Week 5- Pain

Question 1

Is pain considered a basic human need that needs to be addressed

Answer 1

Yes

Question 2

Terms to know

Answer 2

Acute pain

Addiction

Analgesics

Breakthrough pain

Chronic pain

Drug tolerance

Pain threshold

Pain tolerance

Patient control analgesia

Transcutaneous electrical nerve stimulation

Question 3

Types of pain

Answer 3

Acute

Chronic/persistent non-cancer pain

Chronic episodic

Cancer pain

Idiopathic

Question 4

Chronic pain cycle

Answer 4

1-6

Pain

Fear of injury

Fear of movement

Less movement

Deconditioning

Physical and mental deconditioning

Question 5

Factors influencing pain

Answer 5

Physiological

Psychological

Culture

Age

Cognition/communication

Question 6

Assessing pain(ADPIE)

Answer 6

History-characteristics, onset, duration, etc.

Pain scale (numerical and wong baker)

Classification of pain

Behavioral indications

Assessing pain in diverse patients

Nonverbal patient (evidence based practice)

Question 7

Diagnosis/problem

Question 8

Examples of goals and outcomes(plan)

Answer 8

Slide 9

Question 9

Intervention

Answer 9

Asses for pain continuously
Administer meds
Plan rest periods

Question 10

Pharmacological interventions

Answer 10

1-nursing principles for administering analgesics

2- Types of pain control analgesics-delivery system
-non pharmacological
-health promotion

Question 11

Joint commission pain management standard

Answer 11

Comp ass

Assess pain in age appropriate manner

Reassess and respond to pain

Treat pain or refer for treatment

Pediatric standard-involves family when appropriate

Question 12

Evaluations

Answer 12

Barriers

Restorative and continuing care

Evaluation and therapeutic communication

Question 13

Drugs to know

Answer 13

Narcotics-opiate agonists

Morphine Derivatives

Meperidine Derivatives

NSAIDS

Question 14

Morphine Derivatives

Answer 14

Morphine

Codeine

Oxycodone

Question 15

Meperidine Derivatives

Answer 15

Meperidine (demerol)

Fentanyle (Duragesic)

Question 16

NSAIDs

Answer 16

Celecoxib (celebrex)

Naproxen sodium (Naprosyn)

Ketorolac (toradol)

Ibuprofen (Motrin)

Aspirin

Question 17

Do you have to document pain level after providing pain medication?

Answer 17

Yes. Especially narcotics.

Can cost your job.

Question 18

Do you have to discuss factors impacting pain

Answer 18

Yes

Question 19

How do we assess pain

Answer 19

Palpation

Observation

Inspection

Labs

Walking

Range OM

Question 20

Do you need to consider age and development level when assessing pain

Answer 20

Yes

Question 21

What do we do if pain intervention does not work

Answer 21

Reassess

Even when it does work we assess again

Question 22

Do we have to do more than one assessment and intervention

Answer 22

Yes

Question 23

What to think about if potassium or sodium is high

Answer 23

The heart

Question 24

What happens if heart not pumping correctly

Answer 24

Poor perfusion

Question 25

What happens to heart when blood pressure is high

Answer 25

It works harder

Question 26

Tasks that can be done w/o order

Answer 26

Back rub ROM Elevate head of the bed

Question 27

Can RN assess oxygen levels and tank

Answer 27

Yes

Question 28

BPM requires for degoxin

Answer 28

Can not administer if BPM is below 60

Question 29

Acute pain

Answer 29

Sudden and short 0 months-a year

Question 30

Chronic pain

Answer 30

Long lasting. Years.

Question 31

PCA

Answer 31

Patient control analgecia -only dispenses at set times

Question 32

Breakthrough drug

Answer 32

Drug you can get in middle of other scheduled drug

Question 33

What system does morphine affect

Answer 33

Morphine is a respiratory suppressant. All narcotics are

Question 34

Breakthrough pain

Answer 34

Pain that occurs when patient already receiving analgesic/pain medication

Question 35

Pain tolerance

Question 36

Should you be very conscious when moving patient in pain

Answer 36

Yes

Question 37

Factors influencing pain

Answer 37

Common biases Pain in infants is hard to assess -crying and screaming if they cannot be soothed

Question 38

Assessing nonverbal patient pain

Answer 38

Grimacing and actions that show pain

Question 39

Behavioral indicators of pain

Answer 39

How do they behave when in pain

Question 40

When do we normally give pain med when changing dressing for ulcer

Answer 40

Before changing the dressing