Pain Management Definitions and Concepts
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Questions and Answers

What does the 'F' in the FLACC Pain Scale represent?

  • Feet
  • Faces (correct)
  • Frequency
  • Function

Analgesic medications include both opioid and non-opioid options.

True (A)

Name one complementary health approach for managing pain.

Music therapy

The acronym FLACC in the pain assessment tool stands for Faces, Legs, Activity, Cry, and ______.

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

What is indicated by a sedation scale score of 3?

<p>Frequently drowsy, drifts off to sleep during conversation; reduce dosage (B)</p> Signup and view all the answers

Match the following pain relief methods with their descriptions:

<p>Analgesics = Medications to relieve pain Massage = Manual manipulation of soft tissues Acupuncture = Inserting needles into specific body points Mindfulness = Focusing awareness on the present moment</p> Signup and view all the answers

Patients should have no control over their pain management regimen.

<p>False (B)</p> Signup and view all the answers

Which nursing intervention emphasizes understanding the patient's pain experience?

<p>Establishing a trusting relationship (C)</p> Signup and view all the answers

What type of analgesia allows patients to control their pain medication administration?

<p>Patient-controlled analgesia</p> Signup and view all the answers

The WHO 3-step analgesic ladder is designed for managing acute pain only.

<p>False (B)</p> Signup and view all the answers

In pain management, it is important to manage _____ pain alongside ongoing assessment.

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

What is one ethical consideration in pain management for nurses?

<p>Relieving suffering</p> Signup and view all the answers

Match the following sedation scores with their corresponding actions:

<p>S = No action necessary 1 = No action necessary 2 = No action necessary 3 = Reduce dosage 4 = Discontinue opioid, consider naloxone</p> Signup and view all the answers

Which of the following is NOT a consideration when treating pain in special populations?

<p>Availability of over-the-counter medications (B)</p> Signup and view all the answers

It is safe to drive after taking analgesics as long as you feel alert.

<p>False (B)</p> Signup and view all the answers

Which pain assessment tool is specifically recommended for use with neonates ages 0 to 6 months?

<p>FLACC Pain Scale (D)</p> Signup and view all the answers

What should be documented by patients taking pain medication to monitor its effectiveness?

<p>A diary of pain and medications taken</p> Signup and view all the answers

Physiologic measures such as increased blood pressure and pulse are not useful in assessing pain.

<p>False (B)</p> Signup and view all the answers

Name one pain assessment tool that utilizes nonverbal indicators.

<p>Adult Nonverbal Pain Scale</p> Signup and view all the answers

The __________ Pain Scale is designed to assess pain in patients with advanced dementia.

<p>Pain Assessment in Advanced Dementia (PAINAD)</p> Signup and view all the answers

Match the following pain assessment tools with their primary usage:

<p>FACES Pain Scale—Revised = Children's self-report of pain Behavioral Pain Scale (BPS) = Assessing pain in nonverbal adults Wong-Baker Faces = Children's self-report using faces FLACC Behavioral Scale = Assessing pain in infants and toddlers</p> Signup and view all the answers

Flashcards

Numeric Sedation Scale

A scale used to assess the level of sedation in a patient, ranging from awake and alert to somnolent with minimal or no response.

Sedation Level 1

Awake and alert; no action necessary.

Sedation Level 3

Frequently drowsy, drifting off to sleep during conversation; reduce dosage.

Pain Management Regimens

Strategies for managing cancer or chronic pain, including oral medication, ATC dosing, adjusting dosages, and patient involvement.

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Patient-Controlled Analgesia (PCA)

A method where the patient controls the delivery of pain medication.

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Pain Treatment in Special Populations

Pain management strategies specific to children and older adults, considering communication differences and physiological variations.

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Pain Teaching

Involves educating patients and family members about pain scales, safety precautions, and medication management.

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Multimodal Pain Management

A comprehensive approach that involves multiple disciplines and strategies to manage pain effectively.

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FLACC Scale

A pain assessment tool for infants, children, and/or cognitively impaired individuals. It assesses Facial expression, Legs, Activity, Cry, and Consolability.

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Pain Assessment

Evaluating pain based on type, cause, behaviors, physiological responses, and other factors that impact pain experience.

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Pain Interventions

Nursing actions used to manage and alleviate pain, including building trust, addressing factors influencing pain tolerance, and utilizing complementary treatments and pain relief measures.

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Complementary Health Approaches

Non-pharmacological methods to manage pain, including distraction, humor, music, imagery, mindfulness, touch, acupressure, acupuncture, etc.

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Pharmacological Pain Relief

Pain relief using medications, such as opioids (morphine, oxycodone), adjuvants (antidepressants, steroids), and non-opioids (acetaminophen, NSAIDs).

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Analgesic Ladder

A three-step approach to pain management using increasing strength of analgesics to control pain.

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Sedation Scale

A scale used to measure a patient's level of sedation in medical contexts.

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Sedated Patient

A patient who is altered in their consciousness due to medication, often drowsy or drifting off.

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Pain Assessment Tools for Infants (0-6 months)

Tools specifically designed for evaluating pain in newborns and infants up to 6 months old.

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Wong-Baker Faces Scale

A pain assessment tool that uses faces to represent different levels of pain.

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FLACC Pain Scale

A pain scale focusing on observable behaviors in nonverbal patients.

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OUCHER Pain Scale

Pain scale that uses pictures of faces expressing different degrees of pain.

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Pain Assessment in Advanced Dementia Scale (PACINAD)

Pain assessment tool designed for evaluating pain in patients with advanced dementia.

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Study Notes

Wolters Kluwer Presentation

  • Presentation date: 11/12/2024
  • Presenter: Vivia Morris-Torvik, MSN, BSN, RM, CCRN, RN
  • Institution: ECPI University

Pain Definitions

  • Acute pain: Pain lasting from seconds to less than 6 months.
  • Addiction: Compulsive substance use for unintended purposes.
  • Adjuvant: Drugs enhancing opioid effects for pain relief.
  • Analgesic: Pharmaceutical agent relieving pain.
  • Breakthrough pain: Temporary, moderate to severe pain despite ongoing treatment.
  • Chronic pain: Pain lasting 6 months or longer, potentially intermittent or continuous.
  • Cutaneous pain: Superficial pain involving skin or subcutaneous tissue.
  • Endorphins: Morphine-like substances altering pain perception.
  • Enkephalins: Opioids reducing pain sensation by substance P inhibition.
  • Exacerbation: Period in chronic illness with symptom return.
  • Gate control theory: Pain stimuli blockage through inhibiting signals.
  • Intractable pain: Severe, resistant pain.
  • Modulation: Process inhibiting or modifying pain sensation.
  • Neuromodulators: Endogenous opioid chemicals altering pain perception.
  • Neuropathic pain: Pain result of abnormal nervous system function.
  • Nociceptors: Pain receptors.
  • Opioid: More accurate term for narcotic analgesics focusing on receptor binding.
  • Pain threshold: Stimulation level for pain experience.
  • Pain tolerance: Point where individuals stop enduring pain.
  • Perception: Organising sensory input into meaningful information.
  • Phantom pain: Pain without physiological cause, often after limb loss.
  • Physical dependence: Body adjusting to opioid, causing withdrawal if stopped abruptly.
  • Placebo: Inactive substance providing pain relief due to expectation.
  • Referred pain: Pain felt in a different area than the source.
  • Remission: Period in chronic illness where symptoms are absent.
  • Somatic pain: Pain in external body wall structures.
  • Tolerance: Body adjusting to opioid requiring higher doses for effect.
  • Transmission: Conduction of pain from injury site to higher brain centers.
  • Transduction: Activation of nerve receptors for pain sensation.
  • Visceral pain: Pain originating from internal organs.

Pain Measurement Scale

  • A visual scale ranging from 0-10 indicating pain intensity with descriptive levels for each point.

Diagram and Figure Definitions

  • Diagrams illustrating pain pathways in the body's central nervous system (CNS).
  • Figure showing a three-step ladder approach to cancer pain management using opioids and non-opioids with adjuvants.

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Description

This quiz explores key definitions related to pain management, including acute and chronic pain, analgesics, and the gate control theory. Enhance your understanding of terminology widely used in healthcare settings. Test your knowledge on the concepts that underpin effective pain relief strategies.

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