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Fundamentals 2 Pt. 2 > T3: Comfort & Pain Management (CH. 13) > Flashcards

T3: Comfort & Pain Management (CH. 13) Flashcards

1
Q

Abrupt onset and lasting a short period of time

A

Acute pain

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2
Q

Occurs from an abnormal processing of sensory stimuli by the central or
peripheral nervous system

A

Neuropathic pain

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3
Q

Arises from mechanical, thermal, or chemical noxious stimuli; can be somatic
or visceral

A

Nociceptive pain

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4
Q

Chronic pain that has been present for 3 months or longer

A

Persistent pain

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5
Q

__ is the fifth vital sign.

A

Pain

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6
Q

Meaning of comfort ___ among individuals

A

varies

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7
Q

Defined as to release from suffering, free from pain

A

Comfort

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8
Q

Prevalence of factors threatening comfort increases with ___.

A

age

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9
Q

__ is the greatest threat to comfort.

A

pain

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10
Q

Defined as unpleasant sensory and emotional experience

A

Pain

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11
Q

__ is subjective and relies on person’s perception

A

Pain

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12
Q

Pain is ____ in older population.

A

predominant

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13
Q

___ is a relative term.

A

Comfort

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14
Q

Comfort tends to be a state often taken for granted until it is ___.

A

threatened

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15
Q

___ people suffer day-long bouts of pain.

A

1 in 4

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16
Q

___ patients aged 65+ experience pain lasting for one year or more.

A

3 of 5

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17
Q

____ pain is the most common.

A

low back

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18
Q

___ pain is increased with age.

A

severe joint

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19
Q

Pain is classified according to ___ mechanism.

A

pathophysiological

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20
Q

___ pain is classified as mechanical, thermal, and chemical.

A

Nociceptive

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21
Q

__ pain is the abnormal processing of sensory stimuli by central or peripheral nervous systems.

A

Neuropathic

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22
Q

Nociceptive pain is divided into what 2 categories?

A

Somatic and Visceral

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23
Q

Bone or soft tissue masses; localized

A

Somatic

24
Q

Pain that is generalized or referred

A

Visceral

25
Q

What pain is DEEP and aching?

A

visceral

26
Q

What pain is throbbing or aching?

A

Somatic

27
Q

What pain is sharp, stabbing, tingling, burning, and the onset is high intensity?

A

Neuropathic pain

28
Q

What is somatic pain?

A

Well localized, throbbing or aching.

29
Q

The role of age in pain perception is ___.

A

unclear

30
Q

The research findings related ot pain is ___.

A

minimal

31
Q

Experience of pain is complicated by __ __ in many older adults.

A

chronic diseases

32
Q

Each individual has their own ___ pain experience.

A

unique

33
Q

Complications of unrelieved pain can include:

A
  • limited mobility
  • develop pressure ulcers
  • pneumonia
  • constipation
  • poor appetite
  • depression, hopelessness
  • spiritual distress
34
Q

What kind of questions are more effective when dealign with pain?

A

open-ended

35
Q

If an individual is cognitively impaired, the nurse should document unique __ of pain.

A

indicators

36
Q

What are some pain assessment techniques?

A
  • numeric rating scale
  • visual analog scale
  • McGill Pain Questionnaire
37
Q 
Mr. D suffers from late-stage dementia. Which behavior best indicates that he is in pain?
A. Self-report of pain
B. Family stating that he is in pain
C. Agitation and decreased socialization
D. Wandering behavior
A

C. Agitation and decreased socialization

38
Q

Although ___ have a significant role in pain management, they should not be the only approach used.

A

medications

39
Q

___ can influence inflammation and its pain, particularly arthritic pain that is common in the older population.

A

Diet

40
Q

Foods to consider avoiding include:

known to cause inflammation

A

animal products, high-fat dairy products, egg yolks, beef fat, safflower, corn, sunflower, soybean, peanut oils, white flour, sugars, and “junk foods”.

41
Q

Medication Management can be ___.

A

complicated

42
Q

With medication, the risk of __ effects is high with older adults.

A

adverse

43
Q

Trial of __ should be used before opioids are used.

A

nonopioids

44
Q

Start __ and go __ with medications. (same word for both blanks)

A

slow

45
Q

__ medications may benefit older adults.

A

Adjuvant (used with meds to help it act better/faster)

46
Q

What medication issued more commonly with older adults?

A

Acetaminophen

47
Q

What is an example of an NSAID?

A

Ibuprofen

48
Q

__ treat moderate to severe pain.

A

Opioids

49
Q

What are 2 examples of an opioid?

A

morphine, fentanyl patches

50
Q

__ and __ is contradicted with older adults.

A

Propoxyphene and Pentazocine

51
Q

Which medications, commonly used for pain, is contraindicated in the older adult related to potential side effects?

A

D. Propoxyphene (Darvocet)

52
Q

Why is Propoxyphene contraindicated in the older adult?

A

Because it has the potential for central nervous system and cardiac toxicity

53
Q

Give the patient __ ___ regardless of the length of the interaction.

A

undivided attention

54
Q

Encourage the patient to speak and demonstrate interest through body language and feedback shows that you are __ __.

A

listening attentively

55
Q

Nonpharmacologic approaches to pain management should be considered, including __ __ and __ __.

A

dietary modifications and comfort measures

Fundamentals 2 Pt. 2 (26 decks)

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