Older adults who take pain medication (opioids) generally become addicted?
What is a myth. Addiction to opioids as a result of pain management is uncommon among most older adults. But a history of addiction may be needed at time of prescribing medications.
100
This is one of the most common sleep problems in older adults and an adverse consequence of it is inflammation.
What is insomnia.
100
This common assessment tool is very appropriate to use when assessing pain in a verbal adult without cognitive impairment.
What is the Numeric Rating Scale
100
Increased risk of falls, poor mobility, poor sleep, impaired immune function are all symptoms of this.
What is unrelieved pain.
100
This use of this non pharmacological intervention is often used by physical therapists and pain specialists and is a form of nerve stimulation.
What is a TENS (transcutaneous electrical nerve stimulation) unit.
200
Pain is a normal part of aging.
What is a myth- pain is not a normal part of aging but it may occur more as one ages.
200
This is a normal sleep stage that is characterized by deep, restorative sleep.
What is NREM Stage 3/4 (N3)
200
You can monitor for changes in behaviors, body movements, facial expressions and grimacing in this patients with what condition to assess for pain.
What is cognitive impairment or dementia.
200
Constipation is a common side effect of this class of medications frequently used to treat pain.
What are opioids.
200
These type of clinics provided specialized and usually multidisciplinary management for pain.
What is a pain clinic
300
Exercise can make pain worse
What is myth- many older adults believe this. Many may need to check with health care providers before engaging in exercise programs but generally exercise has been shown to help with pain if not contraindicated.
300
This objective measure of sleep may include brain waves showing sleep cycles.
What is sleep architecture
300
These are associated with pain in older adults with dementia: disruptive behaviors, agitation, changes in appetite, changes in sleep, anxiety.
What are behavioral and psychiatric symptoms of dementia (BPSD) .
300
This class of drugs is used for pain but the older adult should be monitored for bleeding, nephrotoxicity, and delirium.
What are NSAIDS.
300
This non pharmacological intervention for pain allows impulses to pass the theoretical pain gate and spine and register the sensation in the brain, which leads to counter impulses.
What is acupuncture.
400
People with dementia are no longer able to feel pain and/or have pain.
What is myth: older adults with dementia are able to still have pain sensations.
400
This first line assessment tool of sleep that may include medications, co-morbidities (conditions) and sleep patterns over two weeks.
What is a sleep diary
400
This readily available means of assessment should be attempted in order to assess the subjective experience of pain in older adults with dementia.
What is self-report
400
When older adults experience opioid related constipation they can institute this, which often includes laxatives/stool softeners, increased fiber, and plenty of fluids.
What is a bowel regimen
400
This type of activity can often help with pain without putting weight on joints and often occurs in a gym setting.
What is water aerobics
500
A person who has no functional impairment or appears occupied must not have pain.
What is myth: patients have a variety of reactions to pain and show pain symptoms in various different ways.
500
This common substance found in many soda/energy drinks should not be consumed close to bedtime in order to improve sleep.
What is caffeine
500
This pain assessment tool created by Horgas & Miller (2008) is used to assess pain in the areas of breathing, vocalization, facial expression, body language and consolability.
What is the PAINAD scale.
500
This medication should be used with caution among older adults with reduced hepatic function.
What is Acetaminophen
500
Guided imagery, Virtual reality games, focus on objects and humor can all act as what for those experiencing pain.