Do Patients In Vegetative State Feel Pain?

by | Last updated on January 24, 2024

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Do patients in vegetative state feel pain? minimally conscious state

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Can you respond to pain in a vegetative state?

Because people in the vegetative state will respond to noise – by startle or jump,

will respond to pain

– by moving away, often will have some spontaneous movement, their eyes will move all over the place, they might yawn, sometimes they might stretch or they might move their arms.

Can a person in a vegetative state hear you?

Other studies have shown that

up to 20 percent of patients in various vegetative states can hear and respond on at least some level

. But at least some of the responses seen could be dismissed as simple reflexes, or at best akin to someone in a dream state responding to stimuli.

Do people in vegetative state have feelings?

Do unresponsive patients feel pain?

By definition, patients with unresponsive wakefulness syndrome (UWS)

do not experience pain

, but it is still not completely understood how far their brain can process noxious stimuli. The few positron emission tomography studies that have examined pain processing did not yield a clear and consistent result.

Can you pull the plug on someone in a vegetative state?


“Pulling the plug” would render the patient unable to breathe, and the heart would stop beating within minutes

, he said. But if a patient is not brain dead and instead has suffered a catastrophic neurological brain injury, DiGeorgia said, he or she could breathe spontaneously for one or two days before dying.

How long can a vegetative state last?

Most people who remain in a vegetative state die within 6 months of the original brain damage. Most of the others live about

2 to 5 years

. The cause of death is often a respiratory or urinary tract infection or severe malfunction (failure) of several organs.

What are the chances of coming out of a vegetative state?

Generally,

adults have about a 50 percent chance and children a 60 percent chance of recovering consciousness from VS/UWS within the first 6 months in the case of traumatic brain injury

. For non-traumatic injuries such as strokes, the recovery rate falls within the first year.

Can someone in a vegetative state open their eyes?

A person in a vegetative state may:

open their eyes

. wake up and fall asleep at regular intervals. have basic reflexes (such as blinking when they're startled by a loud noise or withdrawing their hand when it's squeezed hard)

Can brain activity come back?

Brain death: Irreversible cessation of all functions of the entire brain, including the brain stem. A person who is brain dead is dead, with

no chance of revival

.

Can you feel pain with no brain activity?

Does an individual feel any pain or suffer after brain death is declared? No.

When someone is dead, there is no feeling of pain or suffering

.

Is vegetative state worse than coma?


A coma, sometimes also called persistent vegetative state, is a profound or deep state of

. Persistent vegetative state is not brain-death. An individual in a state of coma is alive but unable to move or respond to his or her environment.

How is pain identified in an unresponsive patient?

The main pain indicators nurses focus on are

changes in facial expressions (fully tightened, grimacing), vocalization (sighing, moaning, crying out) and changes in patients' heart rate (tachycardia)

.

What does no pain response mean?

Insensitivity to pain means that

the painful stimulus is not even perceived

: a patient cannot describe the intensity or type of pain. Indifference to pain means that the patient can perceive the stimulus, but lacks an appropriate response: they do not flinch or withdraw when exposed to pain.

Why do comatose patients cry?

A comatose patient may open his eyes, move and even cry while still remaining unconscious.

His brain-stem reflexes are attached to a nonfunctioning cortex

. Reflex without reflection. Many professionals speak of this condition as a ”persistent vegetative state.

Is a vegetative state brain dead?

The difference between brain death and a vegetative state, which can happen after extensive brain damage, is that it's possible to recover from a vegetative state, but

brain death is permanent

. Someone in a vegetative state still has a functioning brain stem, which means: some form of consciousness may exist.

How long can someone be on life support with no brain activity?

After turning off life support,

a person who's brain-dead will die within minutes

, because they won't be able to breathe on their own. If a person is in a permanent vegetative state but not brain-dead, their life support likely consists of fluids and nutrition.

How long can you live with no brain activity?

But without a ventilator to keep blood and oxygen moving, this beating would stop very quickly, usually in

less than an hour

, Greene-Chandos said. With just a ventilator, some biological processes — including kidney and gastric functions — can continue for about a week, Greene-Chandos said.

What do you call someone in a vegetative state?

How many people recover from a persistent vegetative state?

Outcome for Patients in a Persistent Vegetative State (PVS) after a Traumatic or Nontraumatic Injury.

Fifty-two percent of adults and 62 percent of children who are in a PVS one month after a traumatic injury recover consciousness within one year

.

What does conscious but unresponsive mean?

A vegetative state, or unaware and unresponsive state, is

a specific neurological diagnosis in which a person has a functioning brain stem but no consciousness or cognitive function

. Individuals in an unaware and unresponsive state alternate between sleep and wakefulness.

Why are people in vegetative state kept alive?

In some cases, it may be that

the family believe that the patient would have wanted ongoing treatment regardless of their level of consciousness or prognosis

. Alternatively, some family members may be hoping for a “miracle” recovery or are simply not yet ready to let go of a loved one.

Can someone in a vegetative state yawn?

How do they check for brain activity?


Electroencephalography, or EEG

, monitors the brain's electrical activity through the skull. EEG is used to help diagnose seizure disorders and metabolic, infectious, or inflammatory disorders that affect the brain's activity.

What are the symptoms of brain death?

  • The pupils don't respond to light.
  • The person shows no reaction to pain.
  • The eyes don't blink when the eye surface is touched (corneal reflex).
  • The eyes don't move when the head is moved (oculocephalic reflex).
  • The eyes don't move when ice water is poured into the ear (oculo-vestibular reflex).

Which body parts we do not feel pain when we cut down?


The brain

itself does not feel pain because there are no nociceptors located in brain tissue itself. This feature explains why neurosurgeons can operate on brain tissue without causing a patient discomfort, and, in some cases, can even perform surgery while the patient is awake.

Can a person with no brain activity breathe on their own?


When someone is ‘brain dead' they have no reflexes and cannot breathe on their own

. They will never regain consciousness or the ability to breathe and are considered legally dead. Usually when someone loses brain stem function they stop breathing, their heart stops and they are clearly dead.

What is the difference between whole brain death and persistent vegetative state?

The basic difference between “whole brain death” and “persistent vegetative state” is that

in the former the entire brain must be permanently nonfunctioning while in the latter only the cerebral cortex or capacity for consciousness is gone and some brain stem function remains

.

How do you assess pain in non verbal patient?

What are the physical signs that a client is in pain?

What is nonverbal pain scale?

The Nonverbal Pain Scale (NVPS)

allows for standardized pain assessment in intubated and other nonverbal patients

. Parameters include ventilator synchrony, which is helpful in intubated patients.

Can a person feel pain while in a coma?

Can you respond to pain in a coma?


A person in a coma cannot respond or make voluntary actions to pain, light, or sound in the usual way

. However, according to research from 2019, a person in a coma may be able to hear sounds in their environment.

Can you feel pain with no brain activity?

Does an individual feel any pain or suffer after brain death is declared? No.

When someone is dead, there is no feeling of pain or suffering

.

Can you wake up from a vegetative state?

Generally,

adults have about a 50 percent chance and children a 60 percent chance of recovering consciousness from VS/UWS within the first 6 months in the case of traumatic brain injury

. For non-traumatic injuries such as strokes, the recovery rate falls within the first year.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.