Pain Management Part 1 Flashcards
What are your 5 vital signs?
Heart Rate, Respiratory Rate, Blood Pressure, Temperature, & Pain
This is whatever the patient says it is =
Pain
What kind’s of pt’s will you need to monitor for pain by assessing for things like Facial Grimacing + Guarding and by monitoring their vitals?
People who are Dementia pt’s, Mentally Disabled, Children (With an undeveloped sense of talking), have Communication Challenges (Expressive Aphasia, Comatose, On Ventilators)
How do you know which pain scale to give a patient?
It depends on their age and their condition
What are things that you would document about pain?
You’d document their description of the pain, any objective assessments that you see (Hypertension, Diaphoresis, and any Behavioral Responses such as Guarding, Restlessness, Facial Grimacing)
What is the definition of Pain?
An unpleasant, subjective sensory and emotional experience associated with actual or potential tissue damage
Can pain be an emotional experience?
Yup
Is pain subjective, objective, or both?
Subjective
What are things that pain may affect?
Ability to perform ADL’s.
Participate in Activities.
Work.
Sleep.
Undertreatment of pain is a serious healthcare problem that cause what kinds of issues for pt’s?
Psychological and Physiological
The family encourages the client to “tough out the pain” rather than risk drug addiction. The client is stoic and does what the family says. The nurse recognizes that the cultural dimension of pain is a priority for this client.
Which question does the nurse ask?
A.) “Where is the pain located and does it radiate to other parts of your body?”
B.) “How would you describe the pain and how is it affecting you?”
C.) “What do you believe about the use of pain medication?”
D.) “What information do you need about pain, healing, and addiction?”
C
What separates the different categories of factors that cause pain?
The Biopsychosocial Model of Pain
What are the different factors that form pain?
Biological Factors, Social Factors, Psychological Factors
List some Psychological Factors that form pain:
Mood/Affect
Catastrophizing
Stress
Coping
List some Biological Factors that form pain:
Disease Severity
Nociception
Inflammation
Brain Function
List some Social Factors that cause pain:
Cultural Factors
Social Environment
Economic Factors
Social Support
What can cause an increased sensitivity to pain?
Fatigue
What can cause an increase OR decrease to pain tolerance?
Genetics
Impairment of cognitive functioning may leave the pt unable to-
Express pain or to express it clearly
What can increase or decrease a pt’s pain sensitivity?
Their past experiences (It all comes down to when or if their pain was relieved and what actions were took to decrease it)
Anxiety & Fear can-
Increase Pain Sensitivity
What non-drug things can decrease pain sensitivity?
Support Systems & Coping Styles
What influences how a pt expresses pain and how they define pain?
Their Cultural Factors
A post-op pt expresses concern about discharge and has nowhere to live. How does the Biopsychosocial Model of Pain (particularly the Social Factors) contribute to the pt’s pain?
This person doesn’t have a place to live, so they likely don’t have anyone to support for them or have a support system. This can increase the pt’s anxiety and their pain perception.
The pt may also not have a job, have poor or no insurance, have no ability to forward supplies, have no access to further therapies.
All of these concerns can increase the pt’s pain level + their response to stimuli.
