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PAIN MANAGEMENT,
PAIN MANAGEMENT, COMFORT, REST, AND SLEEP
Question | Answer |
---|---|
give strength, and hope, to cheer, and to ease the grief or trouble of another. | COMFORT |
promoting physical and psychological comfort is a vital part of the role of a nurse | regardless of age, pts receive comfort and a sense of well-being from gentle touch and eye contact |
pain is a complex, abstract. personal experience It is caused by noxious stimulation of the sensory nerve endings. | Pain can also occur when there is no tissue damage, such as the pain of grief at the death of a loved one or the pain of migraine headaches. |
injurious to physical health | noxious |
the defining characteristics about pain can be verbal or nonverbal by the pt of the presence of pain. "Pain is what the experiencing person says it is, existing whenever he says it does" McCaffery | according to McCaffery's definition of pain, the nurse must believe every pt who says he or she has pain |
the person with pain, not the health professional, is the expert about the location, intensity, quality, and pattern of pain, as well as the degree of pain relief obtained from therapy | the nurse assists the pt to recognize his or her expertise about the pain and that, when the expertise is shared in partnership with health professionals, better pain management can be obtained. |
is self-protctive, guards the painful area, has narrow focus, has impaired thought process, may demonstrate no outward expressions of pain | BEHAVIORAL CHARACTERISTICS OF PATIENTS IN PAIN |
There are many types of pain | MILD, SEVERE, CHRONIC, ACUTE, INTERMITTENT OR INTRACTABLE (CONSTANT), BURNING, DULL, OR SHARP, PRECISELY OR POORLY LOCALIZED OR REFERRED. |
felt at a site other than the injured or diseased organ or part of the body | REFERRED PAIN |
intense and of short duration, usually lasting less than 6 months | ACUTE PAIN |
acute pain provides a warning to the individual of acute or potential tissue damage. | if pain ratings can be attached to an activity as routine as V/S, clinicians will receive frequent reminders of existing pain problems |
autonomic response that originates within the sympathetic nervous system, flooding the body with epinephrine, anxiety is usually associated with the pain. | FIGHT OR FLIGHT |
when pain is of short duration, physicians are more likely to prescribe opioids and other analgesics. | because depression is common in pts with chronic pain always screen for suicidal ideation and report to a RN for a psychiatric referral |