Comfort
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Questions and Answers

What is the definition of pain?

  • None of the above
  • A physical sensation
  • An emotional experience
  • Both A and B (correct)

    • What is the definition of pain?

  • An emotional experience that is not associated with tissue damage
  • A pleasant sensory and emotional experience associated with actual or potential tissue damage
  • An unpleasant sensory and emotional experience associated with actual or potential tissue damage (correct)
  • A sensory experience that is not associated with tissue damage

    • What is the definition of pain?

  • A subjective experience associated with actual or potential tissue damage (correct)
  • A physical sensation caused by injury
  • An emotional experience caused by injury
  • A sensation felt by the body in response to a stimulus

    • What is the definition of pain?

    <p>An unpleasant sensory and emotional experience associated with actual or potential tissue damage</p> Signup and view all the answers

    What is the most reliable indication of pain?

    <p>The patient's self-report</p> Signup and view all the answers

    What is the most reliable indication of pain?

    <p>Self-reporting by the patient</p> Signup and view all the answers

    Which of the following is considered the fifth vital sign?

    <p>Pain</p> Signup and view all the answers

    What is the most reliable indication of pain?

    <p>Self-reporting by the patient</p> Signup and view all the answers

    What is the most reliable indication of pain?

    <p>Self-reporting by the patient</p> Signup and view all the answers

    What is the fifth vital sign?

    <p>Pain</p> Signup and view all the answers

    What is the OLDCARTS tool used for?

    <p>Collecting data about pain</p> Signup and view all the answers

    What is the OLDCARTS method used for?

    <p>To collect data about the patient's pain</p> Signup and view all the answers

    What is the OLDCARTS or PQRST used for?

    <p>To collect data about the patient's pain</p> Signup and view all the answers

    What is the fifth vital sign?

    <p>Pain</p> Signup and view all the answers

    What is nociceptive pain?

    <p>Pain that arises from the skin and musculoskeletal structures</p> Signup and view all the answers

    What is nociceptive pain?

    <p>Pain that arises from the skin and musculoskeletal structures</p> Signup and view all the answers

    What is neuropathic pain?

    <p>Pain that results from damage or dysfunction of the nervous system</p> Signup and view all the answers

    What is the difference between acute and chronic pain?

    <p>Acute pain is temporary, while chronic pain lasts for more than 3 months</p> Signup and view all the answers

    Which medications are commonly used to manage mild to moderate pain in fibromyalgia patients?

    <p>Amitriptyline, cyclobenzaprine, and NSAIDs</p> Signup and view all the answers

    What is nociceptive pain?

    <p>Pain that results from actual or potential tissue damage or inflammation</p> Signup and view all the answers

    What are some nursing interventions for fibromyalgia patients?

    <p>Education on disease management, exercise, yoga, stretching, relaxation techniques, and healthy diet</p> Signup and view all the answers

    What is neuropathic pain?

    <p>Pain that results from damage or dysfunction of the nervous system</p> Signup and view all the answers

    What is somatic pain?

    <p>Pain that arises from the skin and musculoskeletal structures</p> Signup and view all the answers

    Which of the following is an example of somatic pain?

    <p>Aching or cramping pain</p> Signup and view all the answers

    What is neuropathic pain?

    <p>Pain that results from damage or dysfunction of the nervous system</p> Signup and view all the answers

    What is the difference between acute pain and chronic pain?

    <p>Acute pain is easily localized and has a sudden onset, while chronic pain lasts for more than 3 months and has a gradual onset.</p> Signup and view all the answers

    Which of the following is an example of visceral pain?

    <p>Deep cramping or pressure</p> Signup and view all the answers

    What is the goal of using medications to manage fibromyalgia pain?

    <p>To manage mild to moderate pain</p> Signup and view all the answers

    What is the difference between acute and chronic pain?

    <p>Acute pain is temporary, while chronic pain lasts for more than 3 months</p> Signup and view all the answers

    What are some nursing interventions for fibromyalgia patients?

    <p>Education on disease management, exercise, yoga, stretching, relaxation techniques, and healthy diet</p> Signup and view all the answers

    What is the difference between acute and chronic pain?

    <p>Acute pain is temporary, while chronic pain lasts for more than 3 months</p> Signup and view all the answers

    What is the fifth vital sign?

    <p>Pain</p> Signup and view all the answers

    What are some alternative therapies that can be used to manage chronic pain?

    <p>All of the above</p> Signup and view all the answers

    What is the difference between hospice and palliative care?

    <p>Hospice care is provided to patients with a life expectancy of 6 months or less, while palliative care is provided to patients with any life-limiting illness</p> Signup and view all the answers

    What is the goal of using medications to manage fibromyalgia pain?

    <p>To manage mild to moderate pain</p> Signup and view all the answers

    What is the goal of using medications to manage fibromyalgia pain?

    <p>To manage mild to moderate pain</p> Signup and view all the answers

    What are some symptoms of distress that may need to be managed in end-of-life care?

    <p>Pain, weakness, breathlessness, nausea and vomiting, and agitation and delirium</p> Signup and view all the answers

    What nursing interventions are used to manage fibromyalgia?

    <p>Education on disease management, exercise, yoga, stretching, relaxation techniques, and healthy diet</p> Signup and view all the answers

    Which of the following is a nursing intervention for fibromyalgia patients?

    <p>Education on disease management</p> Signup and view all the answers

    What is the difference between somatic pain and visceral pain?

    <p>Somatic pain is sharp, throbbing, dull, or aching, while visceral pain is cramping or pressure</p> Signup and view all the answers

    What is the difference between hospice and palliative care?

    <p>Hospice care focuses on managing symptoms and providing comfort at the end of life, while palliative care focuses on managing symptoms and improving quality of life throughout the illness trajectory</p> Signup and view all the answers

    What is the purpose of hospice and palliative care?

    <p>To provide comfort and manage symptoms</p> Signup and view all the answers

    What are some symptoms of distress that can be managed in end-of-life care?

    <p>Pain, weakness, breathlessness, nausea and vomiting, and agitation and delirium</p> Signup and view all the answers

    Study Notes

    Comfort

    Unit 5

    Module 5A

    Jill Huffman, MSNed, RN

    Learning Outcomes

    • Collaborate with the interprofessional team to provide high-quality care for patients with fibromyalgia.

    • Use clinical judgement to plan care for the patient with fibromyalgia.

    • Discuss alternative therapies that can be used to manage chronic pain across the lifespan.

    • Apply knowledge of anatomy, physiology, pathophysiology, and psychosocial needs of patients and family at end of life to plan care across the lifespan.

    Learning Resources

    • Ignatavicius, D. (2021). pp. 72-73, 1005-1006, & Chapter 8.

    • Perry & Hockenberry (2023). Chapter 30

    • ATI RN Adult Medical Surgical Nursing 11.0 – Chapters 4 & p. 581

    • ATI Fundamentals for Nursing 10.0 – Chapters 36, 41, & 42.

    • ATI Engage Fundamentals: (Review)

    • Foundational concepts for Nursing Practice - Complementary and Integrative Health

    • Physiological Concepts for Nursing Practice - Pain; End of Life

    • Websites:

    • https://medlineplus.gov/complementaryandintegrativemedicine.html

    • https://www.cdc.gov/arthritis/basics/fibromyalgia.htm

    Pain

    • Defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage.

    • Subjective - Pain is what the patient says it is

    • Self reporting is always the most reliable indication of pain.

    • Considered the fifth vital sign

    • Use a focused data tool to collect data about the pain (OLDCARTS or PQRST)

    • Perception of pain is individualized

    Pain in Children

    • Young Infant

    • Loud cry

    • Rigid body

    • Expressions of pain

    • Older Infant

    • Loud cry

    • Deliberate withdrawal from pain

    • Facial expression of pain

    • Toddler

    • Loud cry or screaming

    • Verbal expression of pain

    • Thrashing of extremities

    • Attempt to push away or avoid stimulus

    • Clinging to significant person

    • Request physical comfort

    • School-Age Child

    • Stalling behavior

    • Muscular rigidity

    • Same behaviors as the toddler

    • Adolescent

    • More verbal expressions of pain with less protest

    • Muscle tension with body control

    Types of Pain

    • Acute pain - temporary, has a sudden onset, and is easily localized.

    • as the injured area heals the pain goes away

    • ex: pain from surgery

    • Chronic pain - aka persistent pain - lasts for more than 3 months

    • gradual onset and may or may not have a cause

    • ex: fibromyalgia and cancer

    • Nociceptive pain - result of actual or potential tissue damage or inflammation.

    • Somatic pain - pain that arises from the skin and musculoskeletal structures

    • described as sharp throbbing, dull, aching, cramping

    • Visceral pain - pain that arises from organs

    • described as deep cramping or pressure, sharp, stabbing

    • Neuropathic pain - result of damage or dysfunction of the nervous system

    • distinctive descriptors include: burning, shooting, tingling, feeling pins and needles

    Effects of Unrelieved Pain

    • Acute pain can turn into chronic pain if left untreatedThis text discusses the management of fibromyalgia and end-of-life care. Medications such as amitriptyline, cyclobenzaprine, and NSAIDs are used to manage mild to moderate pain in fibromyalgia patients. Opioids are avoided to prevent tolerance and addiction. Nursing interventions for fibromyalgia patients include education on disease management, exercise, yoga, stretching, relaxation techniques, and healthy diet. The text also discusses end-of-life care, including hospice and palliative care, assessment findings at the end of life, and managing symptoms of distress such as pain, weakness, breathlessness, nausea and vomiting, and agitation and delirium. The text also touches on religious beliefs and practices related to end-of-life care for Roman Catholics, Christians, Jews, and Muslims.

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    Description

    Test your knowledge on pain management and end-of-life care with this quiz. Learn about different types of pain, pain assessment tools, and nursing interventions for fibromyalgia patients. Explore the concepts of hospice and palliative care, and how to manage symptoms of distress at the end of life. This quiz is perfect for nursing students or healthcare professionals looking to expand their knowledge on pain management and end-of-life care.

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