Pain Management Overview
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Questions and Answers

What does a score of zero on the pain scale indicate?

  • No pain at all (correct)
  • Moderate pain
  • Severe pain
  • Mild discomfort

Which population is the Wong-Baker FACES Pain Scale intended for?

  • Children under age 3
  • Adults only
  • Only pediatric patients
  • Adults and children over age 3 (correct)

Which of the following describes the Mankoski Pain Scale?

  • Is only for pediatric patients
  • Uses only numeric ratings
  • Includes specific pain descriptions (correct)
  • Incorporates visual aids

What is a key responsibility of healthcare providers in pain management?

<p>Acknowledge and accept the client's report of pain (A)</p> Signup and view all the answers

Which of the following is NOT a sign of chronic pain?

<p>Weight gain (D)</p> Signup and view all the answers

What is one of the nonpharmacologic pain management methods mentioned?

<p>Massage (A)</p> Signup and view all the answers

What is the purpose of evaluating the effectiveness of analgesics?

<p>To identify the need for more medication (D)</p> Signup and view all the answers

What should be done before severe pain becomes evident?

<p>Provide measures to relieve pain (A)</p> Signup and view all the answers

What type of pain is characterized by lasting longer than acute pain and is often resistant to treatment?

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

Which type of pain results from tissue damage?

<p>Nociceptive Pain (C)</p> Signup and view all the answers

Which of the following questions is included in the ASK PQRST framework for assessing pain?

<p>What is the region of the body involved? (D)</p> Signup and view all the answers

What is a common characteristic of psychogenic pain?

<p>It can have a physical origin rooted in tissue or nerve damage. (D)</p> Signup and view all the answers

Which type of pain is most likely caused by nerve damage?

<p>Neuropathic Pain (C)</p> Signup and view all the answers

What measurement scale is recommended for assessing the intensity of pain?

<p>0 to 10 scale (B)</p> Signup and view all the answers

Acute pain is often triggered by which of the following?

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

Which of the following accurately describes the potential emotional impact of pain?

<p>Pain can cause anxiety or other emotional issues. (D)</p> Signup and view all the answers

What is a characteristic of breakthrough pain?

<p>It occurs suddenly and is not alleviated by regular pain management (B)</p> Signup and view all the answers

Which of the following is NOT a common type of chronic pain?

<p>Acute pain from an injury (A)</p> Signup and view all the answers

What can lead to worsening symptoms of chronic pain?

<p>Anxiety and depression (D)</p> Signup and view all the answers

What type of medication is used for nerve pain in chronic pain management?

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

Which pain assessment scale is designed for individuals over the age of 9?

<p>Numerical rating scale (NRS) (C)</p> Signup and view all the answers

What is a potential consequence of using opioids for pain management?

<p>They can lead to addiction and tolerance build-up (D)</p> Signup and view all the answers

Which of the following treatments is commonly used for managing insomnia related to chronic pain?

<p>Sedatives (C)</p> Signup and view all the answers

What type of pain management approach is often attempted before prescribing opioids?

<p>Other pain treatment options (D)</p> Signup and view all the answers

Flashcards

Nociceptive Pain

Pain that is caused by an injury or other damage to body tissues such as bone, muscle or organs.

Neuropathic Pain

Pain that is caused by damage or dysfunction of the nerves. Think of it as the nerves being 'out of tune' and sending wrong signals.

Psychogenic Pain

Pain that is influenced by psychological factors, such as stress, anxiety, or depression. It often arises from physical causes like tissue or nerve damage.

Acute Pain

This type of pain is sudden, has a specific cause, and doesn't last long. For example, a broken bone.

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Chronic Pain

This type of pain lasts for a prolonged period, is often difficult to treat, and can be linked to a long-term condition. Think chronic back pain.

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What is pain?

A subjective experience that is difficult to measure because it involves both physical sensations and emotional distress.

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PQRST Framework

A framework for understanding and describing pain. It stands for:

  • P - Place (location) of the pain
  • Q - Quality (type) of pain - e.g. sharp, dull, burning
  • R - Region/System affected
  • S - Severity of the pain (e.g. 1-10 scale)
  • T - Timing (duration, frequency) of the pain
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Ask PQRST

This refers to asking a patient about their experience of pain. It helps healthcare providers better understand the patient's pain and create a personalized treatment plan.

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Numerical Pain Scale

A pain scale using numbers 0-10, where 0 represents no pain and 10 represents the most intense pain.

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Wong-Baker FACES Pain Scale

A pain scale that uses pictures of faces with different expressions to represent pain levels. It includes numbers 0-10 and is suitable for adults and children over 3.

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Mankoski Pain Scale

A pain scale that combines numbers with detailed descriptions of pain to ensure healthcare providers understand the patient's level of pain.

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Pain Management

Assessing a patient's pain and providing measures to relieve it before it becomes severe.

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Accepting Client's Pain Report

Accepting the patient's report of pain as valid, even in the absence of physical signs.

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Nonpharmacologic Pain Management

Non-medication methods used to manage pain, such as massage, applying heat or cold, or immobilization.

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Pharmacologic Pain Management

Using medications to manage pain, as prescribed by a healthcare provider.

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Evaluating Pain Relief

Evaluating the effectiveness of pain management strategies at regular intervals to ensure they are working.

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Breakthrough Pain

Pain that suddenly arises and is not relieved by regular pain medication.

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Anticonvulsants for Pain

A group of medications used to manage chronic pain, specifically nerve pain. Examples include gabapentin and pregabalin.

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Numerical Rating Scale (NRS)

A type of pain assessment scale where patients rate their pain using numbers, usually from 0 to 10.

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Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

Medications often used to treat pain and inflammation, particularly for arthritis, headaches, and muscle aches.

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Opioids

A medication type used for pain management, but with a high potential for addiction and tolerance. They are usually a last resort option.

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Visual Analog Scale (VAS)

A type of pain assessment scale that uses pictures to represent different pain levels.

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Antidepressants for Pain

Medications designed to treat depression, but that can also be used for certain types of chronic pain.

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Study Notes

Pain Management

  • Pain is a localized or generalized unpleasant bodily sensation, causing mild to severe discomfort and emotional distress. It often results from bodily disorders (like injury or disease). Pain can be caused by tissue damage (bone, soft tissue, organs) or physical injury (cut, broken bone).

Pain Classification

  • Acute pain: Develops suddenly and lasts a limited time. Caused by damage to tissue (bone, muscle, organs), sometimes causing anxiety or other emotional issues.

  • Chronic pain: Lasts longer than acute pain and often resists treatment. It's frequently associated with long-term illnesses like osteoarthritis, although nerve damage is also a common cause.

Types of Pain

  • Nociceptive pain: Caused by tissue damage.

  • Neuropathic pain: Caused by nerve damage.

  • Psychogenic pain: Affected by psychological factors, often having a physical origin (tissue or nerve damage).

Assessing Pain

  • Pain is subjective and difficult to quantify. Use specific features to describe a patient's pain (ASK PQRST), including:

    • Region: Where is the pain located? (e.g., abdomen, lower limbs)
    • System: Which body system (e.g., nervous, gastrointestinal) might be causing the pain?
    • Duration/Pattern: How often does the pain occur?
    • Intensity: How intense is the pain (on a scale of 0-10)?
    • Factors: What makes the pain worse or better?
    • Cause: Any illnesses or surgeries? Stress or anxiety?

Breakthrough Pain

  • Breakthrough pain is sudden, transient pain not relieved by regular pain management. It's common in cancer patients whose background pain is controlled but experiences bouts of severe pain. Management can involve intensive opioid use.

Chronic Pain

  • Chronic pain lasts over three months, possibly ongoing or intermittent. It can occur anywhere in the body.

  • Chronic pain interferes with daily activities and can lead to depression, anxiety, trouble sleeping, worsening existing pain.

  • Common types include arthritis, neck pain, back pain, headaches, muscle pain, neurogenic, and cancer pain.

  • Symptoms include: aching, burning, shooting, squeezing, stiffness, stinging, throbbing.

  • Chronic pain can lead to anxiety, depression, fatigue, and insomnia.

Treatment for Chronic Pain

  • Anticonvulsants: Prevent seizures (for nerve pain).

  • Antidepressants: Such as tricyclic antidepressants.

  • Corticosteroids

  • Muscle relaxers

  • NSAIDs/Acetaminophen: Nonsteroidal anti-inflammatory drugs.

  • Topical products: Containing pain relievers or ingredients for heat/cold.

  • Opioids: Narcotics, use cautiously due to potential addiction and tolerance.

  • Sedatives: To manage anxiety or insomnia.

Pain Assessment Scales

  • Numerical Rating Scale (NRS): Uses numbers to quantify pain. 0 represents no pain, 10 the most intense.

  • Visual Analog Scale (VAS): Patient selects a picture representing their pain level.

  • Categorical Scales: Primarily uses words, possibly with numbers/colors/locations on the body (e.g., Wong-Baker FACES Pain Scale, Mankoski Pain Scale)

Wong-Baker FACES Pain Scale

  • Combines pictures and numbers. Suitable for adults and children over 3. Six faces show expressions (happy to upset) with numerical pain ratings (0-10).

Mankoski Pain Scale

  • Uses numbers and detailed descriptions to help providers understand patient pain. Includes phrases like "Very minor annoyance," "Occasional minor twinges." Includes descriptions for varied pain degrees and how it impacts daily activities. Provides medication guidance based on pain level (0-10).

Nursing Assessment and Management of Pain

  • Evaluate patient pain.

  • Provide measures to relieve pain before it becomes severe.

  • Acknowledge and accept reported pain, assess related symptoms (weakness, decreased appetite, weight loss, posture changes, anxiety, depression).

  • Review current medications (pharmacological/non-pharmacological).

  • Provide non-pharmacological pain management (massage, heat/cold, immobilization).

  • Provide pharmacological pain management (as ordered).

  • Evaluate the effectiveness of pain relief measures.

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Pain Management PDF

Description

This quiz covers the fundamental concepts of pain management, including the definitions, classifications, and types of pain. Learn about acute, chronic, nociceptive, neuropathic, and psychogenic pain while also exploring techniques for assessing pain. Perfect for students and professionals in healthcare.

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