1430
Exam
1
-
Comfort
QUESTIONS
WITH
CORRECT
ANSWERS
Define
pain
-
ANSWER-Pain
is
whatever
the
experiencing
person
says
it
is,
existing
whenever
he
says
it
does.
Define
pain
-
ANSWER-Unpleasant
sensory
and
emotional
experience
associated
with
actual
or
potential
tissue
damage.
Define
comfort
-
ANSWER-State
of
physical
ease
Acute
pain
-
ANSWER-Short
term/Opioids
used
for
relief/
vitals
sometimes
help
Chronic
pain
-
ANSWER-3
months+
pain
duration/
vitals
DO
NOT
identify
pain/
treated
with
NON
opioids
When
should
medication
be
administered?
-
ANSWER-Relative
to
patient
needs
&
caregiver
orders
How
is
a
patient's
pain
affected
by
culture?
-
ANSWER-Awareness
to
correctly
assess
pain
and
interventions
How
is
a
patient's
pain
affected
by
spirituality?
-
ANSWER-Patient
may
be
more
accepting
and
tolerant
of
pain
gained
through
spiritual
strength
How
is
a
patient's
pain
affected
by
development?
-
ANSWER-Influences
how
pain
is
interpreted
and
the
ability
to
communicate
pain
How
is
a
patient's
pain
affected
by
tissue
integrity?
-
ANSWER-Nociceptive
pain.
Acute
pain
associated
with
tissue
damage How
is
a
patient's
pain
affected
by
mobility?
-
ANSWER-Severe
pain
can
immobilize
a
patient.
Unrelieved
pain
effects
musculoskeletal
system
ie;
impaired
muscle,
skeletal,
or
joint
function
How
is
a
patient's
pain
affected
by
functional
ability?
-
ANSWER-Patients
ability
to
ambulate
and
partake
in
physical
therapy
activities,
prolong
recovery,
associated
with
higher
complications
ie;
long
term
disability
How
is
a
patients
pain
affected
by
sleep
disturbances?
-
ANSWER-Contribute
to
increased
pain
perception
&
reduces
ability
to
cope
How
is
a
patients
pain
affected
by
fatigue?
-
ANSWER-Further
impair
mobility
and
functional
ability
How
is
a
patients
pain
affected
by
mood
and
affect?
-
ANSWER-More
likely
to
rate
their
general
health
as
poor,
have
suicidal
thoughts,
increased
morality
Primary
intervention
to
pain
-
ANSWER-Educate
Secondary
intervention
to
pain
-
ANSWER-Identify/assess/diagnose
Tertiary
intervention
to
pain
-
ANSWER-Intervention
Adjuvants
-
ANSWER-Drugs
used
alone
or
with
opiod
or
non
opiod
generally
used
for
other
purposes
but
is
effective
in
treating
pain.
Enhance
effects
of
non-opioids,
useful
for
treating
neuropathic
pain,
alleviates
depression,
seizures,
inflammation
When
to
reassess?
-
ANSWER-With
every
new
report
of
pain,
before
&
after
administering
medication
Subjective
assessment
-
ANSWER-Pain
scale
Objective
assessment
-
ANSWER-Physical
exam
PCA
-
ANSWER-Patient
self
administered
opiods
(morphine,
hydromorphone,
fentanyl)
Minimal
risk
of
overdose.
Deliver
specific
doses
&
intervals