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Fundamentals 2 > Chapter 12: Comfort and Pain Management > Flashcards

Chapter 12: Comfort and Pain Management Flashcards

1
Q

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

A

Neuropathic pain

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2
Q

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

A

Nociceptive pain

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3
Q

Chronic pain that has been present for 3 months or longer

A

Persistent pain

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4
Q

Pain is referred to as the __ __ __ because it is such an important indicator of an individual’s health status

A

fifth vital sign

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5
Q

__ is the greatest threat to comfort

A

Pain

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6
Q

One in __ adults reports suffering a daylong bout of pain in the past month.

A

four

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7
Q

__ of adults 65 years and older said they had experienced pain that lasted for 1 year or more.

A

Three fifths

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8
Q

__ __ pain is among the most common complaints, along with migraine or severe headache and joint pain, aching, or stiffness.

A

Low back

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9
Q

Reports of severe joint pain increased with age, and __ reported severely painful joints more often than did the other gender.

A

women

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10
Q

The __ is the joint that causes the most pain according to the report. (Interestingly, this structure replacement surgeries have risen dramatically for people over age 65 years.)

A

knee

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11
Q

___ pain: characteristic of pain in the bone and soft tissue masses.

A

Somatic

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12
Q

__ pain: associated with disorders that can cause generalized or referred pain. The pain is described as deep and aching.

A

Visceral

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13
Q

The complex phenomenon of pain is a stressor to what 3 things?

A

physical, emotional, and spiritual well-being.

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14
Q

The impact of aging on pain perception and tolerance is not fully understood; therefore, the nurse must try to assess and understand each patient’s ____

A

unique pain experience.

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15
Q

The nurse should keep in mind that although some cognitively normal or impaired clients might cry or moan, that is not a reliable indication of pain. The __ pain questionnaire is effective for use with persons who are cognitively normal or impaired.

A

McGill

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16
Q

In addition to medical problems, poor positioning or posture, inactivity, emotional issues, and adverse drug reactions could be at the root of new or worsened pain. ___ these underlying factors is the first step in pain management.

A

Improving

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17
Q

Branch of herbal medicine that uses scents from the essential oils of plants to create physiological and emotional effects

A

Aromatherapy

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18
Q

Process of teaching people to bring specific bodily functions under voluntary control

A

Biofeedback

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19
Q

Suggesting images that can create specific reactions in the body

A

Guided imagery

20
Q

Use of plants for therapeutic benefit

A

Herbal medicine

21
Q

Use of proper nutrition, pure water, fresh air, exercise, rest, and other natural means

A

Naturopathy

22
Q

Branch of physical medicine that uses physical therapy, joint manipulation, and postural correction

A

Osteopathy

23
Q

Use of specific nutritional product

A

Supplements

24
Q

Use of dilute forms of biological material (plant, animal, or mineral) that produce symptoms similar to that caused by the disease or condition

A

Homeopathic remedies

25
Q

___ acid is a primary precursor in the synthesis of omega-6 to proinflammatory eicosanoids.

A

Arachidonic

26
Q

T/F: Diet can influence inflammation and its pain

A

True

27
Q

A deficiency of _-complex vitamins can contribute to pain caused by damaged or misfiring nerves.

A

B

28
Q

Foods rich in omega-3 fatty acids can reduce ___

A

inflammation

29
Q

The risk of adverse effects of medications is higher in ___ than in ___ age groups

A

older

younger

30
Q

___ is the most commonly used drug for mild to moderate pain relief in older people

A

Acetaminophen

31
Q

___ is contraindicated for older persons because of its high risk of causing delirium, seizures, and cardiac and CNS toxicity.

A

Pentazocine

32
Q

___ dosing or the use of sustained-release drugs is useful in the management of continuous pain.

A

Around-the-clock

33
Q

Quality time with patients that fosters comforting is reflected by what 5 things: (GLETP)

A
  • giving the patient your undivided attention
  • listening actively
  • explaining
  • touching
  • perceiving
34
Q

The prevalence of chronic conditions increases with age, and many of these conditions have ___ associated with them.

A

pain

35
Q

T/F: The relationship between aging and pain perception is fully understood

A

Fasle. Not fully understood.

36
Q

The two types of pain:

A

nociceptive

neuropathic

37
Q

Most common med used with older adults

A

acetaminophen

38
Q

Example of a nonsteroidal anti-inflammatory drug:

A

Ibuprofen

39
Q

2 examples of opioids:

A

fentanyl patches

morphine

40
Q

Fentanyl patches are not used for patients with:

A

Suppression of immune system or decreased level of consciousness

41
Q

Is in a group of drugs called narcotic pain relievers. Used to relieve moderate to severe pain.

A

Propoxyphene

42
Q

(OPIOID) (Talwin) is a painkiller used to treat moderate to severe pain

A

Pentazocine

43
Q

Don’t give propoxyphene or pentazocine to older adults because:

A

they have lots of side effects w the older adult population.

44
Q 
Which medications, commonly used for pain, is contraindicated in the older adult related to potential side effects?
Acetaminophen (Tylenol)
Oxycodone (Percocet)
Fentanyl (Duragesic)
Propoxyphene (Darvocet)
A

Propoxyphene

45
Q

___ has the potential for central nervous system and cardiac toxicity

A

Propoxyphene (Darvocet)

Fundamentals 2 (16 decks)

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