9 - Pain Management Flashcards
The physical dimension of complex psychic distress or human misery called “suffering”
Pain
This encompasses the physical, psychological, spiritual and social aspects of distress often experienced by people who approach the end of life.
Suffering
Styles of expressing or non-expression>
Enduring
Emoting
Suppressing emotional response when the integrity of self is threatened
Enduring
Confronting the meaning of the suffering, talking about feelings etc.
Emoting
T/F Pain is the 5th vital sign.
TRUE
Five Important Ingredients for Pain Relief
Pain must be recognized Nurse needs courage to be present Nurse must often be ready to battle Nurse be more empathetic than judgmental Nurse must be willing to educate self
IM and IV should be first or last resort?
LAST - involve more pain
For patients with intractable pain?
Continuous infusion into epidural space
Pain Management ladder - step one
Non-opioid (perhaps adjuvant)
Step two
Opioid mild/mod and non-opioid, w addition of adjuvant
Step three
Strong opioid, non-opiod, PRN & adjuvant
Non-opioids?
Acet, NSAID
Opioids
Morphine, Hydromorphone, Methadone, Oxycodone
Adjuvants
Corticosteroids, Antidepressants, Anxiolytics, Anticonvulsants, Benzos, Bisphosphates, Anesthetics
