Week 5- Pain Flashcards
Is pain considered a basic human need that needs to be addressed
Yes
Terms to know
Acute pain
Addiction
Analgesics
Breakthrough pain
Chronic pain
Drug tolerance
Pain threshold
Pain tolerance
Patient control analgesia
Transcutaneous electrical nerve stimulation
Types of pain
Acute
Chronic/persistent non-cancer pain
Chronic episodic
Cancer pain
Idiopathic
Chronic pain cycle
1-6
Pain
Fear of injury
Fear of movement
Less movement
Deconditioning
Physical and mental deconditioning
Factors influencing pain
Physiological
Psychological
Culture
Age
Cognition/communication
Assessing pain(ADPIE)
History-characteristics, onset, duration, etc.
Pain scale (numerical and wong baker)
Classification of pain
Behavioral indications
Assessing pain in diverse patients
Nonverbal patient (evidence based practice)
Diagnosis/problem
Examples of goals and outcomes(plan)
Slide 9
Intervention
Asses for pain continuously
Administer meds
Plan rest periods
Pharmacological interventions
1-nursing principles for administering analgesics
2- Types of pain control analgesics-delivery system
-non pharmacological
-health promotion
Joint commission pain management standard
Comp ass
Assess pain in age appropriate manner
Reassess and respond to pain
Treat pain or refer for treatment
Pediatric standard-involves family when appropriate
Evaluations
Barriers
Restorative and continuing care
Evaluation and therapeutic communication
Drugs to know
Narcotics-opiate agonists
Morphine Derivatives
Meperidine Derivatives
NSAIDS
Morphine Derivatives
Morphine
Codeine
Oxycodone
Meperidine Derivatives
Meperidine (demerol)
Fentanyle (Duragesic)
NSAIDs
Celecoxib (celebrex)
Naproxen sodium (Naprosyn)
Ketorolac (toradol)
Ibuprofen (Motrin)
Aspirin
Do you have to document pain level after providing pain medication?
Yes. Especially narcotics.
Can cost your job.
Do you have to discuss factors impacting pain
Yes
How do we assess pain
Palpation
Observation
Inspection
Labs
Walking
Range OM
Do you need to consider age and development level when assessing pain
Yes
What do we do if pain intervention does not work
Reassess
Even when it does work we assess again
Do we have to do more than one assessment and intervention
Yes
What to think about if potassium or sodium is high
The heart
What happens if heart not pumping correctly
Poor perfusion
What happens to heart when blood pressure is high
It works harder
Tasks that can be done w/o order
Back rub
ROM
Elevate head of the bed
Can RN assess oxygen levels and tank
Yes
BPM requires for degoxin
Can not administer if BPM is below 60
Acute pain
Sudden and short 0 months-a year
Chronic pain
Long lasting. Years.
PCA
Patient control analgecia
-only dispenses at set times
Breakthrough drug
Drug you can get in middle of other scheduled drug
What system does morphine affect
Morphine is a respiratory suppressant.
All narcotics are
Breakthrough pain
Pain that occurs when patient already receiving analgesic/pain medication
Pain tolerance
Should you be very conscious when moving patient in pain
Yes
Factors influencing pain
Common biases
Pain in infants is hard to assess
-crying and screaming if they cannot be soothed
Assessing nonverbal patient pain
Grimacing and actions that show pain
Behavioral indicators of pain
How do they behave when in pain
When do we normally give pain med when changing dressing for ulcer
Before changing the dressing
