CORRECT WELL DETAILED ANSWERS|LATEST
PASS
PAIN MANAGEMENT
ACUTE PAIN - ANSWER ▪ Acute/transient: Protective, identifiable, short duration;
limited emotional response
pain that results from tissue damage, whether through injury or surgery (lasts less than 3
months)
CHRONIC PAIN - ANSWER Chronic/persistent noncancer: is not protective, has no
purpose, may or may not have an identifiable cause.
Chronic episodic: occurs sporadically over an extended duration
sudden on slow onset of any intensity and is constant. (lasts longer than 3 months)
Breakthrough Pain - ANSWER ▪ burst of pain despite treatment. severe pain in a
patient with otherwise mild to moderate pain (opioid would be used to help treat the pain)
Cancer Pain - ANSWER ▪ Can be acute or chronic, related to cancer
nociceptive pain - ANSWER damage to a somatic/cutaneous or visceral tissue, usually
localized
neuropathic pain - ANSWER caused by damage to the peripheral nerves in the CNS
PQRSTU Assessment Data - ANSWER P- Palliative of Provocative Measures (what
makes it worse better?)
1
, Q- Quality (what do the symptoms feel like?)
R- Radiation/ Region (where is the pain located?)
S- Severity (scale 1-10)
T- Timing (onset and duration)
U- Effects of the pain on (YOU)
ABCDE method to approach - ANSWER A- ask about the pain, and assess the pain
B- believe the patient when they say they are in pain C- choose appropriate pain reliefs
D- deliver the pain relief to the patient in an timely manner, logically, and coordinated
fashion
E- Empower the patient by speaking with and enable them to control their course
How to assess pain - ANSWER Use a pain scale, same scale every time you access the
patient
Pharmacological Treatment of Pain - ANSWER
Client education - ANSWER possible side effects, how to prevent, explain alternatives
Non Pharmacological management - ANSWER Warm water in a shower, warm
compress to the joints, PT/OT eval for safety equipment, cognitive and behavior, music,
distraction, TENS, herbals, reduce pain perception and reception
non-opiod analgesics - ANSWER NSAIDS, acetaminophen, naproxen, silicate acid,
ketorolac, ibuprofen ; mild to moderate pain
Opiod analgesics - ANSWER What type of pain they treat - moderate to severe
How they are managed - monitoring effects
Oral vs. Parenteral route
2
PASS
PAIN MANAGEMENT
ACUTE PAIN - ANSWER ▪ Acute/transient: Protective, identifiable, short duration;
limited emotional response
pain that results from tissue damage, whether through injury or surgery (lasts less than 3
months)
CHRONIC PAIN - ANSWER Chronic/persistent noncancer: is not protective, has no
purpose, may or may not have an identifiable cause.
Chronic episodic: occurs sporadically over an extended duration
sudden on slow onset of any intensity and is constant. (lasts longer than 3 months)
Breakthrough Pain - ANSWER ▪ burst of pain despite treatment. severe pain in a
patient with otherwise mild to moderate pain (opioid would be used to help treat the pain)
Cancer Pain - ANSWER ▪ Can be acute or chronic, related to cancer
nociceptive pain - ANSWER damage to a somatic/cutaneous or visceral tissue, usually
localized
neuropathic pain - ANSWER caused by damage to the peripheral nerves in the CNS
PQRSTU Assessment Data - ANSWER P- Palliative of Provocative Measures (what
makes it worse better?)
1
, Q- Quality (what do the symptoms feel like?)
R- Radiation/ Region (where is the pain located?)
S- Severity (scale 1-10)
T- Timing (onset and duration)
U- Effects of the pain on (YOU)
ABCDE method to approach - ANSWER A- ask about the pain, and assess the pain
B- believe the patient when they say they are in pain C- choose appropriate pain reliefs
D- deliver the pain relief to the patient in an timely manner, logically, and coordinated
fashion
E- Empower the patient by speaking with and enable them to control their course
How to assess pain - ANSWER Use a pain scale, same scale every time you access the
patient
Pharmacological Treatment of Pain - ANSWER
Client education - ANSWER possible side effects, how to prevent, explain alternatives
Non Pharmacological management - ANSWER Warm water in a shower, warm
compress to the joints, PT/OT eval for safety equipment, cognitive and behavior, music,
distraction, TENS, herbals, reduce pain perception and reception
non-opiod analgesics - ANSWER NSAIDS, acetaminophen, naproxen, silicate acid,
ketorolac, ibuprofen ; mild to moderate pain
Opiod analgesics - ANSWER What type of pain they treat - moderate to severe
How they are managed - monitoring effects
Oral vs. Parenteral route
2
