Clients who take pain medication generally become addicted
What is Myth: Addiction to opioids as a result of pain
management is uncommon among clients
100
Communication is a key component in good pain management TRUE OR FALSE
What is True: regular and thorough communication must occur between all people involved in clients care
100
True or False
A person's pain is whatever they say it is and exists whenever and wherever they say it does
What is TRUE : this definition used by many pain mgt programs- focuses on the subjective nature of pain
100
TRUE or FALSE
Pain medication can not be administered to a person unless they ask for it
What is FALSE Staff and family should recognize signs /symptoms of pain in individuals and speak on their behalf, always asking the client first
100
Name Two non-pharmacological interventions for pain
What is heat/cold, massage, imagery, acupuncture, pastoral consult, TENS, exercise, immobilization
200
Older adults tend to report more pain as they age
MYTH: many older adults tend not to report their pain because they think it is a normal part of growing older
200
Name THREE reasons why clients may not want to support a pain management plan
What is mistakenly held beliefs, fear of addition, cultural values, fear of side effects, lack of information
200
Give THREE signs of pain that might be exhibited by cognitively impaired elders
What is Vocal cues-moaning
Verbal cues
Facial cues (clenched jaw)
_ Changes in movement (shifting positions, protecting or clutching body parts)
200
TRUE OR FALSE Nursing is the only discipline that needs to be educated on pain
What is FALSE All health care workers are part of the team responsible for providing effective pain mgt
300
Opioids should not be considered when treating older adults with severe pain
What is MYTH : Opioids are the first line of defense we have
to combat severe pain -they have no maximum daily dose which allows us to adjust dose to an effective level, no matter how severe
300
Name THREE barriers to good pain management by health care providers
What is personal biases, lack of knowledge, lack of time, inadequate pain assessment skills, fear of addiction
300
When should the nurse complete a comprehensive pain assessment
What is Admission/Readmission, change in pain or health states, each time nurse gives medication
300
DOUBLE JEOPARDY 600 Points
What does COLDERR stand for
What is character onset location duration exacerbation relief
radiation
400
Effective pain control improves the ability to fight disease
FACT: one side effect of unrelieved pain is a compromised immune system
400
What words might a person use to describe neuropathic pain?
What is Tingling, Burning, Shooting, Numbness, Pins & Needles, Shooting, Radiating
400
Name three things to discuss with the older adult and family when starting a pain management treatment plan
What is benefits of effective pain management
Options available
Goals of treatment
Side effects and their treatment
Pain symptoms
Good communication
500
Constipation is one reason the use of opioids should be avoided in older adults
MYTH: constipation is a manageable side effect of opioid use.
A bowel program must always be in place
500
Give Three reasons older adults may not report pain
What is fear of addiction, belief that pain is normal, don't want to be a bother, cultural or generation beliefs values
fear of side effects, depression, cost
500
What words might a person use to describe Somatic/and or Visceral pain?
What is Somatic - aching throbbing gnawing
Visceral - cramping pressure deep aching
500
List three differences between acute and chronic pain
What is Acute-short term Chronic- often
sudden onset unknown cause
usually know cause may cont through
usually goes away out life, requires
comprehensive tx