Ch. 29 (Comfort & Pain Management)

Question 1

What kind of pain is caused by mechanical, thermal (burns) and chemical?

Answer 1

nociceptive

Question 2

What kind of pain is present in the bones or soft tissue masses that often localized, throbbing or aching?

Answer 2

somatic

Question 3

What kind of pain usually is presented through referred pain and is deep and aching?

Answer 3

visceral

Question 4

What kind of pain is caused by abnormal processing of sensory stimuli by the central or peripheral nervous systems?

Answer 4

neuropathic

Question 5

What kind of pain is usually associated with qualities of sharp, stabbing, tingling, burning and starts with a high intensity?

Answer 5

neuropathic

Question 6

For patients with cognitive impairments, what are unique indicators of pain?

Answer 6

• grimacing
• crying/moaning
• increased vital signs (be able to identify increased vital signs for exam)
• agitation
• change in sleep pattern

Question 7

What are the most concerning effects of using opioids?

Answer 7

• respiratory depression
• addiction/dependency

Question 8

For someone with pain, what do we want to make sure we identify?

Answer 8

Identify underlying causes for pain

Question 9

What is best practice when administering opioids (i.e. how do we want to administer them)?

Answer 9

Start slow, go slow

Question 10

What do we want to try before we get to opioids?

Answer 10

Try nonopioids (acetaminophen) or nonsteroidal anti-inflammatory drugs (ibuprofen)