According to the Gate Control Theory, what interventions by the nurse could help to block pain impulses?

A) Administration of opioid medications
B) Administration of narcotic agonist-antagonists
C) Back massage
D) Acupuncture


C
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According to the gate control theory, the transmission of these impulses can be modulated or adjusted all along these tracts. All along the spinal cord, interneurons can act as "gates" by blocking the ascending transmission of pain impulses. It is thought that the gates can be closed by stimulation of the larger A fibers and by descending impulses coming down the spinal cord from higher levels in such areas as the cerebral cortex, the limbic system, and the reticular activating system. Administration of medications does not use the Gate Control Theory. Acupuncture uses the Gate Control Theory but is not performed by the nurse.

Nursing

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