensity of ten common symptoms in palliative care daily using a numerical scale from zero to ten.

Also: ESAS Edmonton · ESAS questionnaire

FLACC pain scale Observational scale that quantifies preverbal childhood pain by scoring the child's face, legs, activity, crying, and consolability.

Also: FLACC child pain · FLACC observation scale

LANSS pain scale Leeds questionnaire that associates the physical examination of sensitivity with symptoms to diagnose and confirm pain of neuropathic origin.

Also: LANSS Leeds · LANSS neuropathic pain scale

Richmond RASS Scale Ten-level tool used to monitor the degree of sedation or agitation of a palliative care patient under sedation.

Also: RASS Richmond · Richmond agitation-sedation scale

Visual analog pain scale Linear instrument of ten centimeters without numbers where the patient marks a point correlative with the intensity of their physical discomfort.

Also: EVA pain · visual analog scale

Agonizing respiratory rattle Rhythmic tracheal noise caused by the passive movement of secretions in a dying patient who has lost the ability to swallow or cough.

Also: agonizing rattle · stertorous breathing at the end of life

Rales of tracheal agony Wet respiratory sounds due to passive accumulation of saliva in the pharynx of unconscious dying patients.

Also: terminal tracheal rattle · terminal wet breathing

Tracheal rattles of agony Rough, moist respiratory noise produced by the passive accumulation of saliva in the respiratory tract of a dying person.

Also: tracheal agony rattle · terminal wet breathing

Transcutaneous analgesic TENS stimulation Application of mild electrical currents to the skin to competitively block spinal painful signals.

Also: TENS analgesic · transcutaneous electrical stimulation

Peripheral analgesic transcutaneous TENS stimulation Application of electrical currents to the skin to block the pain signal in the spinal cord.

Also: TENS analgesic · transcutaneous stimulation

Transcutaneous TENS pain stimulation Application of electrical currents to the skin to block the nociceptive signal at the spinal level.

Also: TENS analgesic · transcutaneous electrical stimulation

Transcutaneous modulation TENS stimulation Application of electrical currents to the skin to block the nociceptive signal in the spinal cord.

Also: TENS analgesic · transcutaneous stimulation

Transcutaneous TENS stimulation for analgesic modulation Application of electrical currents to the skin to block the nociceptive signal in the spinal cord.

Also: TENS analgesic · transcutaneous stimulation

Active medical euthanasia Action intentionally carried out by a doctor to produce the quick and comfortable death of a patient who requests it.

Also: voluntary active euthanasia · assisted death

Voluntary medical euthanasia Deliberate act carried out by a medical professional that produces the quick and painless death of a terminally ill person after his or her free and informed request.

Also: voluntary active euthanasia

Dignified death with comfort Pain-free dying process with optimally controlled physical and emotional symptoms, preserving dignity.

Also: dignified death in palliative care · death with dignity

Terminal agony phase Period that immediately precedes death, characterized by a progressive decline in vital functions and the need for absolute comfort.

Also: situation of the last few days · terminal agony

Active terminal phase Irreversible period preceding death where strict symptomatic treatment and analgesic comfort are prioritized.

Also: agony phase · period of last days

Rapidly absorbed fentanyl Major opioid for rapid nasal or sublingual administration indicated in the treatment of breakthrough cancer pain.

Also: transmucosal fentanyl · rescue fentanyl

Rescue transmucosal fentanyl Fentanyl formulation with ultra-rapid absorption through the oral or nasal mucosa, designed for the specific management of breakthrough pain.

Also: fast-acting fentanyl · transmucosal fentanyl rescue

Futility of resuscitation Clinical futility of establishing cardiopulmonary resuscitation maneuvers in a patient with an advanced, terminal and irreversible pathology.

Also: CPR futility · Futile CPR in palliatives

Futility of CPR in palliatives Uselessness of establishing cardiopulmonary resuscitation maneuvers in terminally ill patients due to the irreversibility of their situation.

Also: futility of resuscitation · Futile CPR · Terminal futile CPR

Massive catastrophic terminal hemorrhage Profuse and sudden blood loss produced by the rupture of a large vessel due to tumor infiltration, constituting a severe agonizing event.

Also: terminal catastrophic hemorrhage · massive terminal bleeding

Terminal catastrophic hemorrhage Sudden and massive blood loss due to vascular rupture due to invasive tumor, considered a critical agonizing event.

Also: massive terminal hemorrhage · massive terminal bleeding

HIO Opioid-induced hyperalgesia: state of paradoxical sensitization where chronic administration of opioids exacerbates pain.

Also: opioid hyperalgesia · opioid-induced pain

Central caloric hyperalgesia Exaggeratedly intense and prolonged painful response triggered by harmful heat stimuli on sensitive skin.

Also: thermal hyperalgesia to heat · central caloric hypersensitivity

Pointing mechanical hyperalgesia Increased painful sensation when applying discreet and short-term mechanical stimuli, such as the pressure of a needle.

Also: hyperalgesia to needle stick · punctual mechanical hyperalgesia

Hyperalgesia due to central cold Disproportionately high pain sensitivity evoked by cold stimuli of painful intensity on a previously sensitized area of skin.

Also: central cryogenic hyperalgesia · central hypersensitivity to cold

Hyperalgesia due to central cold Exaggeratedly intense painful response caused by the application of cold stimuli to the dermis.

Also: central cryogenic hyperalgesia · central hyperalgesia to cold

Hyperalgesia due to central dermatome cold Disproportionate painful reaction caused by cold stimuli on a previously damaged dermatome.

Also: central cryogenic hyperalgesia · hyperalgesia to central cold

Hyperalgesia due to central skin cold Exaggeratedly intense painful response caused by cold stimuli on sensitized dermatomes.

Also: central cryogenic hyperalgesia · hyperalgesia to central cold

Hyperalgesia due to central cold of sensitized skin Exaggeratedly intense painful response caused by cold stimuli on sensitive dermatomes.

Also: central cryogenic hyperalgesia · hyperalgesia to central cold

Hyperalgesia due to central cold of local sensitized skin Exaggeratedly intense painful response caused by cold stimuli on sensitive dermatomes.

Also: central cryogenic hyperalgesia · hyperalgesia to central cold

Dermocutaneous central cold hyperalgesia Exaggeratedly intense painful response caused by cold stimuli on sensitized skin.

Also: central cryogenic hyperalgesia · hyperalgesia to central cold

Hyperalgesia due to central spinal cold Extremely intense pain response triggered by noxious cold stimuli on a sensitive dermatome.

Also: thermal hyperalgesia to central cold · central cryogenic hyperalgesia

Hyperalgesia due to nociceptive central cold Disproportionate painful reaction caused by cold stimuli on a sensitive dermatome.

Also: central cryogenic hyperalgesia · hyperalgesia to central cold

Peripheral central cold hyperalgesia Disproportionate painful reaction caused by cold stimuli on a sensitive dermatome.

Also: central cryogenic hyperalgesia · hyperalgesia to central cold

Central peripheral cutaneous cold hyperalgesia Disproportionate painful reaction caused by cold stimuli on a sensitive dermatome.

Also: central cryogenic hyperalgesia · hyperalgesia to central cold

Thermal hyperalgesia to central cold Exaggerated painful response to skin stimulation by cold temperatures that are already harmful.

Also: hyperalgesia due to central cold · thermal hyperalgesia to cold

Terminal comfort hypodermoclysis Low-volume subcutaneous hydration aimed at avoiding dryness of the mucous membranes in the patient in agony.

Also: end-of-life hypodermoclysis · subcutaneous comfort rehydration

End of life hypodermoclysis Subcutaneous administration of rehydration fluids with low volume to avoid symptoms of dry mucous membranes and agitation in agony.

Also: comfort hypodermoclysis · end-of-life subcutaneous hydration

Terminal loss of appetite Severe decrease or total loss of the desire to eat that occurs physiologically in the patient who goes into agony.

Also: terminal anorexia · lack of appetite for agony

Palliative continuous subcutaneous infusion Permanent administration of analgesics or sedatives in the subcutaneous space using an elastomeric or mechanical infuser.

Also: continuous subcutaneous route · palliative subcutaneous perfusion

Insensitivity to pain with anhidrosis Genetic disorder characterized by the absence of pain perception and alteration of temperature control.

Also: HSAN type IV · congenital analgesia with anhidrosis

Congenital insensitivity to pain Rare genetic anomaly characterized by the inability to perceive painful, thermal or pressure stimuli.

Also: congenital analgesia · hereditary sensory neuropathy type IV

Prior will instructions Legal document where the patient's wishes for care and treatment are recorded for when they cannot communicate.

Also: legal living will · formalized advance directives

Inhibitory spinal interneuron Local nerve cell in the spinal cord that exerts negative modulatory control on pain synapses through GABA or glycine.

Also: inhibitory neuron of the medulla · spinal pain interneuron

Painful inhibitory interneuron Spinal neuron that exerts negative modulatory control on pain synapses by releasing neurotransmitters.

Also: inhibitory spinal interneuron · local pain interneuron

Painful inhibitory interneuron of the spinal cord Short-circuit spinal cell that stops painful transmission by releasing GABA or glycine.

Also: inhibitory interneuron · inhibitory spinal neuron

Painful inhibitory interneuron of the spinal cord Short-circuit spinal cell that stops painful transmission by releasing GABA or glycine.

Also: inhibitory interneuron · inhibitory spinal neuron

Painful inhibitory interneuron of the posterior spinal cord Short-circuit spinal cell that stops painful transmission by releasing GABA or glycine.

Also: inhibitory interneuron · inhibitory spinal neuron

Spinal painful inhibitory interneuron Local spinal cord responsible for negatively modulating pain transmission through GABA or glycine.

Also: inhibitory interneuron · intercalated pain inhibitory neuron

Spinal pain inhibitory interneuron Spinal cell that presynaptically attenuates the transmission of pain through the secretion of GABA.

Also: inhibitory spinal interneuron · inhibitory spinal neuron

Spinal cord painful inhibitory interneuron Short circuit cell that modulates pain input by releasing GABA or glycine.

Also: inhibitory interneuron · inhibitory spinal neuron

Karnofsky functional KPS Numeric index that evaluates the functional capacity of the palliative patient to carry out their activities of daily living.

Also: Karnofsky scale · Karnofsky index

Rexed's Spinal Blade II Spinal cord region responsible for receiving and modulating primary pain afferents from unmyelinated C fibers.

Also: Rolando's gelatinous substance · medullary plate II

Spinal Rexed Blades Layers of the spinal cord gray matter that are distributed according to their cytoarchitecture and synaptic connections.

Also: Rexed divisions · Rexed's spinal blades

Medullary Rexed Blades Horizontal cellular layers into which the gray matter of the spinal cord is divided, where primary nociceptors are integrated.

Also: cytoarchitectural divisions of Rexed · Rexed sheets

LANSS Leeds neuropathic pain Clinical scale designed to discriminate whether or not a patient's pain has a predominant neuropathic component.

Also: LANSS scale · LANSS for neuropathic pain

LET Limitation of therapeutic effort: ethical and clinical decision to withdraw or not initiate life support measures in the face of their demonstrated futility.

Also: palliative therapeutic adequacy · adequacy of therapeutic effort

Static mechanical pain limit Painful sensation caused by the application of localized and maintained pressure with a harmless object on the dermis.

Also: static allodynia · static mechanical allodynia

M3G neurotoxic Morphine metabolite lacking analgesic properties but associated with neuroexcitability effects such as myoclonus.

Also: morphine-3-glucuronide · M3G

Accumulated neurotoxic M3G Morphine metabolite without analgesia that can induce myoclonus or motor excitement in renal failure.

Also: morphine-3-glucuronide · M3G neurotoxic

M6G active analgesic Active metabolite resulting from the hepatic conjugation of morphine that has a powerful central analgesic activity.

Also: morphine-6-glucuronide · M6G

M6G active accumulated analgesic Morphine metabolite with powerful pain relief activity that accumulates in patients with kidney failure.

Also: morphine-6-glucuronide · M6G active analgesic

Brain pain matrix Network of cortical and subcortical structures associated with the affective, cognitive and sensory integration of pain.

Also: pain matrix · pain brain network

Spinal met-enkephalin Endogenous pentapeptide released in the superficial laminae of the spinal cord to block pain transmission.

Also: inhibitory enkephalin · medullary enkephalin

Post-radiotherapy actinic myelopathy Late irreversible spinal cord injury due to radiation, characterized by pain and motor dysfunction.

Also: radiation myelopathy · actinic myelopathy

MOR1 Mu opioid receptor subtype 1 that predominantly mediates analgesia responses at the central level of the somatosensory system.

Also: mu-1 opioid receptor

MOR2 Mu opioid receptor subtype 2 directly related to adverse effects such as constipation or respiratory depression.

Also: mu-2 opioid receptor

Neuroexcitatory morphine-3-glucuronide Inactive metabolite of morphine that can accumulate causing motor agitation and spinal myoclonus.

Also: M3G neurotoxic · inactive glucuronide of morphine

Pharmacological morphine-6-glucuronide Analgesically active metabolite of morphine that requires close monitoring in cases of renal failure.

Also: M6G analgesic metabolite · active morphine glucuronide

Death with dignity and comfort Dying process with optimal control of physical symptoms, emotional support and respect for the patient's autonomy.

Also: decent death · dignified palliative death

Dignified natural death free of dysthanasia Death occurred at its physiological time, dispensing with futile supports and guaranteeing total palliative symptomatic coverage.

Also: natural orthothanasia · orthothanasia

Ophthalmic postherpetic neuralgia Chronic neuropathic pain in the territory of the first branch of the trigeminal nerve after an episode of herpes zoster.

Also: post-zoster ophthalmic neuralgia · ophthalmic neuropathic pain

Neurolysis of the celiac plexus due to tumor Destruction of sympathetic fibers of the celiac plexus to mitigate visceral pain secondary to pancreatic cancer.

Also: celiac plexus block · oncological celiac neurolysis

Painful stump neuroma Painful benign tumor due to anomalous nerve regeneration after physical section in an amputation.

Also: stump neuroma · painful amputation neuroma

Neuroma due to nerve section Benign painful tumor of anomalously regenerating nerve fibers trapped in the scar of a nerve section.

Also: surgical scar neuroma · painful neuroma

Subcutaneous post-traumatic neuroma Mass of collagen fibers and disorganized axons arising in the area of ​​a scar or local trauma.

Also: scar neuroma · postoperative painful neuroma

Spinal wide dynamic range neuron Medullary cell that encodes harmless mechanical stimuli and stimuli of great painful intensity.

Also: spinal WDR neuron · wide range neuron

Wide spinal dynamic range neuron Posterior horn cell that encodes innocuous tactile stimuli and intense painful stimuli.

Also: spinal WDR neuron · wide range neuron

Spinal cord wide dynamic range neuron Posterior horn cell that encodes innocuous and intensely painful tactile stimuli.

Also: spinal WDR neuron · wide range neuron

Posterior spinal cord wide dynamic range neuron Posterior horn cell that encodes innocuous and intensely painful tactile stimuli.

Also: spinal WDR neuron · wide range neuron

Spinal WDR neuron Neuron of the spinal cord that encodes both ordinary tactile stimuli and high nociceptive intensity.

Also: wide dynamic range neuron · wide range neuron

Plexus neuropathy due to radiation Neuropathic pain and progressive motor weakness due to fibrosis and damage to nerve trunks due to previous radiotherapy.

Also: plexopathy due to radiotherapy · actinic plexopathy

Peripheral neuropathy due to chemotherapy Sensory and distal axonal damage to peripheral nerve fibers caused by cytotoxic agents such as platinum or taxanes.

Also: sensory neuropathy due to chemotherapy · CIPN

Nociception of abdominal viscera Detection of painful stimuli in abdominal organs through receptors sensitive to distention or inflammation.

Also: abdominal visceral nociception · visceral pain processing

NTS bulbar Nucleus of the solitary tract: processing station for visceral nociceptive information and reflex autonomic regulation.

Also: nucleus of the solitary tract · NTS

Ventroposteromedial nucleus of the thalamus Thalamic structure that acts as a relay station for painful information and thermoalgesia coming from the craniofacial territory.

Also: VPM thalamus · thalamic nucleus VPM

Therapeutic obstinacy in agony Insistence on applying ineffective treatments or futile surgeries that precariously and painfully prolong the dying process.

Also: futile clinical cruelty · terminal clinical dysthanasia

Agree on clinical silence Agreement to prevent a terminally ill patient from knowing the severity of his pathology or the proximity of death.

Also: pact of silence · conspiracy of family silence

Terminal family silence pact Collective agreement to hide from the patient the reality of their diagnosis or prognosis, depriving them of autonomy.

Also: conspiracy of silence · family silence plot

Palliation of exhaust pain Treatment of pain of great intensity and sudden onset that surpasses the effect of basal therapy.

Also: control of breakthrough pain · rescue analgesia

Lissauer passage of spinal fibers Medullary pathway through which primary pain fibers ascend before establishing synapses.

Also: Lissauer tract · dorsolateral tract of Lissauer

Lissauer step of the spinal cord Medullary pathway through which primary pain fibers ascend before establishing synapses.

Also: Lissauer tract · dorsolateral tract of Lissauer

Lissauer passage of the posterior spinal cord Medullary pathway through which primary pain fibers ascend before establishing synapses.

Also: Lissauer tract · dorsolateral tract of Lissauer

Spinal dorsolateral Lissauer step Medullary pathway through which primary pain fibers ascend or descend before synapsing.

Also: Lissauer tract · dorsolateral tract of Lissauer

Medullary Lissauer step Anatomical pathway by which primary pain fibers ascend or descend spinal cord segments before synapsing.

Also: dorsolateral tract of Lissauer · Lissauer tract

Unmyelinated C hair from pain Slow conduction fibers responsible for the transmission of harmful impulses of a dull, diffuse and prolonged nature.

Also: unmyelinated afferent fiber C · fiber C of pain

Metastatic epidural spinal folding Compression of the spinal cord due to a tumor that collapses a vertebra, causing pain and motility deficit.

Also: metastatic spinal cord compression · malignant epidural compression

Neoplastic brachial plexopathy Direct tumor invasion or compression of the brachial plexus by lung or breast cancer that produces severe pain in the shoulder and arm.

Also: shoulder tumor plexopathy · brachial oncological plexopathy

Infiltrative lumbosacral plexopathy Invasion of the lumbosacral plexus by direct pelvic tumors that causes neuropathic pain radiating to the lower limbs and motor deficit.

Also: pelvic tumor plexopathy · lumbosacral oncological plexopathy

Intermittent proctalgia fugax Brief episodes of extremely intense anorectal pain of acute onset due to a spasm of the internal anal sphincter.

Also: fleeting idiopathic proctalgia · transient acute anal spasm

Idiopathic transient proctalgia Sudden and intense anorectal pain that lasts a few minutes, self-limited and of spasmodic muscle origin.

Also: fugitive proctalgia · fleeting nocturnal proctalgia

Latent myofascial trigger point Hyperirritable area in the skeletal muscle painful only on direct deep palpation of the explorer, without spontaneous pain.

Also: muscular latent trigger point · latent muscle pain area

Muscular latent myofascial trigger point Hyperirritable area in the muscle thickness that generates pain only upon direct digital palpation by the clinician.

Also: latent trigger point · inactive trigger point

Active muscle trigger point Area of ​​focal hypersensitivity within a tense muscle band that generates spontaneous referred pain at a distance.

Also: active myofascial trigger point · pain trigger point

Chemical disc radiculopathy Aseptic radicular inflammation and pain due to direct exposure of the nerve root to inflammatory mediators from the nucleus pulposus.

Also: chemical disc radiculitis · chemical hernia radiculopathy · chemical irritation of nerve root

Ramsay terminal sedation Observational scale that classifies the patient from one to six according to their degree of verbal and motor response under the effects of sedatives.

Also: Ramsay scale · Ramsay sedation scale

RASS Richmond scale Ten-point tool to simultaneously evaluate the presence of agitation and the depth of sedation in palliatives.

Also: RASS scale · Richmond Agitation-Sedation Scale

ASIC ischemic pain receptor Acid-sensitive channel activated by extracellular acidosis in local ischemic tissues.

Also: ASIC receiver · pain ASIC channel

ASIC peripheral ischemic pain receptor Acid-sensitive channel activated by extracellular acidosis in local ischemic tissues.

Also: ASIC receiver · pain ASIC channel

ASIC local peripheral ischemic pain receptor Acid-sensitive channel activated by extracellular acidosis in local ischemic tissues.

Also: ASIC receiver · pain ASIC channel

ASIC receptor sensitive to tissue acid Proton channel activated by extracellular acidosis in inflamed or ischemic tissues.

Also: ASIC receiver · pain ASIC channel

Proton sensor ASIC receiver Ion channel activated by local tissue acidity involved in the genesis of inflammatory and ischemic pain.

Also: ASIC receiver · acid sensitive channel

ASIC receiver tissue proton sensor Acid-sensitive channel activated by local acidosis in inflamed or ischemic tissues.

Also: ASIC receiver · pain ASIC channel

Glutamatergic mGluR receptor G protein-coupled receptor that regulates long-term modulation and plasticity of pain pathways.

Also: nociceptive mGluR · metabotropic glutamate receptor

Central glutamatergic mGluR receptor Membrane receptor that regulates synaptic plasticity and excitability in chronic pain.

Also: mGluR painful · nociceptive mGluR

Spinal glutamatergic mGluR receptor Membrane receptor that indirectly regulates plasticity and excitability in chronic pain pathways.

Also: mGluR painful · nociceptive mGluR

Medullary glutamatergic mGluR receptor Metabotropic receptor that regulates synaptic plasticity and spinal hyperexcitability.

Also: mGluR painful · nociceptive mGluR

Spinal medullary glutamatergic mGluR receptor Metabotropic receptor that regulates synaptic plasticity and spinal hyperexcitability.

Also: mGluR painful · nociceptive mGluR

Posterior spinal cord glutamatergic mGluR receptor Metabotropic receptor that regulates synaptic plasticity and spinal hyperexcitability.

Also: mGluR painful · nociceptive mGluR

TRPA1 peripheral pain receptor Thermosensitive cationic channel involved in the encoding of mechanical stimuli and noxious cold.

Also: TRPA1 nociceptive · TRPA1 receiver

TRPA1 chemical pain receptor Thermosensitive cationic channel involved in the encoding of mechanical stimuli and chemical irritants.

Also: TRPA1 nociceptive · TRPA1 receiver

TRPA1 peripheral chemical pain receptor Thermosensitive cationic channel involved in the encoding of mechanical and irritating stimuli.

Also: TRPA1 nociceptive · TRPA1 receiver

Nociceptive peripheral chemical pain receptor TRPA1 Thermosensitive cationic channel involved in the encoding of mechanical and irritating stimuli.

Also: TRPA1 nociceptive · TRPA1 receiver

TRPA1 nociceptor receptor Thermosensitive cationic channel involved in the encoding of painful mechanical stimuli and peripheral noxious cold.

Also: TRPA1 nociceptive · TRPA1 receiver

Nociceptive TRPA1 receptor Thermosensitive cationic channel of nociceptors involved in the encoding of painful mechanical stimuli and noxious cold.

Also: TRPA1 receiver · irritant receptor

TRPM8 thermo-nociception receptor Transmembrane cationic channel activated by cold temperatures and compounds such as menthol.

Also: TRPM8 receiver · cold receiver

TRPM8 thermo-sensitivity receiver Transmembrane cationic channel activated by cold temperatures and fresh aromatic compounds.

Also: TRPM8 receiver · cold receiver

TRPM8 peripheral thermo-sensitivity receiver Transmembrane cationic channel activated by cold temperatures and fresh compounds.

Also: TRPM8 receiver · cold receiver

TRPM8 cutaneous peripheral thermosensitivity receptor Transmembrane cationic channel activated by cold temperatures and fresh compounds.

Also: TRPM8 receiver · cold receiver

Thermal nociceptive TRPM8 receptor Transmembrane channel activated by cold temperatures and by chemicals such as menthol.

Also: TRPM8 receiver · cold receiver

TRPM8 cold sensor receiver Transmembrane cationic channel activated by cold temperatures and cooling chemicals such as menthol.

Also: TRPM8 receiver · nociceptive cold receptor

TRPV1 Receiver Thermosensitive transmembrane channel that responds to extreme heat and chemical irritants by inducing a strong painful sensation.

Also: TRPV1 vanilloid receptor · nociceptive capsaicin receptor

Nociceptive TRPV1 vanilloid receptor Thermosensitive ion channel involved in the coding of caloric and inflammatory painful sensations.

Also: TRPV1 nociceptive · TRPV1 receiver

Thermo-nociceptive TRPV1 vanilloid receptor Ion channel activated by extreme heat and local inflammation that induces painful sensations.

Also: TRPV1 nociceptive · TRPV1 receiver

TRPV1 thermo-sensitive vanilloid receiver Ion channel activated by extreme heat and inflammation that induces a burning sensation.

Also: TRPV1 nociceptive · TRPV1 receiver

Nociceptive thermo-sensitive TRPV1 vanilloid receptor Ion channel activated by extreme heat and inflammation that induces a burning sensation.

Also: TRPV1 nociceptive · TRPV1 receiver

Peripheral nociceptive thermo-sensitive TRPV1 vanilloid receptor Ion channel activated by extreme heat and inflammation that induces a burning sensation.

Also: TRPV1 nociceptive · TRPV1 receiver

Palliative analgesic rescue Intermittent administration of fast-acting analgesics to relieve acute crises of incidental or breakthrough pain.

Also: rescue dose · dose of pain escape

Facet heat rhizotomy Thermal ablation of medial nerve branches that innervate the facet joints to control back pain.

Also: radiofrequency rhizotomy · facet radiofrequency ablation

Rotation of opioid analgesics Regulated substitution of one major opioid for another in order to optimize analgesic comfort and reduce adverse effects.

Also: opioid rotation · change of opioid analgesic

SCS chronic pain Interventional spinal cord stimulation using high-frequency electrical impulses against refractory neuropathic pain.

Also: spinal cord stimulation · posterior cord stimulation

SCS refractory neuropathic pain Percutaneous electrical stimulation of the posterior spinal cords to block neuropathic painful impulses.

Also: posterior cord stimulation · spinal cord stimulation

Continuous deep terminal palliative sedation Deliberate and permanent reduction of the consciousness of a terminally ill person to relieve symptoms that do not respond to other measures.

Also: continuous deep sedation · deep terminal sedation

Continuous terminal palliative sedation Maintained reduction of consciousness of the dying patient to alleviate refractory suffering before death.

Also: continuous deep sedation · deep terminal sedation

Terminal sedation of active agony Scheduled use of sedatives in a dying patient to nullify consciousness in the face of refractory symptoms of agony.

Also: deep terminal sedation · palliative sedation for agony

Terminal palliative active agony sedation Reduction of consciousness in the presence of a severe refractory symptom in the dying person.

Also: palliative sedation for agony · sedation in agony

Continuous palliative active agony terminal sedation Reduction of consciousness in the presence of a severe refractory symptom in the dying person.

Also: palliative sedation for agony · sedation in agony

Terminal sedation of controlled agony Reduced consciousness in the presence of a severe refractory symptom at the end of life.

Also: palliative sedation for agony · sedation in agony

Terminal sedation for palliative agony Reduction of consciousness in the presence of a refractory symptom at the end of the patient's life.

Also: palliative sedation for agony · sedation in agony

Sensitization of peripheral nociceptors Increased excitability and decreased firing threshold of primary nociceptors due to inflammation.

Also: peripheral sensitization · hypersensitivity of nociceptors

Sensitization of the central somatosensory system Persistent amplification of neuronal synaptic excitability in the posterior horn of the spinal cord.

Also: central sensitization · central nociceptive sensitization

Spinal sensitization of chronic pain Acquired hyperexcitability of neurons in the posterior horn that triggers sustained pain.

Also: central sensitization · nociceptive central sensitization

Persistent pelvic pain syndrome Continuous pain located in the pelvis for at least six months of evolution due to a non-infectious or non-tumoral cause.

Also: idiopathic chronic pelvic pain · persistent pelvic pain

Terminal uncontrollable symptom Unbearable physical or psychoemotional symptom that does not yield to optimally applied analgesic or sedative treatments.

Also: refractory symptom · terminal intractable symptom

Terminal intractable symptom of agony Pain, agitation or extreme dyspnea in a dying patient who resists usual analgesic comfort measures.

Also: terminal refractory symptom · untreatable end-of-life symptom

Inflammation mediators soup Mixture of cytokines, prostaglandins and ions released in the injured tissue that increase sensitivity to pain.

Also: nociceptive inflammatory soup · tissue inflammatory cocktail · inflammatory soup · tissue inflammation soup

Terminal spiritual suffering Intimate emptiness, unresolved guilt or transcendent existential anguish in the face of the imminent death of the patient.

Also: spiritual pain · terminal existential anguish

Terminal existential suffering Psychological pain related to the loss of hope, fear of the end and the loss of the person's autonomy.

Also: existential pain in agony · terminal spiritual anguish

Pain gate theory Model that postulates the modulation of spinal pain afferents through concurrent non-noxious tactile stimuli.

Also: gate-control theory · pain gate control

Spinal gate control theory Neurophysiological model that proposes that non-painful tactile stimuli can block the passage of pain signals in the spinal cord.

Also: gate-control theory · gate of pain

Spinoreticular tract of diffuse pain Ascending pathway involved in the projection of painful visceral and somatic stimuli towards the brain stem.

Also: spinoreticular bundle · spinoreticular tract

Spinoreticular tract deep pain Medullary ascending bundle involved in the projection of visceral painful stimuli to the brain stem.

Also: spinoreticular bundle · spinoreticular tract

Spinoreticular tract of visceral pain Ascending spinal cord involved in the projection of painful stimuli from the viscera to the brain stem.

Also: spinoreticular bundle · spinoreticular tract

Spinoreticular tract of deep visceral pain Ascending spinal cord involved in the projection of painful stimuli from the viscera to the trunk.

Also: spinoreticular bundle · spinoreticular tract

Spinoreticular tract of spinal deep visceral pain Ascending spinal cord involved in the projection of painful stimuli from the viscera to the trunk.

Also: spinoreticular bundle · spinoreticular tract

Previous spinothalamic tract Ascending nerve pathway that transports impulses related to diffuse pain and temperature to the nuclei of the thalamus contralaterally.

Also: anterior spinothalamic bundle · anterolateral pathway of pain

Painful anterior spinothalamic tract Ascending spinal pathway that projects diffuse pain information contralaterally to the thalamus.

Also: anterior spinothalamic bundle · anterior spinothalamic pathway

Harmful anterior spinothalamic tract Afferent pathway that transports impulses related to diffuse pain and temperature contralaterally to the diencephalon.

Also: anterior spinothalamic tract · anterolateral bundle of pain

Peripheral pain transduction Conversion of a harmful mechanical, thermal or chemical stimulus into electrical potentials in the peripheral nociceptor.

Also: nociceptive transduction · peripheral transduction

Peripheral nociceptive transduction Conversion of a noxious thermal, chemical or mechanical stimulus into electrical impulses in the free nociceptive terminal.

Also: pain transduction · peripheral transduction

Central descending facilitation pathway Brain efferent neural system that amplifies pain synapses in the dorsal horn of the spinal cord.

Also: descending facilitation of pain · descending facilitatory modulation

Descending spinal facilitation pathway Efferent system that amplifies pain synapses in the dorsal horn of the spinal cord.

Also: downward facilitation · pain modulation

Descending supraspinal facilitation pathway Efferent system that positively modulates pain transmission in the spinal cord.

Also: downward facilitation · pain modulation

Descending supraspinal spinal facilitation pathway Efferent system that positively modulates pain transmission in the spinal cord.

Also: downward facilitation · pain modulation

Posterior supraspinal spinal descending facilitation pathway Efferent system that positively modulates pain transmission in the spinal cord.

Also: downward facilitation · pain modulation

Lateral spinothalamic pathway of thermoalgesia Medullary ascending bundle responsible for transmitting information about acute pain and temperature to the thalamus.

Also: lateral spinothalamic bundle · lateral spinothalamic pathway

Lateral spinothalamic pathway of central thermoalgesia Ascending spinal cord responsible for transmitting acute pain information to the thalamus.

Also: lateral spinothalamic bundle · lateral spinothalamic pathway

Lateral spinothalamic pathway of central spinal thermoalgesia Ascending spinal cord responsible for transmitting information about acute pain to the thalamus.

Also: lateral spinothalamic bundle · lateral spinothalamic pathway

Lateral spinothalamic pathway of posterior central medullary thermoalgesia Ascending spinal cord responsible for transmitting information about acute pain to the thalamus.

Also: lateral spinothalamic bundle · lateral spinothalamic pathway

Lateral spinothalamic pathway of pain Crossed ascending spinal cord that transports information about acute pain and thermoalgesia to the thalamus.

Also: lateral spinothalamic bundle · lateral spinothalamic pathway

Modulatory serotonergic pathway Efferent system of fibers that release serotonin in the spinal cord to attenuate or inhibit the intensity of painful synapses.

Also: serotonergic spinal modulation · descending serotonergic projections

Subcutaneous comfort route Pharmacological access through the subcutaneous tissue that allows the administration of analgesic or sedative medication in palliatives.

Also: palliative subcutaneous infusion · palliative subcutaneous route

Palliative subcutaneous infusion route Pharmacological access through the subcutaneous cellular tissue useful to maintain comfort through infusers.

Also: continuous subcutaneous route · continuous subcutaneous infusion

Contact vulvodynia Burning pain located in the vestibule of the vulva triggered almost exclusively by tactile stimuli or light pressure.

Also: provoked vulvodynia · vestibulodynia caused by touch

Intrathecal analgesic ziconotide Synthetic N-type calcium channel blocking peptide intrathecally infused for refractory chronic pain.

Also: intrathecal ziconotide · intrathecal non-opioid analgesic

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