Term
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Definition
| Short duration; rapid onset; varies in intensity; may last up to 6 months; associated with injury or surgery |
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Term
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Definition
| Onset is gradual; last 6 months or longer; interferes with daily activity, relationships, finances; is difficult to describe; r/t progressive disorder-cancer |
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Term
| What is intractable pain? |
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Definition
| Chronic and highly resistant to relief; use multiple methods of pain relief |
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Term
| What are opioid analgesics? |
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Definition
Morphine
MS Contin
Codeine
Oxycodone (OxyContin) |
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Term
| What is around the clock dosing? |
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Definition
| administer analgesics at regular times throughout the day |
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Term
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Definition
| Patient-Controlled Analgesia |
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Term
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Definition
relieve mild to moderate pain, decrease inflammation and fever; used for acute and chronic pain; often underestimated
NSAIDs & Acetaminophen |
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Term
| What are opioid analgesics? |
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Definition
| effectiveness varies depending on individual differences in metabolism |
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Term
| What is most responsive to opioid analgesics? |
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Definition
| Visceral pain is most responsive to opioid tx |
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Term
| What are the side effects of opioids? |
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Definition
| NV constipation drowsiness |
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Term
| What should you assess prior to administration? |
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Definition
| alertness and respiration prior to administration |
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Term
| What are nonpharmacologic interventions? |
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Definition
Use in combination with drug therapy for severe pain
Complementary/alternative medicine
Imagery, therapeutic touch, hypnosis, massage, application of heat/cold, percutaneous electrical nerve stimulation |
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Term
| What is the timeline of opioid regimen? |
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Definition
should stay consistent with dose in weeks before last weeks of life
Generally believed that patient still feels pain when unconscious
Does not hasten death unless the dose was not properly and gradually titrated |
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Term
| What does the hospice nurse do? |
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Definition
Perform regular pain assessments
Pain is highly subjective and each person is different
Administer pain med on a regular schedule
Long acting meds- administer q 8-12 hrs
Fast acting meds (NSAIDs)- for “break through pain”, q 1-2 hrs
manage N/V, constipation, diarrhea, fatigue, and decreased appetite; provide emotional support, educate about physical symptoms likely to experience closer to death; bereavement support for family |
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Term
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Definition
| treat clients on an inpatient or outpatient basis. |
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Term
| What is the evaluation of pain> |
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Definition
Evaluation of pain is considered a major responsibility of nurses.
The client’s response to pain may not be obvious.
Evaluating the appropriateness of pain medication will require nurses to evaluate clients 15 to 30 minutes after administration. |
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