Pain & Comfort - Not for midterm Flashcards

1
Q

Pain is a normal part of aging T of F?

A

FALSE

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2
Q

Barriers to pain management

A
  • aging stereotypes
  • Under recognition in the impaired
  • Fear of addiction
  • Personal values of nurse
  • Cost, access
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3
Q

PAINAD

A

used in advanced dementia

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4
Q

CNPI

A

NONVERBAL pain indicators

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5
Q

Cues with communication barriers

A

Behavioural changes
Activity changes
Vocalization changes
Physical changes

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6
Q

Varicella/herpes zoster

A
  • Dermatome
  • Days-weeks chronic + much longer
  • Vaccination for those 50+
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7
Q

What is comfort?

A

Balance of most basic of all needs

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8
Q

Adjuvant

A

Medication used to treat pain that has another primary use

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9
Q

Titration

A

Adjustment of dose until desired effect is produced

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10
Q

What is pain

A

sensation of distress

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11
Q

Factors effecting communication of pain

A
  • Hearing loss
  • Depression
  • Sedating med.
  • Personality
  • Social acceptance
  • congnition/communication
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12
Q

Adverse iatrogenic events

A

Falls, cognitive changes, often effects of polypharmacy

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13
Q

Osteoarthritis

A
  • By 50, most adults have degeneration of lower spine
  • Most common: loss of support in s column
  • Destruction of inner joint surfaces
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14
Q

Osteoarthritis–> pain

A
  • Intermittent, becomes persistent

- Aching and stiffness with inactivity, discomfort/acute pain with activity

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15
Q

Osteoarthritis–> intervention

A
  • Moist heat
  • Avoid overuse
  • Acetominophen (mild)
    NSAIDS for moderate-severe
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16
Q

Physical Approaches for pain relief

A
  • Touch (reiki)
  • Cutaneous nerve stimulation (acupuncture, moxibustion)
  • Massage, vibration etc
  • Transcutaneous: electrodes
17
Q

Cognitive-Behavioural Approaches for pain relief

A

Biofeedback - learn voluntary control over some body processes
Distraction
Relaxation, meditation, imagery

18
Q

Adjuvants for moderate-sever pain

A

Antidepressants=nerve pain
Anticonvulsants=neuropathic
Corticosteroid=inflammation

19
Q

Age related changes

A

Absorption
Distribution
Metabolism
Excretion of medication

20
Q

Where should a medication be titrated?

A

Point where relief is Constant

Avoid unecessary suffering

21
Q

Opiates

A

Greater analgesic effect, higher peak, longer duration (PROLONGUED HALF LIFE)

  • Gait disturbance, dizziness, sedation, falls, constipation
  • Bowel regimen must be in place