GHs pain management for nurses

PAIN MANAGEMENT

Who is the champion about

START

Co-morbidities do not affect pain management

GOODLUCK!

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Pain management is acheived only with medications

Pain management is a nursing-only function

Pain management is patient-centered

GHS policy C-115- Pain, Agitation and Delirium Assessment and Management states:

WRONG!

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Monitor patient for adequate pain relief

Give pain medication only if you believe the pain is real

Give medication only if the patient can ask for it

Prescribe medication

What is the nurse's role in patient pain management?

WRONG!

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To increase hospital rating scores

Increase function without exceding limits of pain and discomfort

To make the patient stop complaining

To eliminate all pain

What is the goal of pain management?

WRONG!

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Evaluate effectiveness of analgesic

Document only that analgesic was given and nothing else

Deciding which analgesic to administer based on pain scale

Identify patient's perception of pain

Which is INCORRECT about nurse responsibility in pain management?

WRONG!

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RASS

NVPS (Nonverbal pain scale)

FLACC

Wong-Baker

Which pain scale uses faces to represent pain levels?

WRONG!

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Sleeping patients

Only for toddlers

Patients who are unable to speak (due to intubation, dementia, etc)

Alert patients

When is the Non-verbal Pain Scale used?

WRONG!

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Non-pharmacologic interventions include music, position change and rhythmic breathing

Patients will be assessed at least every 8 hours for pain

Education on pain management only includes the patient

Documentation of pain includes intensity and pain goals

Which of the following is FALSE?

WRONG!

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60 minutes for subq

15 minutes for IM

30 minutes for PO

15-30 minutes for IV

When is pain reassessed?

WRONG!

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Face, Legs, Activity, Cry, Consolability

Frown, Legs, Agitation, Cry, Consolability

Frustration, Language, Agitation, Complaining, Crying

Face, Language, Activity, Cry, Crankiness

What categories are included in the FLACC pain scale?

WRONG!

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10

Toradol for NVPS of severe pain

Dilaudid for FLACC scale of severe pain

Toradol for NVPS of moderate pain

Dilaudid for Wong-Baker scale of severe pain

Your severely demented, non-verbal patient has an order for Toradol 30mg IV q6h PRN pain scale 4-6 and Dilaudid 1mg q6h PRN pain scale 7-10. What is the appropriate medication to give?

WRONG!

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BACK

WELL DONE!

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YOU WIN!