Pain Assessment

Question 1

is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.

Answer 1

Pain

Question 2

• the 5th Vital Sign

Answer 2

Pain

Question 3

Nature of Pain

Answer 3

▪ Pain is subjective and highly individualized
▪ Its stimulus is physical and/or mental in nature
▪ Only the patient knows whether pain is present and how the experience feels
▪ May not be directly proportional to amount of tissue damage

Question 4

Pain is classified. by:

Answer 4

Based on duration
Based on etiology
Based on location
Based on intensity

Question 5

Pain based by duration

Answer 5

Acute
Chronic

Question 6

▪ Lasting from seconds to 6 months
▪ It usually resolves, with or without treatment, after an injured area heals

Answer 6

Acute Pain

Question 7

T/F
Unrelieved acute pain can progress to chronic pain

Answer 7

True

Question 8

▪ Last longer than 6 months
Episodic pain: pain episodes last for
hours, days, weeks. (e.g. migraine headaches)

Answer 8

Chronic Pain

Question 9

Chronic Pain can be

Answer 9

▪ Can be:
-Chronic non cancer pain
-Chronic cancer pain
-Chronic Episodic pain:

Question 10

Pain Based on intensity

Answer 10

Mild pain
Moderate pain
Severe pain

Question 11

Pain scale reading from 1 -3

Answer 11

▪ Mild Pain:

Question 12

Pain scale reading from 4 to 6

Answer 12

▪ Moderate Pain

Question 13

Pain scale reading from 7 to 10

Answer 13

▪ Severe Pain

Question 14

Classification of pain based on etiology:

Answer 14

Classification of pain based on etiology
Nociceptive pain:
-Somatic pain
-Visceral pain
Neuropathic pain:
- Peripheral neuropathic pain
-Central neuropathic pain

Question 15

experienced when an intact, properly functioning nervous system sends signals that tissues are damaged, requiring attention and proper care.

Answer 15

Nociceptive Pain

Question 16

pain that is originating from the skin, muscles, bone, or connective tissue

Answer 16

Somatic Pain

Question 17

pain that results from the activation of nociceptors of the thoracic, pelvic or abdominal viscera (organs)

Answer 17

Visceral pain:

Question 18

associated with damaged or malfunctioning nerves due to illness, injury, or undetermined
reasons.

Answer 18

Neuropathic pain

Question 19

due to damage to peripheral nervous system

Answer 19

Peripheral neuropathic pain

Question 20

results from malfunctioning nerves in the central nervous system

Answer 20

Central neuropathic pain

Question 21

• These are various tools that are designed to assess the level of pain.

Answer 21

Pain Assessment Tool

Question 22

The most commonly used Pain Assessment tools are:

Answer 22

1. Verbal Rating Scale
2. Numeric Rating Scale
3. Wong Baker’s Faces Pain Scale

Question 23

) is a safe method for pain management that many patient prefer.

Answer 23

Patient-Controlled Analgesia

Question 24

reflect the body’s physiologic status and provide information critical to evaluating homeostatic balance.

Answer 24

Vital Signs

Question 25

Vital Signs Includes

Answer 25

Temperature, Pulse Rate, Respiratory Rate, and Blood Pressure

Question 26

It is the hotness or coldness of the body. It is the balance between heat production and heat loss of the body.

Answer 26

Temperature

Question 27

2 Kinds of Body Temperature

Answer 27

1. Core Temperature: temperature of internal organs
2. Surface temperature: temperature of the skin,
   subcutaneous tissue and fat cells

Question 28

For healthy adult the normal resting pulse range from 60 – 100 beats per minute

Answer 28

Pulse Rate

Question 29

is characterized as an abnormally low heart rate which is fewer than 60 beats per minute

Answer 29

▪Bradycardia

Question 30

is characterized a fast heart rate which is more than 100 beats per minute.

Answer 30

▪ Tachycardia

Question 31

Respiration
▪ Each respiration is divided into two phases:

Answer 31

• Inhalation, which is breathing in
• Exhalation, which is breathing out

Question 32

normal respiration (12 – 20 respirations/minute)

Answer 32

▪ Eupnea

Question 33

Respirations above 20 respirations/minute

Answer 33

▪ Tachypnea

Question 34

Respirations less than 12 respirations/minute

Answer 34

▪Bradypnea

Question 35

Is a measurement of the pressure or force exerted by the blood on the wall of the arteries in the heart

Answer 35

Blood Pressure

Question 36

▪ Formal, legal document that provides evidence of a client’s care. There different systems and form of documentation, but all client records have similar information

Answer 36

Chart/ Client Record

Question 37

▪ AKA charting / documenting
▪ process of making an entry on a client record

Answer 37

Recording

Question 38

Purposes of Records

Answer 38

▪ Communication
▪ Planning client care
▪ Auditing health agencies
▪ Research
▪ Legal Documentation
▪Reimbursement

Question 39

– a traditional part of source-oriented record.
- It consist of written notes that include routine care, normal fundings, and client problems

Answer 39

Narrative Charting

Question 40

• Intended to make the client and client concerns the focus of care.
• Provides a holistic perspective of the client and the client’s needs

Answer 40

Focus Charting (FDAR)– Focus, Data, Action, Response

Question 41

Progress Notes (SOAPIE) –

Answer 41

Subjective Data, Objective Data, Assessment, Plan, Intervention, Evaluation

Question 42

Types of Charting

Answer 42

Narrative Charting
Focus Charting (FDAR)
Progress Notes (SOAPIE)