N212 GERO EXAM 2 HIGHLIGHTABLE MOMENTS

N212 GERO EXAM 02 HIGHLIGHTABLE MOMENTS CHAPTER 14 PAIN Understanding Pain  Pain is individual and can be very different for different persons with the same disease or injury  “Whatever the experiencing person says it is, existing whenever he or she says it does”  “A subjective**, personal, unpleasant experience involving sensations and perceptions that may or may not relate to bodily or tissue damage” Aronoff (2002) Pain Classification  Acute pain: rapid onset**, relatively short duration** and a sign of a new health problem requiring diagnosis and analgesia  Treat underlying cause—short-term analgesia  Other types of pain  Conditions such as conversion reaction*** or psychologic disorders*** Pain Assessment  Cultural pain assessment**** ACUTE PAIN – HIGHER DOSE CHRONIC – LOW AND SLOW TITRE UP Pain is an individual experience Pain intensity and pain distress are related to factors such as culture, past pain experiences, individual attributes, and pain threshold History and Physical Examination Page 1 of 22 N212 GERO EXAM 02 HIGHLIGHTABLE MOMENTS  Address: the onset, location, duration, intensity, characteristics, aggravating and alleviating factors, and self-treatment or other prescribed treatments that either helped or did not help  P, Q, R, S, T, U (mnemonic***)  PROVOKES  QUALITY  RADIATION  SEVERITY  TIME – HOW LONG?  U - HOW DO U FEEL? Additional Evaluations  Evaluation for depression  High incidence of depression associated with chronic pain  Persistent depression** affects person’s ability to cope with pain,  it must be treated  Geriatric depression scale The nurse has just started a hospital job where the majority of her patients are older adults. It is important that the nurse remember which of the following regarding older adults and pain? (Select all that apply.)  a. They may have several chronic ill