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Terms in this set (338)
What are the most essential advocacy; compassion; empathy; authentic
character traits for providing presence and communication
compassion and comfort to
patients?
What does providing comfort mean? Attending to the physical, social, emotional, and
spiritual needs of the individual by using
communication and comfort techniques
What are 4 distressing symptoms - shortness of breath
other than pain? - nausea/vomiting
- constipation
- itch
Nursing interventions for itch: lotions, heat/cold application, medications
Nursing interventions for shortness oxygen therapy, sit the person upright, medication
of breath: (inhaler)
Nursing interventions for ambulation; medications; encourage fluids and
constipation: fibre
Nursing interventions for nausea and medications, cool cloth on forehead, fan in room,
vomiting: encourage fluids
,Physiological Responses to pain: - increased HR, BP, breathing rate, and blood
sympathetic nervous system glucose
- diaphoresis (increased sweating)
- muscle tension
- dilated pupils
Physiological Response to Pain: - rapid, irregular breathing
Parasympathetic nervous system - pallor
- muscle tension
- weakness; exhaustion
- decreased HR and BP
Nonverbal indicators of pain - wincing
(universal) - grimacing
- clutching area (guarding)
- restless
- yelling
- crying
- tension
How do children act when they are - yelling/screaming
in pain? - hanging off their parent
- restless
- inconsolable
- crying/whining
Behavioural responses to pain - irritability/anger
- hopelessness/depression
- worry
- altered sleep
- chronic fatigue; physical/emotional exhaustion
- anxiety/fear
, Who will underreport pain? people with misconceptions; marginalized
individuals; older individuals; stoic people;
uninformed individuals
Why do older people underreport - fear of being institutionalized
their pain? - think it is normal with aging
Why do marginalized people - fear of being stigmatized
underreport their pain?
Why do people with misconceptions - think if they are given pain medications they will
underreport their pain? get addicted to them
Why do uninformed people - they are unaware of the interventions available
underreport their pain?
Why do stoic people underreport - society values people who suffer in silence
their pain? (noble trait)
What are 4 types of pain? - acute
- chronic
- breakthrough
- cancer
What are characteristics of acute - we know the origin
pain? - short duration
- predictable ending
What are characteristics of chronic - may be unsure of the origin of the pain
pain? - intermittent or persistant