Pain: Type
An example of this type of acute pain is a stab *injury*
Nociceptive
Nociceptive are the pain receptors that respond to the injury. This is the most common type of pain. Has two types: visceral (originating from organs) and somatic (originating from skin, bones or connective tissue)
This assessment uses non-verbal cues for older adults
PAIN_AD scale
This should not be used on the skin for more than 15 mins/time
heat or cold therapy
This re-positioning motion requires two nurses and is used for spinal injury
Logrolling
immobility increases venous blood pooling, which leads to this complication
deep vein thrombosis
An example of this type of pain is a kidney infection
Visceral pain
This describes a level of pain where patients can function safely
Comfort function goal
This patient experience can happen when an opioid intervention is stopped, especially when it has been taken for a long time.
Dependence
When lifting, nurses should keep a wide base of support with the feet how far apart?
at least hip or shoulder width
This type of mobility exercise is when a nurse rotates the joints for the patient
passive range of motion
This type of pain does not respond well to opioid medications
Neuropathic
This describes the response "burning" when you ask about pain
When Pain re-assessment should occur after implementing an intervention
within 60 minutes
T/F: Balance involves a proper line of gravity
True
*The broader the the base of support, the lower the center of gravity, using a straight line of gravity, maintains easier balance
This type of exercise increases HR and RR, increasing oxygen demand in both cardiac and skeletal muscles
Aerobics
This type of pain lasts only for several hours or days
acute
This type of pain assessment is difficult for patients who are new to the pain experience
Numerical scale
Television and iphones are used for this type of non-pharmacologic pain management intervention
Distraction
T/F: When lifting, nurses should bend at the waist
False
This intervention is needed when a patient is easily fatigued by multiple activities over time
clustering care
An example of this type of pain is a pulled muscle
Somatic
List 3 non-verbal pain assessments NOT including vital signs changes
guarding, grimacing (facial), noncompliance, crying/moaning, behavior change: agitation, withdrawal
What should you assess BEFORE administering opioids or starting a PCA pump?
respiratory rate
This interdisciplinary team member is a valuable resource and collaborator for patient movement
Physical Therapy
This lung condition is a consequence of decreased mobility after surgery
Atelectasis