What do you know about pain management? Let's check it now by taking this quiz!
Fear of not being believed
Patient not willing to take medication because they might become addicted
Prejudice and bias in dealing with patients
All of the above
Total pain
The 0 to 10 scale
PAINAD
Pain is what the patient says it is
Children and older adults
History of addictive disease and non-English speaking
Non-verbal and cognitively impaired
Different cultures and patients who deny pain
All of the above
"A state of adaptation that is manifested by a drug class specific withdrawal symdrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist."
"A state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug's effects over time."
"A primary, chronic, neurobiologic disease, with genetic, psycho-social and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despire harm and craving."
Somatic pain
Neuropathic pain
Neither
Both
Somatic pain
Neuropathic pain
Neither
Both
Somatic pain
Neuropathic pain
Visceral pain
Bone pain
Constipation
Nausea
Respiratory depression
Sedation
True
False
True
False
History of a GI bleed
Oral steroid use
Allergy to codeine
Use of anticoagulation
Platelet status
Patients with advanced dementia are not able to self-report pain, so leave the space blank
Patients with advanced dementia do not experience pain, so document "0"
Patients with advanced dementa are not able to self-report pain, so do not attempt a pain assessment and document "unable to quantify"
Use the PAINAD scale
Ask the family or the caregivers to rate the patient's pain intensity from 0-10
Methadone
Duragesic patch
Amitriptyline (Elavil)
A and C
All of the above
Environment, social situation, spiritual needs, nausea
Environment, relieving factors, intensity, manner of expressing pain
Social situation, spiritual needs, location, quality
Location, intensity, quality, pattern of pain
True
False
True
False
True
False
True
False
True
False
Physical pain is always the most important contributor to suffering
Total pain refers to the physical, psychologic, spiritual and social pain experienced by dying patients
The distress associated with spiritual pain exacerbates physical symptoms
Uncontrolled physical symptoms interfere with a patient's ability to interact with loved ones
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