Chapter 6—Pain Assessment

Question 1

type of pain carried by a-delta fibers

Answer 1

pricking, sharp, electric quality sensation

Question 2

type of pain carried by c fibers

Answer 2

throbbing, aching

Question 3

acute pain length

Answer 3

<6 months

Question 4

long term pain not associated c cancer

Answer 4

chronic nonmalignant

Question 5

3 pain locations

Answer 5

Cutaneous
Visceral
Deep somatic

Question 6

3 types of pain perception

Answer 6

Radiating
Referred
Phantom

Question 7

neuropathic pain

Answer 7

abnormal processing of pain messages secondary to nerve damage

Question 8

_________ is highly resistant to pain relief

Answer 8

intractable

Question 9

hierarchy of pain assessment techniques

Answer 9

Self-report
Search for potential causes
Observe patient behaviors
Surrogate reporting - secondary sources
Attempt analgesic trial

Question 10

interventions for pain

Answer 10

Assess VS before & after giving pain meds
Use nonpharma treatments
Reassess after interventions - 30 mins to 1 hour after treatment

Question 11

pain scales used for children

Answer 11

faces

Question 12

best use of FLACC scale

Answer 12

can be used during sleep

Question 13

best use of PAINAD scale

Answer 13

dementia, cognitively impaired, intubated, nonverbal

Question 14

FLACC

Answer 14

face, legs, activity, cry, consolability

Question 15

PAINAD

Answer 15

breathing independent of vocalization

negative vocalization

facial expression

body language

consolability