A patient who uses a fentanyl ( Duragesic ) patch for chronic cancer pain complains to the nurse of the rapid onset of pain at a level 9 ( 0 to 10 scale ) and requests "something for pain that will work quickly." The nurse will document this as

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Pain that occurs beyond the chronic pain already being treated by appropriate analgesics is termed breakthrough pain. Neuropathic pain is caused by damage to peripheral nerves or the central nervous system (CNS). Somatic pain is localized and arises from bone, joint, muscle, skin, or connective tissue. Referred pain is pain that is localized in uninjured tissue.

A Patient Who Uses a Fentanyl ( Duragesic ) Patch