ch 44 pain management

Question 1

patient barriers to treating pain

Answer 1

• fear of: addiction, side effects, tolerance, injections, disease progression
• culture of suffering
• inadequate education

Question 2

health care provider barriers to treating pain

Answer 2

• inadequate assessment skills
• concerns: addiction, overdose, legal repercussions, side effects, co-morbidities
• no visible cause, don’t believe pt

Question 3

health care system barriers to treating pain

Answer 3

• addiction
• financial
• supply
• regulation restrictions

Question 4

PCA pump safety

Answer 4

1. teach use prior to proceedure
2. instruct on the purpose and that pt controls medication delivery
3. explain pump reduces risk for overdose
4. tell family and friends not to operate device

Question 5

superficial or cutaneous pain

Answer 5

results from skin stimulation

-short duration, localized, usually sharp

Question 6

deep or visceral pain

Answer 6

stimulation of internal organs

-diffuse and radiates, duration varies, sharp, dull, or unique to organ involved

Question 7

referred pain

Answer 7

pain felt in uneffected areas and assumes any characteristic

Question 8

radiating pain

Answer 8

sensation extends from initial site of injury

-can be intermittent or constant