Pain Assessment

Question 1

why do children not always admit to having pain

Answer 1

avoid injections
they may not know they are in pain if its constant and chronic
they think others know how they are feeling
culture
gender

Question 2

who, besides the patient, is able to identify when the child is in pain

Answer 2

the parents! they know their children better than anyone else

Question 3

is addiction to narcoticsa normal finding in children

Answer 3

no

Question 4

addiction is extremely _______ when medication is used for an _____ condition and when there is not past ______ of addiction

Answer 4

rare; acute; history

Question 5

is anaphylaxis related to penicillin higher or lower than the risk of respiratory depression from opioids

Answer 5

higher

Question 6

need for larger dose of opioid to maintain original effect

Answer 6

drug tolerance

Question 7

what is the “protective benefits of opioids”

Answer 7

increase in pain= more opioids= decrease respiratory depression

Question 8

withdrawal symptoms when chronic use of opiod is discontinued or opioid antagonist is given

Answer 8

physical dependence

Question 9

babies are not born “addicted” they are born

Answer 9

drug dependent

Question 10

can an infant be experiencing pain even when lying quiet with eyes closed

Answer 10

yes

Question 11

what are the 4 pain assessment cues

Answer 11

1. verbal
2. behavioural
3. physiological
4. contextual

Question 12

self report is the best way we know they are in pain- infant may be crying or screaming

Answer 12

1 verbal pain cue

Question 13

what is their facial expression, posture, are they barely moving, are they sleeping more or less

Answer 13

2 behavioural pain cue

Question 14

the problem with this is your body compensates over time with pain- initially you would expect them to by tachycardia, tachypnea, etc but then the body has compensated and it does not show

Answer 14

3 physiologic pain cue

Question 15

anything that will play into what you think we are missing about why they are hurting

Answer 15

4 contexual pain cue

Question 16

what is QUESTT

Answer 16

Question the pt
Use pain rating scale
evaluate behavior and physiologic signs
secure familys involvment
take cause of pain into account
take action and assess effectiveness

Question 17

what words can we use to describe pain to young pt

Answer 17

owie, boo-boo, ouch, hurt, ow ow

Question 18

when asking the pt if they are in pain who else should you ask

Answer 18

ask the parent about previous experiences with pain

Question 19

what type of documentation of pain is more likely to lead to favorable change in analgesic orders

Answer 19

objective (what you see)

Question 20

what age can they start using the numeric scale

Answer 20

5 and older but they should have a number concept

Question 21

when telling a pt about the wont-baker FACES scale what should you emphasize

Answer 21

that you don’t have to be crying to rate your pain a 10 like the picture suggests

Question 22

what are physiologic indications of acute pain

Answer 22

dilated pupils
increase sweating
increased heart rate
increased rate of resp.
increased BP
decreased urine output
decreased peristalsis of GI tract
increased MBR

Question 23

at what age can you switch to FACES

Answer 23

age 3 but can still use FLACC

Question 24

behavioral pain rating scales are pain ______ score not a pain _____ score

Answer 24

behavioral; intensity

Question 25

how long will it take for IV analgesics to take effect

Answer 25

5 minutes so assess their pain after 5 minutes of giving and also 15 minutes

Question 26

how long will it take for PO analgesic to take effect

Answer 26

30-60 minutes