What is the definition on pain? - ANSWER Unpleasant sensory or emotional experience
associated with actual or potential tissue damage
T/F: Pain is what the patient says it is - ANSWER True
What should the Rn objectively check when assessing pain? - ANSWER - Vital signs
- Facial expression
- The site of pain
T/F: sometime patients will describe pain as something else such as feeling
uncomfortable or restless - ANSWER True
Acute pain-ANSWER Pain directly related to tissue injury-resolved when tissue heals
Chronic pain-ANSWER Pain that persists beyond 3 months, secondary to chronic pain
disorders or nerve damage after healing is complete
Intractable pain-ANSWER Pain state that is usually sever in which there is no cure after
acceptable medical treatments have been offered
Define neuropathic pain - ANSWER Pain that is associated with dysfunctional/damage of
nervous tissue
Nociceptive pain - ANSWER Pain directly associated with tissue injury - can be somatic
or visceral
,Define the pain threshold - ANSWER The process of identifying, defining and acting on
pain
Define pain tolerance - ANSWER The most pain a person will endure before taking
action
Define phantom pain - ANSWER pain sensations experienced from a limb that has been
amputated
What are the 5 phases of the nursing process? - ANSWER 1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluate
What is the PQRST of pain assessment - ANSWER P: provocation
Q: Quality of the pain
R: Radiation of pain
S: Severity
T: Timing
T: Treatment
What are the routes of opioid delivery - ANSWER Oral
SUBCUT
IM
IV
Transnasal
Transdermal
, Rectal
Intraspinal
Define the oral route - ANSWER - Preferred route
- Immediate release
- Long acting w/ break through analgesia
Subcutaneous- ANS Injection or S/C infusion catheters/ pumps
- Long term delivery
Intramuscular- ANS Least desirable route
- Variable absorption
Intravenous- ANS Effective route as rapid relief of acute pain
Transnasal- ANS Rapid action of medication
- Direct absorption via nasal mucosa
Define the transdermal route - ANSWER - Non - invasive
- Delivers relatively stable plasma drug levels
Define the rectal route - ANSWER - Effective route for those with nausea, vomiting
Define the intraspinal route - ANSWER - Epidural or intrathecal
- Superior analgesia medication use
What are some non-pharmacological pain management - ANSWER - Heat/ice
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