Pain Response.
What is pain tolerance?
Level of pain when a person seeks help to manage the pain.
It is never okay just to assume the patient is pain-free because they fail to report pain.
True
Pain may be treated with...
Medication, Physical therapy, and heat or cold application.
List 5 Non-Verbal Signs of Pain.
Facial expressions, Moaning, Resisting care, Crying, Rubbing of the body etc....
The health care facility uses a numeric pain scale. The patient describes the pain as "6". The nursing assistant knows this pain being described as:
A) no pain.
B) minimal pain.
C) moderate pain.
D) worst pain imaginable.
Moderate Pain.
A patient who has rheumatoid arthritis in both knees, would have acute pain or chronic pain?
Chronic pain.
When using the 1-to-10 pain scale, if the patient or resident states that his pain is the worse ever, the correct number would be
10.
Why would we apply heat applications?
Relaxes muscles, increases blood flow, and eases pain.
What is moderate on a pain scale? What would 5 be considered on a scale as well?
4, 5 (Strongly Moderate)
The nursing asstant should use particulat caution when providing a heat application to a resident who:
A) Someone who has just been admitted in the facility
B) Has a decreased level of consciousness
C) Is more accustomed to cold applications.
D) Is receiving medication s for treatment of pain.
B, they are unable to tell us whether its too hot.
To reduce inflammation and swelling that causes pain, especially around a joint or a tendon. It can temporarily reduce nerve activity, which can also relieve pain. Which application do we use?
Cold application.
A sudden change in someone's personality may be an indicator of pain?
What does OTC medication stand for and explain what it is generally used for?
Over the Counter, and it is used for mild and moderate pain.
Check the site every 5 minutes, remove it after 20 minutes. T/F
True.
The patient who is most at risk for an injury from heat application is...
5-year-old who has muscle spasms.
Can all CNA's provide Heat and Cool applications for the patients or residents?
Some application processes may be outside the scope of practice for nursing assistants.
What questions do we ask as CNAs to identify the person's pain? Explain the 4.
Location (WHERE), Characteristic (DOES IT BURN, ACHE...), Intensity (PAIN SCALE), Circumstances (What makes the pain worse or better?).
Children and older clients at greatest risk for injury from heat or cold application
Both
Provide massages when and where appropriate, take your time when providing client care, pay attention to the client positioning needs. Who's role in the Nursing home is this?
A Nursing Assistant.
When reporting a patient's pain to the nurse, the nursing assistant's statement that is most clinically useful would be either?
"Mrs. Nigel says that she has severe pain in her lower back"
"Mr. Jimenez is having a throbbing pain in his knee that he rates at a 8/10."
"Ms. Suzukis pain is a 10/10 and says it that it was even worse than last night."
"Mr. Jimenez is having a throbbing pain in his knee that he rates at a 8/10."
Which behavioral therapy works best to relieve pain with muscle tension and spasms in patients who are anxious about their pain?
A) Distraction.
B) Hypnosis.
C) Relaxation.
D) Stress management.
Relaxation.
A patient comes seeking medical help after injuring her ankle. She says "she twisted her ankle on the rug in her home". What would we do to relive the patients pain?
Apply a commercially prepared ice pack.
Transcutaneous electrical nerve stimulation (TENS) unit does what?
The TENS unit effects the nerves to reduce pain.
Refusal to participate in certain activities may be an indicator of what?
Pain.
A patient who has lower back pain is receiving a dry heat application in the form of an electric heating pad. When checking the patients skin, the nursing assistant notes that it is bright red. The nursing assistant responds to this finding by:
A) Repositioning the heating pad and applying moisture underneath
B) Applying barrier cream on the skin under the heating pad.C) Lowering the temperature on the heating pad and monitoring the patient closely.
D) Removing the heating pad and informing the nurse.
D