In applying the principles of pain treatment, what is the first consideration? The client must be believed and his or her experience of pain must be acknowledged as valid. The data gathered via client reports can then be applied to other options in developing the treatment plan.
Full Answer
What is the basis for the treatment of pain?
Treatment is based on client goals. A multidisciplinary approach is needed. The client must be believed about perceptions of own pain. Drug side effects must be prevented and managed. 8. Which route of administration is preferred if immediate analgesia and rapid titration are necessary?
What must the client be believed about perceptions of pain?
The client must be believed about perceptions of own pain. Drug side effects must be prevented and managed. Treatment is based on client goals. A multidisciplinary approach is needed. The client must be believed and his or her experience of pain must be acknowledged as valid.
What are the three steps in the pain treatment cycle?
ANSWER A – Step 1 includes non-opioids and adjuvant drugs. Step 2 includes opioids for mild pain plus Step 1 drugs and adjuvant drugs as needed. Step 3 includes opioids for severe pain (replacing Step 2 opioids) and continuing Step 1 drugs and adjuvant drugs as needed.
What skills are needed to apply the principles of pain treatment?
The other tools require abstract reasoning abilities to make analogies and use of advanced vocabulary. In applying the principles of pain treatment, what is the first consideration? The client must be believed and his or her experience of pain must be acknowledged as valid.
What is the treatment of pain?
pain medicines. physical therapies (such as heat or cold packs, massage, hydrotherapy and exercise) psychological therapies (such as cognitive behavioural therapy, relaxation techniques and meditation) mind and body techniques (such as acupuncture)
What are the ABC's of Pain Management?
There is universal acceptance of the ABC's (Airway, Breathing, Circulation) of BLS (Basic Life Support). We throw RICE at a sprain (Rest, Ice, Compression, Elevation). Charting would be filthy without SOAP notes (Subjective, Objective, Assessment, Plan).
Why is it important to treat pain first?
Unrelieved acute pain can result in chronic pain at a later date. Thus, pain now can cause pain later. If acute shingles pain is not treated aggressively, it is believed to increase the risk of postherpetic neuralgia.
What are the important principles in pain management?
The primary aim of acute pain management is to provide treatment that reduces the patient's pain, with minimal adverse effects, while allowing them to maintain function. A secondary aim is to prevent acute pain from progressing to chronic pain.
What are 4 A's of pain management?
The 4 A's—analgesia, activities of daily living, adverse events, and aberrant drug-taking behaviors—can structure assessment and serve as a means by which to record patient response to therapy. The Pain Assessment and Documentation Tool is useful for evaluating outcomes in those 4 domains.
How do you document pain assessment?
Six Tips to Documenting Patient PainTip 1: Document the SEVERITY level of pain. ... Tip 2: Document what causes VARIABILITY of pain. ... Tip 3: Document the MOVEMENTS of the patient at pain onset. ... Tip 4: Document the LOCATION of pain. ... Tip 5: Document the TIME of pain onset. ... Tip 6: Document your EVALUATION of the pain site.More items...•
What are the three primary elements of pain assessment?
The three most commonly utilized tools to quantify pain intensity include verbal rating scales, numeric rating scales, and visual analogue scales.
What are the primary treatment goals when caring for a patient with pain?
These goals may include the following:Reduction of Pain Intensity. ... Enhancement of Physical Functioning. ... Proper Use of Medication. ... Improvement of Sleep, Mood and Interaction with People. ... Return to Work or Normal Daily Activities. ... Patient Story: Birch Peterson.
Is pain management a nursing priority?
Nurses must regularly assess pain and collaborate with both the patient and provider to ensure that timely access to adequate pain relief is a priority of their care.
What is the most important part of a pain assessment?
The most important factor in pain assessment is the self-report of the patient. However, some patients may be reluctant to trigger the assessment so it is vital for nurses to prompt discussion of pain with patients.
When do you do a pain assessment?
When to assess pain? Children with pain should have pain scores documented more frequently. Children who are receiving oral analgesia should have pain scores documented at least 4 hourly during waking hours. Assess and document pain before and after analgesia, and document effect.
What are the principles of analgesic ladder?
The three main principles of the WHO analgesic ladder are: “By the clock, by the mouth, by the ladder”. By the clock: To maintain freedom from pain, drugs should be given “by the clock” or “around the clock” rather than only “on demand” (i.e. PRN). This means they are given on a regularly scheduled basis.
What is breakthrough pain?
Breakthrough pain is a sudden, short, sharp increase in pain that occurs in people who are already taking medications to relieve chronic pain caused by conditions such as arthritis, cancer, or fibromyalgia.
When should pain medication be monitored?
Once a pain medication is started, it should be monitored for effectiveness and side effects and the dosage or choice of treatment modified if the pain changes or the choice is deemed unsuitable or ineffective.
How long does chronic pain last?
Chronic pain is pain that has persisted for longer than six months and is experienced most days. It may have originally started as acute pain, but the pain has continued long after the original injury or event has healed or resolved. Chronic pain can range from mild to severe and is associated with conditions such as:
What is the pain that feels like it is coming from one particular location?
Referred pain. This is pain that feels like it is coming from one particular location, but is the result of an injury or inflammation in another structure or organ. For example, during a heart attack, pain is often felt in the neck, left shoulder, and down the right arm.
What is soft tissue pain?
Soft Tissue Pain. This is pain or discomfort that results from damage or inflammation of the muscles, tissues, or ligaments. It may be associated with swelling or bruising and common causes include: Back or neck pain.
Why do I feel nerve pain?
Many people with chronic nerve pain also develop anxiety or depression. People with neuropathic pain are often very sensitive to touch or cold and can experience pain as a result of stimuli that would not normally be painful, such as brushing the skin. Common causes of nerve pain include: Alcoholism.
What are the different types of pain?
There are many different types and causes of pain, and these can be grouped into eight different categories to help with pain management: Acute pain. Chronic pain.
Why is oral route preferred for analgesics?
Question 3 Explanation: If the gastrointestinal system is function, the oral route is preferred for routine analgesics because of lower cost and ease of administration. Oral route is also less painful and less invasive than the IV, IM, subcutaneous, or PCA routes.
Is tens massage good for chronic pain?
TENS is more appropriate for chronic muscular pain. The additional stimulation of massage may be distressing to the client. Question 8. A chronic pain client reports to you, the charge nurse, that the nurse have not been responding to requests for pain medication.
Can pain medication be titrated upward?
For severe pain, the medication can be titrated upward until pain is controlled. Downward titration occurs when the pain begins to subside. Adequate dosing is important; however, the concept of controlled dosing applies more to potent vasoactive drugs. Question 15.
Is sublingual a good route for titration?
Sublingual is reasonably fast, but not a good route for titration, medication variety in this form is limited. Question 22. A client appears upset and tearful, but denies pain and refuses pain medication, because “my sibling is a drug addict and has ruined out lives.”.
Can you titrate pain medication downward?
the goal is to control pain while minimizing side effects. For severe pain, the medication can be titrated upward until pain is controlled. Downward titration occurs when the pain begins to subside. Adequate dosing is important; however, the concept of controlled dosing applies more to potent vasoactive drugs.
