Pain & Comfort - Not for midterm Flashcards
Pain is a normal part of aging T of F?
FALSE
Barriers to pain management
- aging stereotypes
- Under recognition in the impaired
- Fear of addiction
- Personal values of nurse
- Cost, access
PAINAD
used in advanced dementia
CNPI
NONVERBAL pain indicators
Cues with communication barriers
Behavioural changes
Activity changes
Vocalization changes
Physical changes
Varicella/herpes zoster
- Dermatome
- Days-weeks chronic + much longer
- Vaccination for those 50+
What is comfort?
Balance of most basic of all needs
Adjuvant
Medication used to treat pain that has another primary use
Titration
Adjustment of dose until desired effect is produced
What is pain
sensation of distress
Factors effecting communication of pain
- Hearing loss
- Depression
- Sedating med.
- Personality
- Social acceptance
- congnition/communication
Adverse iatrogenic events
Falls, cognitive changes, often effects of polypharmacy
Osteoarthritis
- By 50, most adults have degeneration of lower spine
- Most common: loss of support in s column
- Destruction of inner joint surfaces
Osteoarthritis–> pain
- Intermittent, becomes persistent
- Aching and stiffness with inactivity, discomfort/acute pain with activity
Osteoarthritis–> intervention
- Moist heat
- Avoid overuse
- Acetominophen (mild)
NSAIDS for moderate-severe