ch 27 - pain and comfort Flashcards
1
Q
what races might be more stoic/non emotive when in pain (2)
A
northern european
asian
2
Q
what races might be more emotive when in pain (3)
A
- hispanic
- middle eastern
- mediterranean
3
Q
pain cues in pts with difficulty communicating
A
- restlessness
- repetitive movements
- resistance to help from others
- decreased sleep/appetite
- groaning, moaning, crying
- grimacing
- pallor or flushing
- sweating
- increased P, RR, temp
4
Q
assessment tools for pain in pts with advanced dementia or for those who can’t express pain (2)
A
PAINAD
PACSLAC
5
Q
categories included in PAINAD
A
- breathing independent of vocalization
- negative vocalization
- facial expression
- body language
- consolability
6
Q
contraindicated pain med in adults
A
meperidine (demerol)
7
Q
initial pain med for mild to moderate pain
A
acetaminophen
8
Q
adjuvant pain meds
A
- antidepressants
- herbals
- anticonvulsants
9
Q
OLD CART assessment
A
Onset Location Duration Characteristics Aggravating factors Relieving factors Treatments tried in past
10
Q
max tylenol dose for older adult per day
A
3g
11
Q
contraindications in pts for use of NSAIDs
A
- HTN
- impaired renal function
- HF
- diuretics
- ACE inhibitors
- warfarin
