RNSG 1215 Exam 1, Spring 2024, With Complete
Solution.
S
O
A
P
Subjective
Objective
Assessment
Plan
D
A
R
Data
Action
Response
P
I
E
Problem
Intervention
Evaluation
Examples of chronic non cancerous pain
Arthritis
Low back
Peripheral Neuropathy
Headache
Fibromyalgia
Chronic pain from arthritis
Medications regularly throughout the day, GIVEN AROUND THE CLOCK
Superficial/Cutaneous pain
Needle stick/small cut
Deep Visceral pain
Crushing sensation
Burning sensation
, Referred Pain
In another part of the body separate from the source
EX: Myocardial infarction - referred pain to jaw, left arm, shoulder
Radiating pain
Travels down or along a body part
Somatic pain
Pain that originates from skeletal muscles, ligaments, or joints.
Deep somatic pain
Comes from sources such as blood vessels, joints, tendons, muscles, and bone
Breakthrough pain
Transient spike in pain level
Moderate to severe in intensity
*Can result from end of dose med failure
* Can result in incident or episodic pain
Treatment for breakthrough pain
Use short acting opioid that may be given alone or with nonopioid agents
Can be used as "rescue drugs" between stronger medications
Factual documentation
Subjective and objective data
Subjective data
Direct quotes within quotation marks
(Subjective data should be supported by objective data so charting is descriptive as possible)
Objective data
Should be descriptive and should include what the nurse sees, hears, feels, and smells
Open-ended questions
Asks for narrative information
Closed or direct questions
Ask for specific information
("yes" or "no")
Nine types of verbal responses
The first 5 involve your reactions to facts or feelings
Solution.
S
O
A
P
Subjective
Objective
Assessment
Plan
D
A
R
Data
Action
Response
P
I
E
Problem
Intervention
Evaluation
Examples of chronic non cancerous pain
Arthritis
Low back
Peripheral Neuropathy
Headache
Fibromyalgia
Chronic pain from arthritis
Medications regularly throughout the day, GIVEN AROUND THE CLOCK
Superficial/Cutaneous pain
Needle stick/small cut
Deep Visceral pain
Crushing sensation
Burning sensation
, Referred Pain
In another part of the body separate from the source
EX: Myocardial infarction - referred pain to jaw, left arm, shoulder
Radiating pain
Travels down or along a body part
Somatic pain
Pain that originates from skeletal muscles, ligaments, or joints.
Deep somatic pain
Comes from sources such as blood vessels, joints, tendons, muscles, and bone
Breakthrough pain
Transient spike in pain level
Moderate to severe in intensity
*Can result from end of dose med failure
* Can result in incident or episodic pain
Treatment for breakthrough pain
Use short acting opioid that may be given alone or with nonopioid agents
Can be used as "rescue drugs" between stronger medications
Factual documentation
Subjective and objective data
Subjective data
Direct quotes within quotation marks
(Subjective data should be supported by objective data so charting is descriptive as possible)
Objective data
Should be descriptive and should include what the nurse sees, hears, feels, and smells
Open-ended questions
Asks for narrative information
Closed or direct questions
Ask for specific information
("yes" or "no")
Nine types of verbal responses
The first 5 involve your reactions to facts or feelings
