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Rest and sleep
Pain
Hot or cold
Cold or hot
General
100
Relaxing for a patient or resident, stimulates circulation, and gives us a chance to note any changes in the skin
What is back massage?
100
Sharp and sudden pain
What is acute pain?
100
Widens or dilate blood vessels, reduces pain and promotes circulation to speed healing, relieves muscle spasms, and provides warmth.
What are the effects of heat application?
100
Constricts blood vessels, reduces pain and swelling, numbs sensation and controls bleeding and reduces fever.
What is cold application?
100
A person's culture and upbringing, past experience with pain, and sense of responsibility toward others.
What are factors that affect a person's response to pain?
200
Pain, unfamiliar environment, worries about health finances, family members, sleep disorders.
What factors can affect a person's ability to sleep?
200
Slow, diffuse, and constant pain
What is chronic pain?
200
Blisters and burns
What is a potential complication of heat application?
200
Underneath a hot application every 5 minutes and underneath a cold application every 10 minutes.
What is checking the skin?
200
Where it is, what it feels like, how long it lasts, what makes it better or worse, how intense it is.
What details about pain should be reported to the nurse?
300
In a lateral or prone position
What position is the patient in when receiving a back rub?
300
Facial expressions, avoid using a certain body part, redness and swelling of a body part, changes in vital signs, changes in a person's behavior (moaning, crying, restlessness, calling out, rubbing an area of the body, resisting care)
What are nonverbal signs of pain that need to be reported to the nurse?
300
Protective layer between the person's skin and the hot or cold application
What is a towel?
300
No longer than 20 minutes
What is the length of time a cold or hot application is kept in place?
300
Over the counter pain medications that should be taken with food
What is ibuprofen or Advil?
400
Massaging in the lotion with long, gliding strokes, moving up from the buttocks to the shoulders, and then back down along the outside of the back
What is effleurage?
400
From 1 to 10 with 10 being the worst pain imaginable
What is a pain scale?
400
Hot water bottles and heating (Aquamatic) pads
What are types dry heat application?
400
Old comfort measure that doesn't require a doctor's order
What is a warm or cold compress (washcloth)?
400
Must be left in place for 72 hours. Avoid pacing hot application over this. Used to help relieve chronic pain.
What is a Fentanyl patch?
500
Encouraging increased physical activity during the day; limiting naps during the day; avoiding giving caffeine in the afternoon and evening, promoting relaxation, offering a snack at bedtime and assisting with basic hygiene and elimination before bed
What are measures to promote rest and sleep?
500
Reporting pain and requests for pain medication, assisting with relaxation and providing distraction with music or TV.
What is the nursing assistant's role in managing pain?
500
Older people, very young people, chronically ill people and fair people
What conditions can increase risk of injury with heat or cold application?
500
Skin that is pale and does not return to normal after cold application is removed, complaints of burning, stinging or numbness.
What are possible signs of frost bite, or complications of cold application.
500
Common side affect of prescription pain medications
What is constipation?