Chapter 13 (E1) Flashcards
What is the fifth vital sign?
Pain
Pain is what?
Whatever the patient experiencing the pain says it is
Type of pain:
Damage to body tissue
Nociceptive pain
Type of pain:
Musculoskeletal tissue and skin.
Movement aggravates it.
Most common pain in older adults due to articular disorders (fractures, muscles strains or sprains).
Somatic pain
Type of pain:
Deep organ stretch, inflammation, or ischemia. May be accompanied by N/V
Intense pressure, deep squeeze
Ex: appendicitis, cholecystitis, pancreatitis
Visceral pain
Type of pain:
Involving PNS of CNS.
Includes numbness and tingling, burning sensations.
Neuropathic pain
What pain scale do they use for dementia patients?
The Pain Assessment in Advanced Dementia scale (PAINAD)
What 5 things does the PAINAD (pain scale for dementia patients) assess?
Breathing
Negative Vocalization
Facial Expression
Body Language
Consolability
To help educate patients on pain, what is the LEARN model?
Listen
Explain
Acknowledge
Recommend
Negotiate
What is the P, Q, R, S, T, U mnemonic for pain?
P -pattern of pain
Q- quality of pain
R- what relieves the pain
S- what stimulates the pain
T- timing, duration, frequency
U- what do you do that’s worked to help the pain
What is the first line approach to pain management?
Analgesics:: Acetaminophen
What is a risk for patients who take high doses of acetaminophen with a history of alcohol abuse?
Hepatic toxicity
What is the most common complaint for NSAIDs?
Indigestion
What opioids can be safely used for older adults for pain?
Codeine
Hydromorphone
Morphine
What are common side effects of opioids?
N/V
Respiratory depression
Constipation
Urine retention
