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1430 > Comfort > Flashcards

Comfort Flashcards

1
Q

Antecedent

A

Effective circulatory system
Able to discern from comfort to discomfort
Without noxious stimuli
Intact neurological/ sensory system

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2
Q

Attributes

A

Reports being comfortable
Indicates pain scale zero
relaxed facial expression and body posture
Vital signs WNL for baseline

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3
Q

Antecedent

A

Effective circulatory system
Able to discern from comfort to discomfort
Without noxious stimuli
Intact neurological/ sensory system

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4
Q

Gate theory

A

Open close gates
Nociceptive receptors are fat
Pain receptors are thin

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5
Q

Physiologic process of Nociceptive pain

A

Transduction
Transmission
Perception
Modulation

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6
Q

Pain

A

Wherever the experiencing person says it is, existing wherever he says it does

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7
Q

Pain

A

5 vital sign

Pain should be assess
Q1h or less when pain is present

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8
Q

Risk factors

A

Increase risk of under treatment of pain in older neonates and persons unable to report pain

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9
Q

Acute pain

A

Protective cause on set can be

Is well defined

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10
Q

Nociceptive

A

Normal pain transmission from surgery trauma burns and tumor growth

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11
Q

Neuropathic pain

Sharp burning shooting electrical shocks

A

Results from abnormal processing of sensory input as seen in nerve damage and in PANTOM LIMB PAIN

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12
Q

Somatic

A

Comes from bone joint muscle skin or connective tissue

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13
Q

Visceral pain

A

Comes from the organs. Pain are described as aching an well localized or cramping an poorly localized

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14
Q

Neuropathic pain

A

Centrally pain.

Pain from peripheral or central nerve injury

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15
Q

Peripherally generated pain

A

Painful polyneuropathies such as diabetic neuropathy often described as pins and needles sensation

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16
Q

Mixed pain syndrome

A

Unique with multiple underlying and poorly understood mechanisms

Fibromyalgia

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17
Q

Pain threshold

A

Amount of stimulus needed to feel pain.

Generally same for all people

18
Q

Pain reaction

A

Autonomic and behavioral responses to pain.

Behavioral responses are often absent in chronic pain. THEY DON’T HAVE THE SAME AUTONOMIC RESPONSE

19
Q

Pain tolerance

A

The maximum pain a person is willing to endure

Differs from person to person

20
Q

Pain intensity scales

A

0-10 numerical rating scale

Wong-baker faces pain rating scale PEOPLE WHO Don’t COMMUNICATE WELL WITH

Visual analog scale

Payen behavioral pain scale

PAINAD

21
Q

Pain descriptions

A 
Sharp 
Searing 
Shooting 
Burning 
Crushing 
Cramping
22
Q

Addiction

A

Compulsive use and craving for a substance. Is a psychological response

23
Q

Physical dependence

A

Appearance of withdrawal symptoms is the substance is abruptly stopped

24
Q

Tolerance

A

Decreasing effect of the drug overtime

25
Q

Physical dependence and tolerance

A

Expected after prolonged opioid administration

26
Q

Nurse.

Role of care

A 
Accept the patient's report of pain or discomfort 
Pt teaching 
Prevent pain/ discomfort 
Non-pharmacologic measures 
Pain medications
27
Q

Comfort care and pain management

A

Oral medications
IV meds
Topical analgesics

28
Q

Analgesics

A

Analgesics

Opioids
non-Opioids and NSAID
Adjuvant: a thing added to modify the effects of something ( it makes it better)

29
Q

Side effects of opioids

A 
CONSTIPATION 
Nausea 
Vomiting 
Sedations
Pruritus
Urinary retention 
Confusion 
Respiratory depression

NALOXEN (Narcan). opioids antagonist

30
Q

Osteoarthritis

A

Is a non-inflammatory degenerative disorder of the joints

Most common type of arthritis

31
Q

Nursing assessment of osteoarthritis

A 
Pain
Functional limitations 
ROM
joint alignment
Home barriers 
ADL ability
32
Q

Osteoarthritis chronic pain non surgical management

A 
Rest
Immobility 
Weight management
Heat/ice
Lidocaine patch
Topical analgesics 
Tylenon 
NSAID (naproxen)
33
Q

Degenerative disc disease

A

Progressive degeneration is a normal process of aging and results in the intervertebral disks losing their elasticity flexibility and shock absorbing capabilities

34
Q

Back pain assessment

A 
Pain
Score
Hx
Location 
Description 
Associated symptoms
posture
Vertebral alignment
Sensory alterations
35
Q

Degenerative disks disease

Non-surgical intervention

A 
Positioning 
Activity restrictions 
Medications 
    Tylenol.  (NSAID)
     Muscle relaxers 
     Steroids 
      Adjuvant (Neurontin)
Heat/cold
Physical therapy 
Weight control 
Complementary therapies
36
Q

Degenerative disks disease

Surgical intervention

A

Laminecto

37
Q

Acute pain

A

Pain is expected after a surgical procedure b/c of the surgical trauma and tissue response

Muscle spasms occur after a surgery

38
Q

Pot-op pain management

A 
Ice packs 
Positioning 
Opioids 
NSAIDS
Local anesthesia 
Encourage early mobility
39
Q

Procedural pain

Nursing intervention

A

Treat pain or expected with analgesics prior to procedure
Pt education about pain prior
assess location onset duration

40
Q

Comfort

A

State of physical ease

41
Q

Primary prevention

A

Health promotion disease prevention
Pt education:assessment of discomfort
Pain identification

Analgesics 
Relaxation techniques 
Guided imagery
Proper body alignment
Thermal measures
Mind body therapies

1430 (4 decks)

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