Pain Lecture Flashcards
Drug/alcohol use and abuse Smoking Motor vehicle accidents Paint huffers damaged for life These are the most common hazards for what developmental stage?
Adolescent
Name 6 Non pharmacological interventions for pain?
Ice initially Heat after swelling goes down Positioning Guided imagery Music - Distraction Pet therapy
Diabetes leads to _______. This can decrease the patients ability to sense pain.
Neuropathy
This has identifiable source. Ex. surgery injury disease process resolves after problem is fixed Lasts 6 months or less What is this defined as?
Acute pain
Planning needs to be _______.
RUMBA
Name 6 common pain diagnoses?
Ineffective coping Fatigue Risk for caregiver role strain Impaired physical mobility Acute pain Chronic pain
Pain can be controlled vs uncontrolled. What can help control pain?
Medications
Falling out of bed Cuts burns seizures Med errors Enough staff double checks needed dehydration Malfunction, disrepair, and electrical hazards of equipment What are these examples of?
Highest Nosocomial (Hospital Acquired) Risk factors
Name 4 pharmacological interventions for pain.
Narcotics
NSAIDS cause ulcers and kidney problems
Steroids
Adjuvants (synergistic effects with other pain meds)
The patient will describe the CNS location, duration,and quality. What is this defined as?
Perception
Wash hands - preventative HIV Rodents insects Inadequate disposal of human waste Immunizations - preventative flu shots pneumonia shingles Biohazard waste blood sanitization What are these examples of in the chain of infection?
Modes of Transmission of Pathogens
Vision loss hearing loss Medications Illness Accidents falls are most common Lifestyle STDs are the highest Sensory awareness Cognitive impairments Safety awareness These are the most common hazards for what developmental stage?
Older Adults
What would you assess for when administering pain medications?
Respiratory depression s/sx
LOC & Restlessness is affected by hypoxia first
Pulse ox is a late tool in book it’s early tool
These are the three most common problems associated with pain?
Remissions
Exacerbations
Hard to manage
Pain gets better or gets worse. What is this defined as?
Modulation
Nursing diagnosis for chronic pain is commonly _______________.
Hopelessness
Patients expression of pain can be observed what two ways?
Stoic Vs. Expressive
0-10
This last 6 months or more
back pain is the worst complaint
Chronic Pain
Oxygen improper functioning equipment
Nutrition refrigeration storage and preparation
Temperature 65-75 f comfortable range
Be aware of extreme temps
Humidity water vapor in the air causes dry skin need to stay hydrated- push fluids
Hard to adjust to temp changes (elderly)
What are these examples of related to Maslow’s Heirarchy of Needs?
Basic Human Needs
Age Culture Genetics Previous experience Coping style Gender What do these factors influence?
Pain
Poisoning most common in elderly because of what medical error?
Polypharmacy
Infants Immunocompromised Developmentally delayed Illiterate Homeless Illegal immigrants What type of environment do these vulnerable groups need?
Safe
There is a significant decreased _______ in elderly.
Immunity
Check ____ mins after by IV
Check ____-____ mins by PO
What would the nurse evaluate?
30
45-60
Whether medications worked or not
