Ethically Speaking
When its not done well
Do you know?
This and That
More of this and that
100
Relief from their pain as defined by the patient.
What is a patient's right?
100
"The (unrelieved)symptoms associated with a disease may be worse than the disease itself."
What is something that patients whose pain is not relieved might report?
100
This is characterized by a continued craving for the drug, and the need for its effects other than relief of pain.Finding the drug is most important thing-even if job, freedom, or family are lost from the user.
What is addiction?
100
This may not be proportionate to the amount of tissue damage that is visible.
What is patient's self report of pain?
100
This level of pain can greatly impact quality of life.
What is a "4" on a 0-10 scale?
200
The action must be good & the med or treatment given with intention for the positive effect.
What is the principle of double effect?
200
Poor control of pain over a period of time may cause depression and fatigue, together causing a patient to request this extreme solution.
What is assisted suicide?
200
This occurs when larger doses of the drug are needed to get the same effects as the other did.
What is tolerance?
200
"Pain is whatever the experiencing person says it is,existing whenever he or she says it does."
What is Margo McCaffery's definition of pain?
200
About 80% of this population experiences pain, but only 40-50% are given pain medications.
What is a statistic for long term care residents?
300
The only place for this is in a research trial.
What is use of placebos?
300
This must be as defined by the patient him or herself,because it differs individually.
What is acceptable pain relief ?
300
When someone has taken drugs for pain relief for some time and they are abruptly discontinued, these symptoms such as anxiety,irritability, runny nose,and abdominal cramps may occur.
What are signs of physical dependence ?
300
increases in pain to a greater than moderate level.This pain comes and goes despite routine medication.
What is breakthrough pain?
300
The most expensive health problem in the USA, costing $40 billion per year, and expected to grow to $60 billion by this year.
What is Chronic pain?
400
The nurse has a duty to do this for the patient, and patients and families often see the nurse in this role.
What is patient Advocate?
400
A statement made in 2000 said that pain must be managed appropriately in all health care settings.
What is the Joint commission statement on pain management?
400
These drugs are not appropriate for management of pain at end of life.
What is Demerol and mixed agonist-antagonist drugs?
400
With this type of pain, the autonomic nervous sysytem has adapted, and the objective signs of pain will not be present.
What is chronic pain?
400
This approach is found to be a most effective way to deal with the multidimensional problem of pain management.
What is an Interdisciplinary approach?
500
Educating the patient and/or their family about benefits vs burdens of any treatment or medication is a vital part of making it possible for them to do this.
What is give informed consent?
500
Can strip patients of dignity,cause unnecessary suffering,and create an increased burden on families/caregivers .
What is poorly managed pain?
500
Results from actual injury to the nerves vs stimulation of nerve endings.
What is Neuropathic pain?
500
Intense burning pain ,out of proportion to injury or illness, usually in one of the limbs. Visible changes in color and temperature of the affected part. Cause unknown and no known cure.
What is Complex Regional Pain Syndrome?
500
These things such as depression and chronic fatigue syndrome increase treatment costs substantially...
What are co-morbidities of poorly relieved pain?