Non pharmacologic pain strategies
Something I can incorporate into care every morning
Massage
A typical medication used for mild pain
What is tylenol
Things that should be documented with pain interventions
What was the behaviour or complaint that prompted the intervention, what was the intervention, what was the specific effect
Four causes of pain
What are wounds, arthritis, DDD, cancer, depression, UTI, depression etc
A distraction techniques
What is companionship
A typical medication used for moderate pain levels
When we should consider increasing pain medication or getting medication scheduled
What we do if a patient is consisitently needing 3-4 breakthroughs a day
When we should assess for pain
What to do to get a baseline, when someone is complaining of pain, when someone has a behaviour possibly indicating pain, after someone has pain medication
Two techniques that help the patient feel more relaxed
What is music, massage, art therapy, pet therapy
A class of medication that should be avoided in the elderly
What are NSAIDs
The tool that we use to communicate
What is the SBAR
How we calculate a breakthrough dose of opioid
If no scheduled pain medication, start low and go slow
If someone is on scheduled dosing, calculate usually 10% of their daily dose, but as low at 5% and as high as 20%
I can do this to prevent contractures
What is ROM exercises, exercise therapy
Three signs of neurotoxicity
myoclonic jerks, nightmares, sedation, increased confusion
What are nausea, constipation, and drowsiness
Two interventions that require the patient or family to secure and possibly private pay
What is physiotherapy, acupuncture, Reiki
Two instances when I should give a breakthrough dose of pain medication
What happens when a person is complaining of pain, or showing a behaviour that could be related to pain and when the patient is going to be doing an activity in the next hour that often causes pain
When other aspects of someone's life such as worries about money, anger about a symptom or disease process impact how we perceive and experience pain