Chapter 33 Flashcards
Comfort and Rest Needs
What increases the need for rest & sleep?
pain, illness, and injury
______ is a major factor affecting comfort
Pain
Age, illness, and activity affect _______
comfort
Pain is _______, that is, pain _______ for each person
- personal
- differs
Pain is ________
Subjective
Factors affecting pain is the _______ from ______. Dealing with pain is often easier when ________ and _______ offer comfort & support
- Support
- Others
- Family
- Friends
What _____ to one person may ______ or be ______ to another person
- hurts
- ache
- sore
______ and ______ needs increase with illness and injury
- Rest & sleep needs
_________ is a factor affecting pain. Pain seems much worse when it is the person’s main focus
attention
Pain can cause ______ because it relates to feelings of fear, dread, worry, and concern
anxiety
_______ and _______experiences and those of others help in learning about pain and what to expect
- Past
- current
- Past and current experiences
- Anxiety
- Rest and sleep needs
- Attention
- Support from others
are factors that affect pain, what are 5 other factors affecting pain?
- Personal and family duties
- The meaning of pain
- Culture
- Illness
- Age
- Personal and family duties
- The meaning of pain
- Culture
- Illness
- Age
are factors that affect pain, what are 5 other factors affecting pain?
- Past and current experiences
- Anxiety
- Rest and sleep needs
- Attention
- Support from others
In some cultures, the person in pain is ______
stoic
______ pain lasts a short time and lessens with healing
Acute
_______ pain may mask new pain
Chronic
______ pain is sharp or severe. It is felt suddenly from injury, disease, trauma, or surgery
Acute
T/F: With chronic pain, there is tissue damage
FALSE: Acute pain has tissue damage
_______ pain continues for a long time
Chronic
T/F: Chronic pain signals new injury or a life-threatening event
FALSE: It is Acute pain that signals new injury or a life-threatening event
_____ pain is often a symptom of an ongoing health problem
Chronic
With ______ pain, there is no longer tissue damage, but pain remains
Chronic
What is an example of chronic pain?
arthritis
________ pain is felt at the site of tissue damage and spreads to other areas
Radiating
Low back pain radiated to the buttocks and legs. What kind of pain is this?
Radiating pain
What is phantom pain?
A pain that comes from a body part that is no longer there.
When reporting signs and symptoms of pain, what information does the nurse need? (8)
- Location
- Onset & duration
- Intensity
- Description
- Factors causing pain
- Factors affecting pain
- Vital signs
- Other signs & symptoms
What does precipitating factors mean?
Cause
How can a patient explain the intensity of their pain?
By using a rate from 0 to 10, the Wong-Baker Faces Pain Rating Scale
Distraction, relaxation, and guided imagery are all part of?
Comfort Measures
What 3 things are related to comfort measures?
Distraction, relaxation, guided imagery
Wait __ minutes after pain-relief drugs are given to give care or start activities
30 minutes
Clenching of the jaw, crying, and frowning are all signs of?
Pain
If a patient has taken strong pain-relief drugs or sedatives, how often should you check on the person?
10 to 15 minutes
When is it a good time for back massages?
After re-positioning, after baths or showers, and with evening care
Back massages last __ to __ minutes
3 to 5
What should you look for on the skin before giving a back massage?
Look for breaks in skin, bruises, reddened areas, and other signs of skin breakdown
Lotion reduces ____ during the massage and ____ the skin
- friction
- softens
What should you do before giving a back massage?
Check the care plan and with the nurse.
Back massages can harm persons with certain ______ diseases, ______ ______ and surgeries, ____ diseases, and ______ disorders
- Heart
- Back injuries
- Skin
- Lung
What are the best positions for a massage?
Prone or side-lying
What are ways you can warm lotion before applying?
- Rub some lotion between your hands
- Place the bottle in the bath water
- Hold the bottle under warm water
After the massage, apply lotion to the ______, ______, and _____. Those bony areas are at risk for skin __________
- elbows
- knees
- heels
- breakdown
Lay the towel on the bed along the back if the person is in ______ position
side-lying
When massaging a patient, use _____ movements to stimulate, use _____ movements to relaxt the person
- fast
- slow
To end a massage, stroke with _____, ______ movements
- stroke
- firm
- Sharp
- Cramping
- Burning
- Constant
- Intermittent
Are characteristics of pain, what are 5 other characteristics of pain?
- Aching
- Throbbing
- Stabbing
- Piercing
- Dull
- Aching
- Throbbing
- Stabbing
- Piercing
- Dull
Are characteristics of pain, what are 5 other characteristics of pain?
- Sharp
- Cramping
- Burning
- Constant
- Intermittent
During sleep, ______ signs are lower than when awake.
vital
Tissue healing & repair occur when _______
asleep
What factors affect sleep? (8)
- Illness
- Nutrition
- Exercise
- Sleep setting
- Drugs & other substances
- Life-style changes
- Age
- Emotional Problems
T/F: Life-style changes do not affect sleep
FALSE
The protein ______ tends to help sleep
tryptophan
______ and ______ problems may result from sleep disorders
Physical & behavioral
Physical & behavioral problems may result from?
Sleep disorders
_______ is a chronic condition in which the person cannot sleep or stay asleep all night
Insomnia
_______ _______ is when the amount and quality of sleep are not adequate, causing reduced function and alertness
Sleep deprivation
_____ _____ is when pauses in breathing occur during sleep
Sleep apnea
Older adults need about __ to __ hours of sleep each night
7 to 9
Which statement about pain is true?
a. Pain is a warning sign from the body
b. Age and culture do not affect pain responses
c. Pain experiences are the same for each person
d. Pain can be measured with equipment
a. Pain is a warning sign from the body
A person is restless and complains of pain. You should
a. Rate the intensity based on the person’s behavior
b. Give a pain-relief drug and tell the nurse
c. Tell the nurse only if you think the person has pain
d. Report the person’s exact words
d. Report the person’s exact words
Moaning, crying, and calling out are all examples of ______ signs of pain
nonverbal
T/F: Rubbing the area, guarding, redness or swelling are all signs of verbal pain
FALSE: nonverbal pain!
Slow, rapid, loud or quiet speech is an example of _____ pain
nonverbal
Meet ____, ______, ______ needs before times of rest
- food
- fluid
- elimination
Calm, at ease, relaxed, no stress or anxiety, and planning patient care for uninterrupted sleep time are all related to?
REST
Sleep lowers ______, ______, and _______
- stress
- tension
- anxiety
A person thinks and functions better after ______
sleep
T/F: Night-time wandering in a safe and supervied setting is allowed for some persons
TRUE
