Pain Assessments

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Questions and Answers

Which type of analgesics act by delivering drugs adjacent to the opioid receptors in the dorsal horn of the spinal cord?

Benzodiazepines

Muscle Relaxants

Alpha-2 Agonists (correct)

Tricyclic antidepressants

What is one of the common adverse effects of opioids that is considered rare?

Nausea

Allergy (correct)

Respiratory Depression

Confusion

Which of the following is an example of an adjuvant therapy in pain management?

Morphine

Tricyclic antidepressants (correct)

Codeine

Oxycodone

What is the typical route of opioid delivery that is less common?

Intraspinal Signup and view all the answers

Which of the following is a side effect of opioids that is considered less frequent?

Respiratory Depression Signup and view all the answers

In the WHO analgesic ladder, which step includes moderate strength narcotics such as Codeine and Oxycodone?

Step 3 Signup and view all the answers

What is a common myth about opioid use mentioned in the text?

Opioid use never leads to addiction Signup and view all the answers

Which of the following is NOT listed as a consequence of uncontrolled pain in the text?

Increased risk of tumour formation Signup and view all the answers

What is the primary role of nurses in pain management?

Assessing, documenting, and communicating effective pain relief measures Signup and view all the answers

Which type of pain is described as poorly understood with physical, emotional, and cognitive components?

Chronic pain Signup and view all the answers

How does uncontrolled pain impact healing according to the text?

Compromises immune function Signup and view all the answers

What are the 3 top tips for pain assessment mentioned in the text?

Pain Score Resting and moving, Pain Description, Patient’s Pain Goal Signup and view all the answers

According to the Canadian Pain Society, what is considered a human right in terms of pain treatment?

Access to the best care possible for pain relief Signup and view all the answers

What are the two peripheral mechanisms involved in Nociception mentioned in the text?

Transduction and Transmission Signup and view all the answers

What is the nurses' responsibility in terms of pain management strategies?

Evaluating interventions and monitoring pain management strategies Signup and view all the answers

What is the primary nursing diagnosis for Andrea pain related to her arthritic in her knee and ankle joints?

Physical mobility impairment Signup and view all the answers

Which of the following strategies is NOT a key strategy in pain management as mentioned in the text?

Use benzodiazepines for pain relief Signup and view all the answers

Andrea rates her pain as a 6/10, which increases to 9 when she moves. What type of pain assessment is being described here?

Breakthrough pain assessment Signup and view all the answers

What aspect of the patient's experience should a nurse convey the need to understand according to the text?

Pain intensity, quality, and impact Signup and view all the answers

What is the purpose of maintaining strict aseptic techniques when managing an epidural catheter?

To minimize the risk of infection Signup and view all the answers

Why is it essential to label the tubing, infusion bag, and pump as 'EPIDURAL'?

To reduce confusion and prevent medication errors Signup and view all the answers

What is a key nursing intervention to maintain catheter integrity in an epidural delivery system?

Securing the catheter with tape Signup and view all the answers

Why should alcohol not be used in caring for the catheter or insertion site of an epidural delivery system?

Alcohol may cause neurotoxicity Signup and view all the answers

Which parameter should a nurse assess hourly for 24 hours and then every 4 hours when managing a patient with an epidural infusion?

Sedation level and respiratory status Signup and view all the answers

What is the purpose of having Narcan (naloxone) readily available when managing patients with an epidural infusion?

To reverse opioid-induced respiratory depression Signup and view all the answers

Match the type of pain to there description.

Inractable Pain = pain that isn't curable but is managed Neuropathic Pain = often caused by nervous damage and feels like shooting or burning pain Nociceptive Pain = is a pain associated to damage or loss of tissue from the body Chronic Pain = persistant pain beyond three months often due to nervous damage Signup and view all the answers

Study Notes

Analgesics and Pain Management

Spinal analgesics act by delivering drugs adjacent to the opioid receptors in the dorsal horn of the spinal cord.
One of the rare adverse effects of opioids is respiratory depression.
An example of adjuvant therapy in pain management is co-analgesics.

Opioid Delivery and Side Effects

The less common route of opioid delivery is the intrathecal route.
A less frequent side effect of opioids is urinary retention.

WHO Analgesic Ladder

The second step of the WHO analgesic ladder includes moderate strength narcotics such as Codeine and Oxycodone.

Pain Management Myths and Consequences

A common myth about opioid use is that they are highly addictive.
One consequence of uncontrolled pain not listed in the text is anxiety.
Uncontrolled pain can impact healing by delaying recovery.

Nursing Role in Pain Management

The primary role of nurses in pain management is to assess and manage pain effectively.
Nurses are responsible for developing and implementing pain management strategies.
The primary nursing diagnosis for Andrea's pain related to her arthritic knee and ankle joints is pain.

Pain Assessment and Strategies

The three top tips for pain assessment mentioned in the text are to assess pain regularly, use a pain rating scale, and prioritize pain management.
The Canadian Pain Society considers effective pain treatment a human right.
A key strategy in pain management is to use a multidisciplinary approach.

Types of Pain

Nociceptive pain is described as poorly understood with physical, emotional, and cognitive components.
Match the type of pain to its description:
- Nociceptive pain: poorly understood with physical, emotional, and cognitive components
- Neuropathic pain: related to nerve damage
- Visceral pain: related to organs and viscera

Epidural Pain Management

The purpose of maintaining strict aseptic techniques when managing an epidural catheter is to prevent infection.
The tubing, infusion bag, and pump should be labeled as 'EPIDURAL' to prevent accidental injection.
A key nursing intervention to maintain catheter integrity in an epidural delivery system is to secure the catheter properly.
Alcohol should not be used in caring for the catheter or insertion site of an epidural delivery system because it can cause skin irritation and infection.
A nurse should assess hourly for 24 hours and then every 4 hours the following parameters when managing a patient with an epidural infusion: level of sedation, pain score, and vital signs.
Narcan (naloxone) should be readily available when managing patients with an epidural infusion to reverse respiratory depression.

Pain Assessment

When Andrea rates her pain as a 6/10, which increases to 9 when she moves, she is using a numerical rating scale to assess her pain.
A nurse should convey the need to understand the patient's experience of pain, including their emotional and psychological responses.

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Description

Explore the myths surrounding the use of opioids in older adults based on an article by Patterson C. (2008). Learn about types of pain, pain mechanisms in nociception, and other important pain concepts. Delve into topics such as acute pain, chronic pain, and nervous system plasticity.

Pain Assessments - Week 3

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