T3: Comfort & Pain Management (CH. 13)

Question 1

Abrupt onset and lasting a short period of time

Answer 1

Acute pain

Question 2

Occurs from an abnormal processing of sensory stimuli by the central or
peripheral nervous system

Answer 2

Neuropathic pain

Question 3

Arises from mechanical, thermal, or chemical noxious stimuli; can be somatic
or visceral

Answer 3

Nociceptive pain

Question 4

Chronic pain that has been present for 3 months or longer

Answer 4

Persistent pain

Question 5

__ is the fifth vital sign.

Answer 5

Pain

Question 6

Meaning of comfort ___ among individuals

Answer 6

varies

Question 7

Defined as to release from suffering, free from pain

Answer 7

Comfort

Question 8

Prevalence of factors threatening comfort increases with ___.

Answer 8

age

Question 9

__ is the greatest threat to comfort.

Answer 9

pain

Question 10

Defined as unpleasant sensory and emotional experience

Answer 10

Pain

Question 11

__ is subjective and relies on person’s perception

Answer 11

Pain

Question 12

Pain is ____ in older population.

Answer 12

predominant

Question 13

___ is a relative term.

Answer 13

Comfort

Question 14

Comfort tends to be a state often taken for granted until it is ___.

Answer 14

threatened

Question 15

___ people suffer day-long bouts of pain.

Answer 15

1 in 4

Question 16

___ patients aged 65+ experience pain lasting for one year or more.

Answer 16

3 of 5

Question 17

____ pain is the most common.

Answer 17

low back

Question 18

___ pain is increased with age.

Answer 18

severe joint

Question 19

Pain is classified according to ___ mechanism.

Answer 19

pathophysiological

Question 20

___ pain is classified as mechanical, thermal, and chemical.

Answer 20

Nociceptive

Question 21

__ pain is the abnormal processing of sensory stimuli by central or peripheral nervous systems.

Answer 21

Neuropathic

Question 22

Nociceptive pain is divided into what 2 categories?

Answer 22

Somatic and Visceral

Question 23

Bone or soft tissue masses; localized

Answer 23

Somatic

Question 24

Pain that is generalized or referred

Answer 24

Visceral

Question 25

What pain is DEEP and aching?

Answer 25

visceral

Question 26

What pain is throbbing or aching?

Answer 26

Somatic

Question 27

What pain is sharp, stabbing, tingling, burning, and the onset is high intensity?

Answer 27

Neuropathic pain

Question 28

What is somatic pain?

Answer 28

Well localized, throbbing or aching.

Question 29

The role of age in pain perception is ___.

Answer 29

unclear

Question 30

The research findings related ot pain is ___.

Answer 30

minimal

Question 31

Experience of pain is complicated by __ __ in many older adults.

Answer 31

chronic diseases

Question 32

Each individual has their own ___ pain experience.

Answer 32

unique

Question 33

Complications of unrelieved pain can include:

Answer 33

- limited mobility - develop pressure ulcers - pneumonia - constipation - poor appetite - depression, hopelessness - spiritual distress

Question 34

What kind of questions are more effective when dealign with pain?

Answer 34

open-ended

Question 35

If an individual is cognitively impaired, the nurse should document unique __ of pain.

Answer 35

indicators

Question 36

What are some pain assessment techniques?

Answer 36

- numeric rating scale - visual analog scale - McGill Pain Questionnaire

Question 37

``` Mr. D suffers from late-stage dementia. Which behavior best indicates that he is in pain? A. Self-report of pain B. Family stating that he is in pain C. Agitation and decreased socialization D. Wandering behavior ```

Answer 37

C. Agitation and decreased socialization

Question 38

Although ___ have a significant role in pain management, they should not be the only approach used.

Answer 38

medications

Question 39

___ can influence inflammation and its pain, particularly arthritic pain that is common in the older population.

Answer 39

Diet

Question 40

Foods to consider avoiding include: | known to cause inflammation

Answer 40

animal products, high-fat dairy products, egg yolks, beef fat, safflower, corn, sunflower, soybean, peanut oils, white flour, sugars, and “junk foods”.

Question 41

Medication Management can be ___.

Answer 41

complicated

Question 42

With medication, the risk of __ effects is high with older adults.

Answer 42

adverse

Question 43

Trial of __ should be used before opioids are used.

Answer 43

nonopioids

Question 44

Start __ and go __ with medications. (same word for both blanks)

Answer 44

slow

Question 45

__ medications may benefit older adults.

Answer 45

Adjuvant (used with meds to help it act better/faster)

Question 46

What medication issued more commonly with older adults?

Answer 46

Acetaminophen

Question 47

What is an example of an NSAID?

Answer 47

Ibuprofen

Question 48

__ treat moderate to severe pain.

Answer 48

Opioids

Question 49

What are 2 examples of an opioid?

Answer 49

morphine, fentanyl patches

Question 50

__ and __ is contradicted with older adults.

Answer 50

Propoxyphene and Pentazocine

Question 51

Which medications, commonly used for pain, is contraindicated in the older adult related to potential side effects?

Answer 51

D. Propoxyphene (Darvocet)

Question 52

Why is Propoxyphene contraindicated in the older adult?

Answer 52

Because it has the potential for central nervous system and cardiac toxicity

Question 53

Give the patient __ ___ regardless of the length of the interaction.

Answer 53

undivided attention

Question 54

Encourage the patient to speak and demonstrate interest through body language and feedback shows that you are __ __.

Answer 54

listening attentively

Question 55

Nonpharmacologic approaches to pain management should be considered, including __ __ and __ __.

Answer 55

dietary modifications and comfort measures