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What is a common clinical manifestation of chronic pain in osteoarthritis?
Joint replacement is often the first line of treatment for osteoarthritis.
False
What type of imaging is best for visualizing discs in degenerative disk disease?
MRI
Patients with neuropathic pain may experience __________, which refers to sensations of burning and tingling.
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Match the following treatments with their appropriate conditions:
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Which of the following is NOT a common negative consequence of chronic pain in osteoarthritis?
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Nonpharmacological interventions for osteoarthritis include encouraging moderate physical activity.
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What are the two therapeutic classes of drugs often used for treating neuropathic pain?
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Chronic pain in osteoarthritis is most commonly found in __________ joints.
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Which treatment may be indicated if a patient's pain from degenerative disk disease is uncontrollable?
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Which of the following is NOT considered an attribute of normal comfort?
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Comfort is only defined as the absence of pain.
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What are the four contexts that define the holistic human experience of comfort?
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A patient's pain management plan should include both __________ and non-pharmacological interventions.
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Which of the following populations is at risk for undertreatment of pain?
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An increased heart rate and blood pressure can be a consequence of impaired comfort.
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List two forms of pain assessment tools used for nonverbal patients.
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The __________ model is used to understand the pain response, involving transduction, transmission, perception, and modulation.
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Match the types of pain with their descriptions:
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Which nursing intervention helps in maintaining comfort for post-operative patients?
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Fear of addiction is a barrier to effective pain management.
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What does the 'P' in the PQRST pain assessment acronym stand for?
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The WHO __________ Ladder is a guide for pain management in patients.
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What is considered a negative consequence of impaired comfort?
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Match the type of drug therapy with its classification:
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Study Notes
Chronic Pain in Osteoarthritis
- Commonly affects weight-bearing joints, such as hips and knees.
- Cartilage breakdown leads to bone friction, causing joint inflammation.
- Pain duration typically exceeds three months, worsening with use but improving with rest.
- Clinical manifestations include stiffness, restricted range of motion, crepitus (grating sensation), and joint effusion.
- Diagnosis may involve imaging tests like X-rays, CT scans, and MRIs.
Complications of Osteoarthritis
- Stress and anxiety can result from chronic pain.
- Limited mobility contributes to loss of independence.
- Commonly causes depression, affecting quality of life.
Nursing Interventions for Osteoarthritis
- Utilize nonpharmacological approaches like alternating heat and cold therapy.
- Recommend joint protection devices and integrative measures such as acupuncture.
- Encourage low-impact physical activities, like swimming and walking.
- Support patients in maintaining a healthy weight.
Medical/Surgical Management of Osteoarthritis
- Pharmacological management may include long-acting medications, topical treatments, and antidepressants.
- Antiinflammatory injections (e.g., steroids) and surgical options like joint replacement may be necessary in severe cases.
Neuropathic Pain in Degenerative Disk Disease
- Neuropathic pain may arise from radiculopathy due to nerve compression, typically leading to symptoms such as sciatica and phantom limb syndrome.
- Degenerative disk disease involves the deterioration of intervertebral discs, commonly associated with aging, injuries, or sports-related stresses.
Clinical Manifestations of Neuropathic Pain
- Symptoms include paresthesia (burning, tingling, shock-like sensations) and changes in reflexes due to nerve damage.
- Imaging tests like MRIs offer the best visualization of affected disks, with X-rays and CT scans also being useful.
Complications of Neuropathic Pain
- Potential consequences include limited mobility, sleep disturbances, increased stress, and depression.
Medical and Surgical Management of Neuropathic Pain
- Anticonvulsant and antidepressant medications may alleviate symptoms; NSAIDs might provide additional relief.
- In severe cases, surgical options like diskectomy or spinal fusion may be warranted.
Assessing and Managing Pain in Acute Post-Operative Patients
- Pain assessment involves monitoring vital signs, patient-reported pain scales, and observable distress cues.
- Anticipate pain management needs and customize care plans to mitigate discomfort.
Nursing Interventions for Post-Operative Pain
- Administer medications both regularly and as needed to control pain effectively.
- Encourage nonpharmacological tactics for pain relief, such as distraction and relaxation techniques.
Managing Procedural Pain
- Anticipatory guidance for pain management should be given prior to physical therapy or dressing changes, aiming to prevent unnecessary discomfort.
- Complications from inadequate pain control may include prolonged hospital stays and compromised recovery.
Drug Therapy for Pain Management
- Common analgesics include opioids (e.g., morphine), NSAIDs (e.g., ibuprofen), and combination therapies (e.g., hydrocodone-acetaminophen).
- Monitoring for side effects and educating patients on proper medication use is essential during treatment.
Barriers to Effective Pain Management
- Fear of addiction and misconceptions about drug dependency can obstruct appropriate pain relief strategies.
- Training and awareness among healthcare providers can help alleviate these concerns and encourage better pain management practices.
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Description
This quiz focuses on the pathophysiology and clinical manifestations of chronic pain related to osteoarthritis. It explores how degenerative changes in cartilage affect weight-bearing joints and lead to prolonged pain and inflammation. Understand the criteria for diagnosing and identifying symptoms associated with this condition.
