Pain Management
Medication delivery system that allows clients to self-administer safe doses of opioids
What is patient-controlled analgesia?
Needles placed along meridians to alter body functions or produce pain relief
What is acupuncture?
Inability to control defecation
What is fecal incontinence?
Poor abdominal/pelvic muscle tone: age/pregnancy Acute/chronic disorders: immobility, surgical procedures, meds, psychological factors, spinal cord injury
What are the factors affecting urinary elimination?
The ability to receive & interpret sensory impressions through sight, hearing, touch, smell, taste, and movement or position
Sensory Perception
Ongoing or recurrent, lasts longer than 6 months, and persists beyond tissue healing
What is chronic pain?
Diet, exercise, environment, and herbal remedies to promote natural healing
What is naturopathic medicine?
Bowel diversion through the intestines that ends in the colon
What is colostomies?
female, multigravida, aging, Parkinson's, CVA, MS, obesity, renal disease, meds: diuretics, opioids, anticholinergics, CCB, sedatives/hypnotics, and adrenergic antagonists.
What are the risk factors for urinary incontinence?
Nursing actions for: Call pts by name before approaching. Before leaving, inform pts of your departure. Describe the arrangement of food on the tray before leaving the room.
Patients with vision loss
The point at which a person feels pain.
What is pain threshold?
treatment approaches used in addition to or to enhance conventional medical care
What is complementary therapies?
Cabbage, cauliflower, and apples
What is foods that increase gas?
Establish a toilet schedule, increase fluid during the day, and decrease at night, remove/control barriers to toileting, provide incontinence pads/briefs, avoid using indwelling catheters, and encourage client to express feelings about incontinence.
What is Nursing care for urinary incontinence?
Reduce salivation, alters appetite
Xerostomia
Cultural and societal attitudes, lack of knowledge, fear of addiction, exaggerated fear of respiratory depression.
What are risk factors for undertreatment of pain?
a supplement that increases physical endurance
What is ginseng?
Administer enemas and suppositories as stool softeners to promote relief or manually remove gently to avoid stimulating the vagus nerve
What is nursing actions for fecal impaction?
Catheter-associated UTI (CAUTI)
What are the complications of indwelling catheters?
Nursing Actions for: Speak clearly & slowly using short sentences & simple words. Pause between statements to allow time for patients to understand. Do not shout. Reinforce verbal with nonverbal communication.
Patients with aphasia
Changing the way a client perceives pain, and physical approaches to improve comfort
What is cognitive-behavioral measures?
Complete medical systems outside of allopathic medicinal beliefs such as traditional Chinese medicine, ayurveda, and homeopathy
What is whole medical systems?
Bradycardia, hypotension, syncope, hemorrhoids, rectal fissures, and fecal impaction
What is complications of constipation?
Diuretics: prevent water reabsorption, Antihistamines/anticholinergics: retention, Chemotherapy: toxic environment for kidneys.
What are medications that affect elimination?
... includes consulting with rehabilitation therapists for restorative potential & referring patients to community-based support groups & organizations for additional resources.
Interprofessional Care