Podcast
Questions and Answers
What does a score of zero on the pain scale indicate?
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?
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?
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?
What is a key responsibility of healthcare providers in pain management?
Which of the following is NOT a sign of chronic pain?
Which of the following is NOT a sign of chronic pain?
What is one of the nonpharmacologic pain management methods mentioned?
What is one of the nonpharmacologic pain management methods mentioned?
What is the purpose of evaluating the effectiveness of analgesics?
What is the purpose of evaluating the effectiveness of analgesics?
What should be done before severe pain becomes evident?
What should be done before severe pain becomes evident?
What type of pain is characterized by lasting longer than acute pain and is often resistant to treatment?
What type of pain is characterized by lasting longer than acute pain and is often resistant to treatment?
Which type of pain results from tissue damage?
Which type of pain results from tissue damage?
Which of the following questions is included in the ASK PQRST framework for assessing pain?
Which of the following questions is included in the ASK PQRST framework for assessing pain?
What is a common characteristic of psychogenic pain?
What is a common characteristic of psychogenic pain?
Which type of pain is most likely caused by nerve damage?
Which type of pain is most likely caused by nerve damage?
What measurement scale is recommended for assessing the intensity of pain?
What measurement scale is recommended for assessing the intensity of pain?
Acute pain is often triggered by which of the following?
Acute pain is often triggered by which of the following?
Which of the following accurately describes the potential emotional impact of pain?
Which of the following accurately describes the potential emotional impact of pain?
What is a characteristic of breakthrough pain?
What is a characteristic of breakthrough pain?
Which of the following is NOT a common type of chronic pain?
Which of the following is NOT a common type of chronic pain?
What can lead to worsening symptoms of chronic pain?
What can lead to worsening symptoms of chronic pain?
What type of medication is used for nerve pain in chronic pain management?
What type of medication is used for nerve pain in chronic pain management?
Which pain assessment scale is designed for individuals over the age of 9?
Which pain assessment scale is designed for individuals over the age of 9?
What is a potential consequence of using opioids for pain management?
What is a potential consequence of using opioids for pain management?
Which of the following treatments is commonly used for managing insomnia related to chronic pain?
Which of the following treatments is commonly used for managing insomnia related to chronic pain?
What type of pain management approach is often attempted before prescribing opioids?
What type of pain management approach is often attempted before prescribing opioids?
Flashcards
Nociceptive Pain
Nociceptive Pain
Pain that is caused by an injury or other damage to body tissues such as bone, muscle or organs.
Neuropathic Pain
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
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
Acute Pain
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Chronic Pain
Chronic Pain
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What is pain?
What is pain?
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PQRST Framework
PQRST Framework
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Ask PQRST
Ask PQRST
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Numerical Pain Scale
Numerical Pain Scale
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Wong-Baker FACES Pain Scale
Wong-Baker FACES Pain Scale
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Mankoski Pain Scale
Mankoski Pain Scale
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Pain Management
Pain Management
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Accepting Client's Pain Report
Accepting Client's Pain Report
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Nonpharmacologic Pain Management
Nonpharmacologic Pain Management
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Pharmacologic Pain Management
Pharmacologic Pain Management
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Evaluating Pain Relief
Evaluating Pain Relief
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Breakthrough Pain
Breakthrough Pain
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Anticonvulsants for Pain
Anticonvulsants for Pain
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Numerical Rating Scale (NRS)
Numerical Rating Scale (NRS)
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Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
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Opioids
Opioids
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Visual Analog Scale (VAS)
Visual Analog Scale (VAS)
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Antidepressants for Pain
Antidepressants for 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
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Acute pain: Develops suddenly and lasts a limited time. Caused by damage to tissue (bone, muscle, organs), sometimes causing anxiety or other emotional issues.
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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
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Nociceptive pain: Caused by tissue damage.
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Neuropathic pain: Caused by nerve damage.
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Psychogenic pain: Affected by psychological factors, often having a physical origin (tissue or nerve damage).
Assessing Pain
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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
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Chronic pain lasts over three months, possibly ongoing or intermittent. It can occur anywhere in the body.
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Chronic pain interferes with daily activities and can lead to depression, anxiety, trouble sleeping, worsening existing pain.
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Common types include arthritis, neck pain, back pain, headaches, muscle pain, neurogenic, and cancer pain.
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Symptoms include: aching, burning, shooting, squeezing, stiffness, stinging, throbbing.
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Chronic pain can lead to anxiety, depression, fatigue, and insomnia.
Treatment for Chronic Pain
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Anticonvulsants: Prevent seizures (for nerve pain).
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Antidepressants: Such as tricyclic antidepressants.
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Corticosteroids
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Muscle relaxers
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NSAIDs/Acetaminophen: Nonsteroidal anti-inflammatory drugs.
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Topical products: Containing pain relievers or ingredients for heat/cold.
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Opioids: Narcotics, use cautiously due to potential addiction and tolerance.
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Sedatives: To manage anxiety or insomnia.
Pain Assessment Scales
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Numerical Rating Scale (NRS): Uses numbers to quantify pain. 0 represents no pain, 10 the most intense.
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Visual Analog Scale (VAS): Patient selects a picture representing their pain level.
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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
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Evaluate patient pain.
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Provide measures to relieve pain before it becomes severe.
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Acknowledge and accept reported pain, assess related symptoms (weakness, decreased appetite, weight loss, posture changes, anxiety, depression).
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Review current medications (pharmacological/non-pharmacological).
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Provide non-pharmacological pain management (massage, heat/cold, immobilization).
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Provide pharmacological pain management (as ordered).
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Evaluate the effectiveness of pain relief measures.
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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.