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NURS 5461 PAIN EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE $9.99   Add to cart

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NURS 5461 PAIN EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE

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NURS 5461 PAIN EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE PAIN IS COMMONLY UNDERTREATED Patients may: Minimize their symptoms Not report pain Be unable to report pain because of limited English proficiency or cognitive impairment • ---Clinicians may: Inadequatel...

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  • November 2, 2024
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  • 2024/2025
  • Exam (elaborations)
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NURS 5461 PAIN EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE

PAIN IS COMMONLY UNDERTREATED

Patients may: Minimize their symptoms Not report pain Be unable to report pain

because of limited English proficiency or cognitive impairment • ---Clinicians may:

Inadequately assess pain Undertreat pain with ineffective therapies Encounter

intolerable adverse effects with otherwise effective therapie

PAIN INTENSITY SCALES • Unidimensional scales

Numeric Rating Scale—0 is no pain, 10 is worst pain imaginable Faces Pain Scale—

patient chooses a facial expression that corresponds to the pain Verbal Descriptor

Scale—"no pain" to "pain as bad as it could be

Multidimensional scales

McGill Pain Questionnaire Pain Disability Scale

PAIN MAP

Ask patient to indicate the locations of their pain on a drawing of a human figure •

**Consider referral to a mental health specialist (to evaluate for affective disorder

contributing to the discomfort) if the patient's pain pattern: Is erratic Is diffuse Does not

conform to an anatomic distribution

PHYSICAL EXAMINATION

, Perform complete musculoskeletal exam Fibromyalgia, osteoarthritis, or myofascial pain

is commonly either the primary source of pain or an exacerbating process Accurate

diagnosis is critical to formulating the correct therapeutic plan

3 TYPES OF PAIN SYNDROMES • Nociceptive

pain due to activation of nociceptive sensory receptors; often adequately treated with

common analgesics Somatic—well localized in skin, soft tissue, bone Visceral—due to

cardiac, GI, or lung injury, abd tumor

Neuropathic

from irritation of components of the CNS or peripheral nervous system; may respond

well to nonopioid therapies; responds unpredictably to opioids

Mixed or unspecified—

characteristics of both nociceptive and neuropathic pain; common in older adults

NEUROPATHIC PAIN examples

Peripheral or central nervous system is source, neuralgias; sharp, burning, pricking,

tingling, squeezing; associated with other sensory disturbances (eg, paresthesias and

dysesthesias); allodynia, hyperalgesia, impaired motor function, atrophy, or abnormal

deep tendon reflexes

NEUROPATHIC PAIN Rx

Tricyclic antidepressants, anticonvulsants, serotoninnorepinephrine reuptake inhibitor

antidepressants, opioids, topical anesthetics Physical and cognitivebehavioral therapy

UNDETERMINED PAIN

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