Comfort
1. Differences between acute pain, chronic pain, end-of-life pain and
fibromyalgia pain
a. Acute Pain
i. Sudden onset
ii. Lasts only through recovery (30 days to 6 months)
b. Chronic Pain
i. Lasts longer than 6 months.
ii. Persists beyond expected healing period.
iii. Patient have right to adequate assessment, management of pain
c. End-of-life Pain
i. Physical, mental, emotional comfort
ii. Social support
iii. Given to those living with and dying of advanced illness.
iv. Nurses have a great impact.
1. Activities of Daily Living
2. Providing information
3. Emotional and spiritual support
4. Helping families make ethical decisions.
d. Fibromyalgia Pain
i. Widespread musculoskeletal pain
ii. Fatigue
iii. Numbness, tingling extremities.
iv. Multiple tender points in precise areas
v. No cure, treatment of symptoms
2. Ways to comfort a child
, a. Involve children in describing comfort.
b. Demonstrate procedure on patient if possible.
c. Comfort by hugging, holding hands, giving treats.
d. Allow the child to sit on the parent's lap.
3. Diagnostic tests and their significance
a. Can catch underlying causes
b. Can be:
i. X-rays
ii. Blood tests
iii. Sleep studies
4. Occupational risks and nursing interventions
Sleep-rest
1. Common sleep disorders
a. Sleep loss - sleep less than 7 to 8 hours
b. Sleep apnea - breathing pauses during sleep
c. Insomnia - difficulty falling asleep or staying asleep
d. Narcolepsy - unexpected and unusual falling asleep patterns
e. Parasomnias - unpleasant or undesirable behaviors (sleepwalking,
sleep terrors)