RNSG 1430 -Exam 1 Comfort & Elimination.
Questions With Accurate Answers
What is the definition of comfort? - ANSWER Comfort is a state of physical ease.
What are antecedents to comfort? - ANSWER Antecedents: effective circulatory
system, ability to distinguish comfort and discomfort, intact neurological/sensory system.
What are attributes of comfort? - ANSWER Attributes: Zero pain, being comfortable,
relaxed body posture/facial expressions, vital signs WNL
What conditions which place a patient at risk for impaired comfort? - ANSWER Pain
experience: Age, decreased mobility, surgery/procedures, functional ability,
Mood/Affect, cognitive function, anxiety/fear, culture, and prior experiences.
Procedural pain: Wound dressing changes, physical therapy and post-operative pain.
Best to administer pain meds prior to interventions.
What are the categories for pain? - ANSWER Pain is categorized by duration (acute or
chronic) or by origin (nociceptive or neuropathic) Pain can also be described by
duration, localization, source, transmission, etiology. DDD is example of neuropathic
pain.
What are negative consequences of chronic pain?` - ANSWER Depression (negative
mood/affect), tissue damage, disturbed sleep patterns, changes in nutrition (loss of
appetite or binge eating[1] ), decline in cognitive process, impaired mobility, accidental
drug overdose or addiction, developmental issues if pain starts in youth, cardiovascular
issues.
What medications are effective for treating neuropathic pain? - ANSWER NSAIDs
(ibuprofen, naproxen), acetaminophen, aspirin, Adjuvant drugs like antidepressants
(nortriptyline, duloxetine), anticonvulsants (gabapentin)
What is nociceptive pain? - ANSWER Nociceptive pain is due to tissue damage and can
be somatic or visceral.
What types of nociceptive pain exist? - ANSWER Somatic: bones, joints, skin, and
muscle pain. Described as[1] throbbing, aching, sharp and can be well localized. Ex:
breaking a bone/joint damage, cuts, burns, pulled muscle, etc.
, Visceral: is deep in organs of the thorax, abdomen, and cranium. Described as sharp,
stabbing, throbbing, not well localized. Ex: bladder distention (stretching),
obstruction/inflammation in hollow organs (GI tract, IBS, Crohn's disease) like severe
constipation, menstrual cramps.
What are examples of non-pharmacological pain interventions? - ANSWER
Acupuncture, chiropractic manipulation, hot/cold compress, relaxation (breathing
techniques, massage, music), distraction, laughter, yoga, and TENS unit.
How should acute post op pain be assessed and managed? - ANSWER Assess patient
every 15 mins for 1st hour, every 30 mins for next 2hrs and q4h for 24 hrs
Assess Vitals, Airway (Respiratory Function), Cardiovascular function (shock,
hemorrhaging, hypo/hypertension), Level of consciousness (responsiveness), Skin
color/integrity.
Assess Pain and administer prescribed analgesics ATC (around the clock) if possible.
Reassess patients' pain level 30 mins after taking the drug. If patient has PCA pump try
to slowly wean them off and get them to take oral pain meds.
How can physical therapy assist with patient comfort after an arthroplasty? - ANSWER
In arthroplasty, diseased joint components are replaced. Rehabilitation with physical
therapy that is initiated within the first 24 hours is associated with decreased hospital
length of stay and improved balance and gait function
What are examples of neuropathic pain? - ANSWER Phantom leg pain (peripheral),
pain from spinal cord injury (central), diabetic neuropathy, Trigeminal neuralgia,
Postherpetic neuralgia, causalgia, fibromyalgia
What are some collaborative therapies for osteoarthritis? - ANSWER Work with
physicians and other advanced practice professionals, physical therapists, and other
health care professionals to maintain joint mobility.
Patient education is directed to the patient's mastery of an exercise (i.e. Tai Chi, yoga,
weight-bearing) and care programs (i.e. P.T.; O.T.), which fosters tissue repair and
maximal independence in ADLs.
What are common Postoperative Pain Management Medication Effects? - ANSWER ●
Poor respiratory function
● Nausea and/or vomiting
● Constipation
● Urinary retention
● Drowsiness
● Impaired cognition
Questions With Accurate Answers
What is the definition of comfort? - ANSWER Comfort is a state of physical ease.
What are antecedents to comfort? - ANSWER Antecedents: effective circulatory
system, ability to distinguish comfort and discomfort, intact neurological/sensory system.
What are attributes of comfort? - ANSWER Attributes: Zero pain, being comfortable,
relaxed body posture/facial expressions, vital signs WNL
What conditions which place a patient at risk for impaired comfort? - ANSWER Pain
experience: Age, decreased mobility, surgery/procedures, functional ability,
Mood/Affect, cognitive function, anxiety/fear, culture, and prior experiences.
Procedural pain: Wound dressing changes, physical therapy and post-operative pain.
Best to administer pain meds prior to interventions.
What are the categories for pain? - ANSWER Pain is categorized by duration (acute or
chronic) or by origin (nociceptive or neuropathic) Pain can also be described by
duration, localization, source, transmission, etiology. DDD is example of neuropathic
pain.
What are negative consequences of chronic pain?` - ANSWER Depression (negative
mood/affect), tissue damage, disturbed sleep patterns, changes in nutrition (loss of
appetite or binge eating[1] ), decline in cognitive process, impaired mobility, accidental
drug overdose or addiction, developmental issues if pain starts in youth, cardiovascular
issues.
What medications are effective for treating neuropathic pain? - ANSWER NSAIDs
(ibuprofen, naproxen), acetaminophen, aspirin, Adjuvant drugs like antidepressants
(nortriptyline, duloxetine), anticonvulsants (gabapentin)
What is nociceptive pain? - ANSWER Nociceptive pain is due to tissue damage and can
be somatic or visceral.
What types of nociceptive pain exist? - ANSWER Somatic: bones, joints, skin, and
muscle pain. Described as[1] throbbing, aching, sharp and can be well localized. Ex:
breaking a bone/joint damage, cuts, burns, pulled muscle, etc.
, Visceral: is deep in organs of the thorax, abdomen, and cranium. Described as sharp,
stabbing, throbbing, not well localized. Ex: bladder distention (stretching),
obstruction/inflammation in hollow organs (GI tract, IBS, Crohn's disease) like severe
constipation, menstrual cramps.
What are examples of non-pharmacological pain interventions? - ANSWER
Acupuncture, chiropractic manipulation, hot/cold compress, relaxation (breathing
techniques, massage, music), distraction, laughter, yoga, and TENS unit.
How should acute post op pain be assessed and managed? - ANSWER Assess patient
every 15 mins for 1st hour, every 30 mins for next 2hrs and q4h for 24 hrs
Assess Vitals, Airway (Respiratory Function), Cardiovascular function (shock,
hemorrhaging, hypo/hypertension), Level of consciousness (responsiveness), Skin
color/integrity.
Assess Pain and administer prescribed analgesics ATC (around the clock) if possible.
Reassess patients' pain level 30 mins after taking the drug. If patient has PCA pump try
to slowly wean them off and get them to take oral pain meds.
How can physical therapy assist with patient comfort after an arthroplasty? - ANSWER
In arthroplasty, diseased joint components are replaced. Rehabilitation with physical
therapy that is initiated within the first 24 hours is associated with decreased hospital
length of stay and improved balance and gait function
What are examples of neuropathic pain? - ANSWER Phantom leg pain (peripheral),
pain from spinal cord injury (central), diabetic neuropathy, Trigeminal neuralgia,
Postherpetic neuralgia, causalgia, fibromyalgia
What are some collaborative therapies for osteoarthritis? - ANSWER Work with
physicians and other advanced practice professionals, physical therapists, and other
health care professionals to maintain joint mobility.
Patient education is directed to the patient's mastery of an exercise (i.e. Tai Chi, yoga,
weight-bearing) and care programs (i.e. P.T.; O.T.), which fosters tissue repair and
maximal independence in ADLs.
What are common Postoperative Pain Management Medication Effects? - ANSWER ●
Poor respiratory function
● Nausea and/or vomiting
● Constipation
● Urinary retention
● Drowsiness
● Impaired cognition
