Chapter 33 Flashcards
Comfort and Rest Needs
acute pain
sharp / severe;
- felt suddenly from injury, disease, trauma, surgery
chronic pain
continues for long time (longer than 12 weeks)
- on and off
- persistent (constant)
comfort
state of wellbeing; no pain whatsoever
pain
discomfort; ache / hurt / be sore
insomnia
chronic condition where person cannot sleep / stay asleep
rest
to be calm / relaxed w/ no stress
sleep apnea
pauses in breathing during sleep
sleep deprivation
poor amount / quality of sleep causing reduced function / alertness
sleepwalking
person leaves bed / walks while sleeping
- lasts 3-4 min (can be longer)
- has no memory
what factors affect comfort ?
- pain !
- age
- illness
- activity lvl
- temp.
- ventilation
- noise
- odor
- lighting
what can pain signal ?
tissue damage
pain is what for every single person ?
personal and subjective
- differs from each person
- depends on what persons says
factors affecting pain ?
- past / current experience
- anxiety
- rest / sleep needs
- attention
- support from others
- personal / familial duties
- meaning of person’s pain
- culture
- illness
- age
allows follow care plan
behavioral changes should be what ?
reported at once
- changes in mental comprehension
- changes in appetite
- changes in agitation
etc.
radiating pain
pain felt at the site / areas around site of trauma / injury
phantom pain
pain felt from a body part is no longer there
what info about persons pain should be reported (8) ?
- location of pain (person point out area)
- onset / duration (when start / how long)
- intensity (mild, moderate, severe; 0-10)
- description (aching, throbbing, dull, etc.)
- factors causing pain (precipitating factors; what person was doing before / during pain started)
- factors affecting pain (what makes pain better / worse)
- vital signs
- signs / symptoms
gallbladder pain may radiate to what parts of the body ?
- right upper abdomen
- back
- right shoulder
comfort measures to promote comfort / relieve pain ?
- distraction (distract from pain)
- relaxation (free from mental / physical stress)
- guided imagery (focus on creating / imagining relaxing imagery)
after pain-relief drugs are given, how long should you wait before giving care ?
30 min
what is the purpose of back massages ?
- promote comfort / relieve pain
- relax muscles
- stimulate circulation
when / how long should back massages be given ?
after repositioning, baths / showers, w/ evening care
- use w/ lotion to reduce friction
- only 3-5 min
what areas / persons should you not give back massages to ?
- person w/ heart disease
- person w/ lung disorders
- person w/ back injury / surgery
- person w/ skin disease
- reddened bony areas
position best for giving back massages ?
- prone
- side-lying (preferred by older person)
