RNSG 1301 Raising the Bar for Success_ Comfort _ First Semester 2020 – El Centro College | Raising the Bar for Success_ Comfort _ First Semester 2020

RNSG 1301 Raising the Bar for Success_ Comfort _ First Semester 2020 – El Centro College Comfort – What is the definition of comfort? • State of physical ease (no pain, discomfort, nor emotional/psychological stress) - Describe how pain is a subjective physical and psychosocial experience. • Pain is what the pt. says it is, so even if they aren’t showing signs of being in pain, we cannot judge that they don’t need medication for what they say they are experiencing. -What is the difference between younger and older patients when reporting pain? • Younger patients might not be able to use 0-10 scale and might need Faces scale or FLACC for infants • QUESTT • Descriptive tools - Describe the differences between acute and chronic pain? • Acute – short-term; a few seconds in length or up to 6 mos. • Chronic – recurring, 6+ months, intermittent or continuous - How does chronic pain relate to a patient’s lifestyle? - - - - - - - - - - - - - - - - - - - - - - or regulated which can mean inconsistencies in practice• Client must pay out of pocket for 3rd party providers - What is an Allopathic Medical Provider? -How can both non-pharmacologic and pharmacologic strategies be used together to manage a patient’s pain? • Integrative care combines allopathic medicine and CAT • Can be used in all health care delivery structures • HCP works with pts to design plan of care responsive to pt’s preferences and combines the best of medicine and CAT while avoiding harmful interactions -What is nociception pain? • “normal” pain that is a physiological response that perceives noxious stimuli as pain - How should a nurse assess pain in a pediatric patient? • Age-specific, consistent scale • Observe behaviors and verbal pain indicators • Descriptive tools: QUESTT, FACES, FLACC - What is the gate theory in regards to pain? • Explains that pain stimuli carried by small-diameter nerves can be blocked by inhibiting the signals carried by large-diameter nerve fibers • Small fibers conduct pain stimuli to brain - - - - - - - - - - - - - - - - - - - - - - lose elasticity, flexibility, and shock-absorbing abilities - What treatment is available for a patient with HNP, how is pain managed? • Often managed conservatively with meds, PT, or exercise. • Surgery sometimes needed - What is the plan of care for a patient with neuropathic pain? • Adjuvant analgesic agents • Lidocaine (5% lidoderm) patch • Anticonvulsants: gabapentin (Neurontin) and pregabalin (Lyrica) • Antidepressants: • - - - - - - -