Week 6 Flashcards

1
Q

What are the consequences of untreated pain?

A
  • Unnecessary suffering
  • Physical dysfunction
  • Psychosocial dysfunction
  • Impaired recovery from acute illness and surgery
  • Immunosuppression
  • Sleep disturbances
  • Interference with activities of daily living (ADLs)

These consequences highlight the importance of effective pain management in healthcare settings.

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2
Q

What are common reasons for pain being undertreated?

A
  • Inadequate skills to assess and treat pain
  • Misconceptions about pain
  • Inaccurate information about addiction and other adverse effects of opioids
  • Fear of addiction, tolerance, or adverse effects
  • Belief that pain is inevitable
  • Expectation that drugs will not relieve pain
  • Desire to be a ‘good’ patient and not complain

Understanding these reasons helps healthcare providers address barriers to effective pain management.

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3
Q

Define nociceptive pain.

A

Damage to somatic or visceral tissue

Somatic pain involves muscles and joints, while visceral pain involves internal organs.

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4
Q

What is the difference between acute and chronic pain?

A
  • Acute pain: short-term, often linked to injury or surgery
  • Chronic (persistent) pain: long-lasting, may not have a clear cause

Understanding this difference is crucial for appropriate treatment strategies.

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5
Q

What does the acronym OPQRSTUV stand for in pain assessment?

A
  • O (Onset)
  • P (Palliate/Provoke)
  • Q (Quality of pain)
  • R (Region of the body/Radiation)
  • S (Severity of pain)
  • T (Treatment/Timing)
  • U (Understanding of pain)
  • V (Values)

This acronym helps guide a comprehensive pain assessment.

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6
Q

What is breakthrough pain?

A

A sudden increase in pain despite ongoing pain management

It often requires immediate reassessment and adjustment of pain management strategies.

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7
Q

True or False: Nonpharmacological therapies can reduce the dose of analgesics required.

A

True

Nonpharmacological therapies can help minimize adverse effects while effectively managing pain.

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8
Q

What are the age-related considerations for pain management?

A
  • Musculoskeletal pain increases with age
  • Cognitive impairments may affect pain assessment
  • Pain in older adults is often inadequately assessed and treated

These factors necessitate tailored approaches to pain management in the elderly.

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9
Q

Fill in the blank: The World Health Organization’s Analgesic Ladder is used for managing _______.

A

[pain]

It provides a framework for treating pain from mild to severe using a stepwise approach.

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10
Q

List some therapeutic interventions for pain management.

A
  • Neuroaugmentation
  • Electrical stimulation
  • Nerve blocks
  • Neuroablation

These interventions are often used for chronic pain management.

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11
Q

What is the therapeutic class of naloxone?

A

Opioid antidote

It is used to reverse opioid overdose by blocking opioid receptors.

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12
Q

What are the potential changes in assessment data after administering hydromorphone?

A
  • Pain rating (0-10)
  • SpO2
  • Orientation to person, place, and time
  • Respiratory rate

Monitoring these parameters is crucial for assessing the effectiveness and safety of opioid administration.

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13
Q

What is the principle of double effect in pain management?

A

The ethical principle that allows for a treatment intended to relieve pain, even if it may also cause harm, such as respiratory depression

This principle is particularly relevant in palliative care settings.

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14
Q

What is the main purpose of cannabis for medical purposes?

A

To provide symptom relief for patients with specific medical conditions

Patients must have medical documents from healthcare providers to access cannabis legally.

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15
Q

What are the benefits and drawbacks of various routes of medication administration?

A
  • Topical: localized effect, easy to use
  • Enteral: varies in absorption, can affect GI tract
  • Parenteral: rapid effect, requires skill for administration

Understanding the advantages and disadvantages of each route helps optimize pain management strategies.

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