Pain in the Assessment
Assistant to the Regional Pain Manager
I know that's right!
Not Oxy-morons
Palliative Principles
100

The most reliable indicator of pain

Patient self-report

100

This type of pain lasts longer than 6 months.

Chronic

100

This medication right is verified by asking the patient as well as verifying the information on the patient's wristband against the MAR.

Right patient.

100

This medication is often the first choice to relieve pain and reduce fever but can harm the liver if taken regularly or in large doses.

Acetaminophen

100

Patients and families experience this when grieving a loss that has not yet occurred.

Anticipatory grief.

200

The most appropriate scale to measure pain in infants or nonverbal adults.

FLACC

200

This non-pharmacological treatment contributes to the perception of pain and can include aromatherapy or guided imagery.

Distraction

200

Medications rights are verified at these 3 distinct points in the administration process.

Retrieval, preparation, at bedside.

200

A known opioid side effect that can be relieved with preventive nursing action, can also be treated with oral naloxone.

Constipation

200

Palliative care does not seek to extend quantity of life, but this instead.

Quality of life.

300

This type of pain is caused by tissue damage, injury, surgery, or other direct noxious stimuli.

Nociceptive pain

300

The acceptable level of cardiac chest pain

0

300

This right ensures safe, legal practice. If you didn't do this, it didn't happen.

Right documentation.

300

This opioid is generally used in high acuity settings such as PACU and ICU as it causes profound respiratory depression.

Fentanyl 

300

This symptom, caused by relaxation of the airway and highly distressing for family, can be relieved by atropine or glycopyrrolate.

Death rattle.

400

This is another common descriptor for neuropathic pain, along with burning, numbness, or tingling.

Shooting

400

Heat should not be utilized for pain relief in the acute post-op patient due to this potential outcome.

increased bleeding/hemorrhage at the surgical site.

400

This leading cause of medication errors is exacerbated by staffing levels and assignment acuity.

Disctractions.

400

This class of medications, which includes gabapentin, is used to manage neuropathic pain.

anticonvulsant.

400

The name for the most commonly used framework for describing the grieving process- Denial, Anger, Bargaining, Depression, Acceptance.

Kubler-Ross stages of grief.

500

This abbreviated pain assessment allows nurses to identify critical factors contributing to pain in urgent and emergent situations.

PQRST

500

This substance protects your stomach from the acidic environment and is decreased in patients taking NSAIDS regularly.

Prostaglandins.

500

This type of communication is used to verify all verbal orders, as well as to communicate actions during emergency situations.

Closed-loop feedback.

500

To give 0.5mg of IV Hydomorphone (dilaudid) in a 1mg/ml vial, you would need this size syringe

1 ml.

500

This term describes dietary practice for hospice patients, allowing whatever foods may bring the patient joy or comfort, regardless of previous dietary restrictions.

Pleasure feeds.