Term
| One role of nursing in pain management is educator, an important lesson for patients and families regarding pain is... |
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Definition
| ...there are limits to pain reduction, some people, as tough as it is, will always be in some degree of pain |
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Term
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Definition
inadequate skills to assess
disbelief of patient
lack of expertise in pain mgmt |
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Term
What is the definition of pain?
What potential problem is there with this definition |
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Definition
"Pain is whatever the person experiencing it says it is"
non-verbal patients cannot express their pain this way, must use more objective information (scarce) |
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Term
| what are the five dimensions of pain (and examples)? |
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Definition
ABC SPelling
Affective (emotion r/t pain)
Behavioral (active response to pain)
Cognitive (beliefs, conditioning)
Sensory (perception)
Physiologic (transmission of stimuli) |
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Term
| Four steps of the mechanism of pain perception |
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Definition
Transduction (neurotransmitters released)
Transmission (action potential sent)
Perception (cognitive awareness)
Modulation (modification of impulse) |
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Term
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Definition
| type of pain caused by damaged tissue, either somatic (connective tissue) or visceral (organ tissue) |
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Term
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Definition
| type of pain originating in the nervous system (numbing, shooting, electrical type pain) |
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Term
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Definition
| increased vitals vs. behavior modification (fatigue, antisocial--House, MD) |
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Term
| A woman in her 40s complains of joint pain, for what condition should she be assessed? |
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Definition
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Term
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Definition
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Term
| Symptoms Associated with Pain (assessment question) |
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Definition
| What else happens when you feel the pain? Nausea, SOB, palpitations, etc. |
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Term
| Pain the left arm could be referred from... |
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Definition
| ...the heart--> ECG STAT! |
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Term
| What word might an elderly person not use to describe pain? |
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Definition
| Pain itself can be a taboo word, they may use "ache" or "sore" instead |
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Term
| True or False: Meds and ice are the only effective methods of pain relief |
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Definition
| False: heat therapy, position changes, meditation and many others have all been supported by evidence to aid with pain reduction |
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Term
| With whom should the therapeutic goals be set in regards to pain management? |
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Definition
| the patient; no one else's experience or personal goals will help as much |
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Term
Which of the following are good nursing diagnoses for a pt with pain (multiple acceptable answers)?
Shortness of breath
activity intolerance
osteoarthritis
acute pain
depression
anxiety |
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Definition
activity intolerance, acute pain, and anxiety
depression for chronic pain |
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Term
best situation to use the following:
1. TENS unit
2. heat therapy
3. cold therapy |
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Definition
1. when pain is consistent, TENS interrupts action potential
2. sore muscles
3. swelling |
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Term
| Three categories of pain medication in order from least severe to most severe pain |
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Definition
co-analgesic; non-opioid; opioid
adjuvant can be added to any, and are common in cancer patients |
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Term
| Three types of non-opioids, an example, and a common side-effect of each |
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Definition
non-salicylates (acetaminophen, GI bleeding)
salicylate (aspirin, blood-thinner)
NSAIDs (ibuprofen, blood-thinner) |
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Term
| common side-effect with opioids |
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Definition
| CONSTIPATION, everyone should also be put on a laxative |
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Term
| Administration consideration with Narcan |
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Definition
| should be given in small increments to avoid shock from return of pain sensation, and only as a last resort |
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Term
Match the following adjuvant therapies with their indications
1. antidepressants
2. antiseizure/GABA
3. corticosteroids
A. back pain
B. intercept nociceptive pain
C. reduce nerve inflammation |
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Definition
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Term
| rationale for starting with the lowest dose of pain meds, and increasing from there |
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Definition
to find the lowest beneficial dose with the least side-effects
iow: to minimize side-effects |
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Term
| Pt on PCA morphine is due to be D/C'd today, the doctor orders max strength ibuprofen for home pain management. What do you do? |
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Definition
| Call the doctor and ask if he didn't mean to put them on oral opioids, as it is usually best practice to taper off pain meds slowly |
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Term
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Definition
| surgical obstruction of afferent nerves to prevent sensation of pain during, or sometimes 1-2 days after a surgical procedure |
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Term
| What about chronic pain might lead to role confusion? |
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Definition
| The inability to provide for/interact with one's family due to chronic pain can undermine their self-identity |
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Term
| when dealing with non-verbal patients or possible drug-seekers, in what way can pain be reliably assessed? |
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Definition
| behavioral cues, facial expressions, and body language |
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