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Foundations of nursing > pain management > Flashcards

pain management Flashcards

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1
Q

who has the authority on what pain is and how it feels?

A

the patient

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2
Q

is pain subjective or objective

A

pain is sunjective

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3
Q

when a person says they are not in pain, but their body language suggests otherwise, which one should we believe?

A

the nonverbal body signs

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4
Q

where do the small fibers direct pain signals to?

A

the brain

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5
Q

what do large fibers do for pain?

A

it inhibits

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6
Q

what sort of things can affect pain?

A

past experiences, beliefs about pain, emotions

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7
Q

what is the process of pain travel?

A

transduction, transmission, perception, and modulation

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8
Q

what is transduction?

A

the activation of pain receptors

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9
Q

what is transmission?

A

the conduction of pain along the pathways

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10
Q

what is the perception of pain?

A

when we become aware of the characteristics of pain, i.e the pain threshold

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11
Q

what is modulation of pain?

A

the inhibition or the modification of pain

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12
Q

what does an endorphins do?

A

they can act as opioid analgesics

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13
Q

describe acute pain

A

pain that is rapid and can vary in intensity

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14
Q

is acute pain protective? why or why not?

A

it is protective. it protects us from tissue and nerve damage.

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15
Q

what are some characteristics of chronic pain?

A

it can be limited or persistent

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16
Q

what is the timeframe for chronic pain?

A

3-6 months. chronic pain lasts longer than the normal healing period

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17
Q

describe somatic pain

A

deep pain that can originate in blood vessels, bones, tendons, etc

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18
Q

describe visceral pain

A

poorly localized, poorly described pain that can originate in the organs and areas of the body like the abdomen

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19
Q

what is cutaneous pain?

A

pain that involves the skin or subcutaneous layer

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20
Q

is cutaneous pain superficial or deep?

A

superficial

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21
Q

describe referred pain

A

pain that is perceived in a different part of the body than it is originating in

22
Q

what is nociceptive pain?

A

pain that is apart of the normal process. this pain is stimulated by nerve fibers

23
Q

true/false : nociceptive pain is caused by non neural tissue damage

A

true

24
Q

describe neuropathic pain

A

pain that is caused by damage to the peripheral nervous system or the central nervous system

25
Q

what is nociplastic pain?

A

pain that is not nociceptive or neuropathic in nature

26
Q

what is intractable pain?

A

pain that is still present even when interventions have been used

27
Q

what is phantom pain?

A

pain that does not appear to be caused by a pathophysiological event

28
Q

when we assess patients for pain, what are some things we are checking for?

A

factors like psychological, sociocultural, spiritual, and pathophysiological

29
Q

what are some words that can be used to describe pain?

A

dull, sharp, radiating, shifting, severe, etc

30
Q

true/false: pain assessments require subjective and objective information to be received from the patient

A

true

31
Q

what is the RN’s job when it comes to pain assessments?

A

trying to understand and determine the etiology of the pain

32
Q

true/false: we don’t need to ask the patient about their preferred pain level

A

false.
rationale: we must get the patient to an acceptable pain level on their end. we should see which nursing interventions could be implemented

33
Q

what are the 2 types of measures we could use to implement pain management?

A

pharmacological and non-pharmacological

34
Q

we must ____ after we have used an implementation of pain management for a patient

A

evaluate

35
Q

when asking a patient we should always remember to ask ____ types of questions

A

descriptive/leading/etc

36
Q

what are some characteristics of a good pain assessment question?

A

time it started, type of pain, where it is located, onset, amelioration/worsening

37
Q

true/false: objective pain includes things like patient self reporting

A

false
rationale: since self reporting is all about what the patient feels, this is subjective

38
Q

what are some objective characteristics of pain assessment?

A

facial changes, pupil size, changes in skin tone

39
Q

what do we need to do after an opioid analgesic has been administered?

A

reassess the pain level to see if the intervention was helpful

40
Q

what is the flacc scale?

A

a tool used for patients who are not able to verbalize/quantify their pain, so this nonverbal chart is used with observing

41
Q

what is the CRIES scale?

A

the pain scale that is being used for >38 weeks of gestation

42
Q

what type of scale is the 0-10 scale?

A

self reporting

43
Q

true/false: it is the RN’s job to make sure that the relationship with the patient is secure and welcoming

A

true

44
Q

what are some things we as RN’s can do to manipulate pain factors?

A

we can validate fears, have honest talks, promote rest, etc

45
Q

what are some nursing interventions we could do to ameliorate pain?

A

distractions, humour, meditation, etc

46
Q

how do opioid analgesics work?

A

they are antagonists that attach to receptors in the brain

47
Q

what is important to keep in mind when we administer opioid analgesics?

A

we need to monitor the pt frequently and check for physiological responses to the pain with our ongoing assessments

48
Q

is lying to a patient/giving them a placebo for pain ethical?

A

no. we as nurses have an ethical and moral obligation to ameliorate pain

49
Q

for cancer patients, what is the preferred route of medication administration?

A

oral
rationale: we should be giving around the clock pain meds and giving the patient as much control as possible

50
Q

is pain denial prevalent within adult/older populations?

A

yes
rationale: there could be lots of stigma associated with receiving pain medication/accepting that supplemental help (medication) is needed to ameliorate pain

51
Q

who is allowed to touch and operate the PCA pump for opioid analgesics?

A

the patient ONLY

52
Q

true/false: do RN’s have a responsibility to educate patients on pain?

A

yes
rationale: patient education is a right and should always be extended to the patient so that the patient centered model of care is upheld

Foundations of nursing (2 decks)

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