Creating Comfort and Pain Management

Question 1

what is the nurses role in providing care, compassion, and comfort

Answer 1

• empathy
• authentic presences and compassion
• communication
• advocacy

Question 2

providing comfort definition

Answer 2

• attending to individual’s complex physical, emotional, social, and spiritual needs within context of an authentic presence and compassion

Question 3

what are other distressing symptoms (besides pain)

Answer 3

• shortness of breath
• nausea and vomiting
• itching
• constipation

Question 4

nursing interventions to shortness of breath

Answer 4

• sitting upright
• DB&C
• oxygen therapy
• medications

Question 5

nursing interventions for nausea and vomiting

Answer 5

• medications
• hydration, ice chips
• cool cloth to forehead
• fan in the room
• medications

Question 6

nursing interventions to itching

Answer 6

• medications
• heat/cold
• lotions

Question 7

nursing interventions to constiaption

Answer 7

• nutritional interventions
• fluids/hydration
• ambulation
• medications

Question 8

sympathetic nervous system response to pain

Answer 8

• increased respirations, heart rate, BP, blood glucose
• Diaphoresis, muscle tension, dilated pupils
• nausea, vomiting

Question 9

parasympathetic nervous system response to pain

Answer 9

• pallor, muscle tension
• decreased hear rate, BP
• rapid irregular breathing
• weakness, exhastions

Question 10

what are examples of behavioural responses to pain

Answer 10

• nonverbal expressions, vocalizations
• physical exhaustion
• emotional exhaustion
• anxiety, fear
• depression, hopelessness
• irritability, anger
• chronic fatigue, altered sleep
• affects social, spiritual, and psychological well being

Question 11

older adults

Answer 11

may believe pain is a part of aging

Question 12

stoic individual

Answer 12

society tends to respect those who suffer in scilence

Question 13

uninformed person

Answer 13

dont know to ask for pain medication

Question 14

marganilized individual

Answer 14

dont want to be stigmatized

Question 15

common misconceptions

Answer 15

think that pain medications will lead to addictions

Question 16

4 types of pain

Answer 16

• acute pain
• chronic pain
  -breakthrough pain
• cancer pain

Question 17

acute pain

Answer 17

• identifiable cause
• predictable ending and short duration

Question 18

chronic pain

Answer 18

• persistent of intermittent
• may not have identifiable cause

Question 19

breakthrough pain

Answer 19

• pain breaks through medication treatment that control pain

Question 20

cancer pain

Answer 20

• may be acute or chronic
• may be due to disease or treatment

Question 21

what assessment should you use to asses shortness of breath

Answer 21

PQRSTU

Question 22

what does the P stand for

Answer 22

Provocative / pralliative

Question 23

what does the Q stand for

Answer 23

quality

Question 24

what does the r stand for

Answer 24

region

Question 25

what does the s stand for

Answer 25

severity

Question 26

what does the t stand for

Answer 26

timing

Question 27

what does the u stand for

Answer 27

understanding

Question 28

what are some non pharmalogical nursing interventions for pain

Answer 28

- relaxation/giuded imagery - distractions - music - biofeedback - acupuncture - massage - hot/cold - therepeutic touch - herbal supplements

Question 29

barrier to effective pain management can be created by

Answer 29

- the paitient - the heath care provider - the health care system

Question 30

patient related barriers to effective pain management

Answer 30

- poorly controlled pain - fear of addiction - fear of adverse effects - fear of tolerance - concern about patient taking too many pills already - not wanting family/ friends to worry - belief that pain inevitable

Question 31

heath care provider barriers to effective pain management

Answer 31

- concern about addictions - fear of legal repercussions - no visible cause of pain exists - time constraints - assumptions about "drug seeking"behaviour