which is not an important consideration when determining the best treatment for pain?

Which statement about the benefit of pain management is true?

Choose the true statement about the benefit of pain management: Pain management promotes overall health and well-being. According to the WHO pain relief ladder, a second-step treatment (for moderate pain) is: Oxycodone + aspirin Different types of pain scales are used to determine the intensity of patient pain.

Which is not a necessary component of a pain assessment?

Hair color and style are not necessary components of a pain assessment. Which statement best describes the dosage of pain medication that a nurse should administer given pharmacologic treatment considerations? a. The smallest dose possible to avoid opioid addiction

What should the clinician ask the patient about pain?

The clinician should ask the patient about type, cause, and intensity of pain as part of the: Baseline pain assessment In elderly patients, analgesic drugs tend to have: Unusually high peak of maximum activity Symptoms such as weight loss, constipation, and depression are often seen with: Chronic pain

What is the best approach to treat pain?

Clinical best practices may recommend a collaborative, multimodal, multidisciplinary, patient-centered approach to treatment for various acute and chronic pain conditions to achieve optimal patient outcomes.

What would be some of the things that you would consider in treating a patient who is in chronic pain?

There are four key points to document when treating chronic pain patients: (a) their prior treatment history, (b) all facets of how their pain adversely affects them, (c) the reasons a medical management plan is reasonable, and (d) subsequently how that medical management plan helps the patient.

What should you assess before giving pain meds?

The level of pain should be determined prior to the administration of a pain drug and the level of pain must also be determined after the medication was administered in order to determine whether or not it was effective in terms of a decrease in the patient's level of pain.

What are four barriers to managing pain?

Several barriers (system-related, staff-related, nurse-related, physician-related, and patient-related) have been identified that hinder the health care professionals from achieving optimal pain management.

What is the standard of care for pain management?

The standard of care for pain management consists, in its broadest outlines, of 1) medical indications for treatment, 2) clinical practices, and 3) therapeutic goals.

What elements are included in a pain assessment?

Pain must be assessed with a multidimensional approach, as follows:Onset: Mechanism of injury or etiology of pain, if identifiable.Location/distribution.Duration.Course or Temporal Pattern.Character and Quality of the pain.Aggravating/Provoking factors.Alleviating factors.Associated symptoms.More items...•

What are the 3 different assessment tools for pain?

Pain Assessment ScalesNumerical Rating Scale (NRS)Visual Analog Scale (VAS)Defense and Veterans Pain Rating Scale (DVPRS)Adult Non-Verbal Pain Scale (NVPS)Pain Assessment in Advanced Dementia Scale (PAINAD)Behavioral Pain Scale (BPS)Critical-Care Observation Tool (CPOT)

What are the barriers to effective pain management in the aspects of?

The [Institute of Medicine] committee [has] identified several important barriers to adequate pain care in the United States. These include the magnitude of the problem, provider attitudes and training, insurance coverage, cultural attitudes of patients, geographic barriers, and regulatory barriers.

What are some barriers to pain assessment and treatment in your setting?

Patient-related barriers to pain assessment and management include reluctance to report pain, fear of side effects, fatalism about the possibility of achieving pain control, fear of distracting physicians from treating cancer, and belief that pain is indicative of progressive disease [3, 40–46].

What can a failure to provide an efficient pain management lead to?

Inadequate management of acute pain negatively impacts numerous aspects of patient health, and may increase the risk of developing chronic pain. Although opioids are the preferred treatment for most moderate to severe acute pain, their side effects can impede their use, and thus, their clinical effectiveness.

What is a pain management plan?

An important component of treatment is a pain management plan. This is a written document agreed upon by the patient, the GP, and the pain management team. A pain management plan should specify the goals of therapy, and a timeframe for reaching each goal. The goals should be realistic and relevant.

Why is pain assessment important?

Documentation of pain assessment and the effect of interventions are essential to allow communication among clinicians about the current status of the patient's pain and responses to the plan of care.

What are the nursing interventions for pain?

Nursing Interventions for Acute PainProvide measures to relieve pain before it becomes severe. ... Acknowledge and accept the client's pain. ... Provide nonpharmacologic pain management. ... Provide pharmacologic pain management as ordered. ... Manage acute pain using a multimodal approach.More items...•

What should be assess before administering acetaminophen?

Examination and Evaluation Be alert for signs of hepatotoxicity and liver failure, including anorexia, abdominal pain, severe nausea and vomiting, yellow skin or eyes, fever, sore throat, malaise, weakness, facial edema, lethargy, and unusual bleeding or bruising. Notify physician immediately of these signs.

What should a nurse ask when assessing the quality of a patient's pain?

Nurses can help patients more accurately report their pain by using these very specific PQRST assessment questions:P = Provocation/Palliation. What were you doing when the pain started? ... Q = Quality/Quantity. What does it feel like? ... R = Region/Radiation. ... S = Severity Scale. ... T = Timing. ... Documentation.

When should you assess for pain?

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.

When should you assess pain after medication?

Assessment of effect should be based upon the onset of action of the drug administered; for example, IV opioids are reassessed in 15–30 minutes, whereas oral opioids and nonopioids are reassessed 45–60 minutes after administration.

Why is pain assessment important?

Pain assessment is crucial if pain management is to be effective. Nurses are in a unique position to assess pain as they have the most contact with the child and their family in hospital. Pain is the most common symptom children experience in hospital. Acute pain (noiciception) is associated with tissue damage and an inflammatory response, ...

What is pain assessment?

Pain assessment is a broad concept involving clinical judgment based on observation of the type, significance and context of the individual’s pain experience. There are challenges in assessing paediatric pain, none more so than in the pre-verbal and developmentally disabled child.

How often should pain and sedation be documented?

Children on complex analgesia such as intravenous opioid and/ or ketamine, epidurals or regional analgesia should have hourly pain and sedation scores documented.

Can blood pressure be measured in isolation?

blood pressure may increase. oxygen saturation may decrease. Physiological indicators in isolation cannot be used as a measurement for pain. A tool that incorporates physical, behavioural and self report is preferred when possible.

What is the second step of pain management?

Pain management promotes overall health and well-being. According to the WHO pain relief ladder, a second-step treatment (for moderate pain) is: Oxycodone + aspirin. Different types of pain scales are used to determine the intensity of patient pain.

How soon after surgery can you start taking opioids?

Weaning patients early from opioid therapy after surgery is important because they can show signs of tolerance as early as one week post-op. Opioid therapy can cause over-sedation and respiratory depression. One risk of opioid therapy is possible opioid use disorder. Guidance on pain management can be found:

Can you use placebos for pain?

Placebos should not be used to treat pain. Used for complex acute pain and chronic pain (including cancer pain), multidimensional pain scales measure: Intensity, location, and impact on activity and/or mood. Choose the true statement about the benefit of pain management:

Introduction

Aim

definitionof Terms

Assessment

• Pain assessment is a broad concept involving clinical judgment based on observation of the type, significance and context of the individual’s pain experience. There are challenges in assessing paediatric pain, none more so than in the pre-verbal and developmentally disabled child. Therefore physiological and behavioural tools are used in place of t...

See more on rch.org.au

Painassessment Tools

Physiologicalindicators

Key Considerations

Specialconsiderations

Companion Documents

Links