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Comfort Level I

QuestionAnswer
Comfort A state of physical and emotional ease, free from pain and distress.
Antecedents of Comfort Pain is controlled, needs are met, emotional support present, stable vitals, low stress.
Attributes of Comfort Calm demeanor, normal vitals, relaxed muscles, ability to sleep, able to do ADLs.
Acute Pain Short-term pain; sudden onset; caused by surgery, injury, or procedures.
Chronic Pain Pain lasting longer than 3 months; often associated with long-term conditions like osteoarthritis.
Neuropathic Pain Pain caused by nerve damage; burning, tingling, electric shock sensations.
Nociceptive Pain Pain from tissue injury (skin, muscles, bones, organs); aching, sharp, throbbing.
Mixed Pain Syndrome is a combination of nociceptive (tissue injury) and neuropathic (nerve injury) pain.
Theory of Pain Control Pain signals travel from the body to the brain; pain can be modified by medications, relaxation, position changes, and emotional state.
Good Comfort Outcome: Social Interactions Social Interactions - the patient can talk and interact normally.
Good Comfort Outcome: ADLs the patient can bathe, dress, and move independently.
Good Comfort Outcome: Calm Demeanor relaxed facial expression and stable vitals.
Good Comfort Outcome: Adapt to Stressors better emotional regulation and coping.
Impaired Comfort: Increased Vital Signs pain causes increased heart rate, respiratory rate, and blood pressure.
Impaired Comfort: Tissue Damage unrelieved pain may worsen tissue injury.
Impaired Comfort: Limited Movement pain prevents mobility and healing.
Impaired Comfort: Suffering physical or emotional distress.
Impaired Comfort: Risk for Overdose client may take too many pain meds due to persistent pain.
Post-Operative Pain (Total Joint Arthroplasty) - acute pain caused by surgical tissue injury.
Procedural Pain (Dressing Change, Wound Care, PT) acute, short-term pain from medical procedures.
Osteoarthritis chronic degenerative joint condition causing long-term nociceptive pain.
Degenerative Disc Disease damaged spinal discs cause neuropathic pain from nerve compression.
Lidocaine (Topical) local anesthetic that numbs the skin; used for localized pain.
Gabapentin (Neurontin) used for neuropathic pain; reduces nerve firing and burning sensations.
NSAIDs (Ibuprofen, Naproxen) reduce inflammation and nociceptive pain from tissue injury
Opioid Antagonist (Narcan / Naloxone) reverses opioid overdose; restores breathing.
Opioids (Morphine, Hydrocodone) strong pain relievers for moderate to severe acute pain
Salicylates (Aspirin) pain relief, fever reduction; anti-inflammatory; prevents blood clots. RISK for children: Reye's Syndrome
Restlessness patient cannot relax due to pain.
Guarding Behavior protecting the painful body part from movement or touch.
Facial Grimacing - common sign of common sign of acute or severe pain.
Difficulty Sleeping due to pain interferes with... rest
Impaired ADLs make a patients avoid... movement due to pain
Assessment of comfort level/(Pain) ask location, intensity, characteristics; check vitals; observe behaviors.
Pain Diagnosis Example planning (Comfort Goal)Client will report pain ≤ 3/10 within 30 minutes.
Interventions (Comfort) administer meds, reposition, apply ice/heat, teach relaxation, collaborate with PT.
Evaluation of comfort reassess pain, check if goal achieved, modify plan as needed.
Vital Signs increasing is an indicator of what? acute pain
Respiratory Depression Indicator RR < 12/min after opioids = risk; RR < 8/min = emergency. respiratory depression
when to use Naloxone is during opioid overdose or respiratory depression.
Heat + Lidocaine Patch = contraindicated: heat increases absorption = toxicity.
DO NOT PUT heating pad on top of ... topical patch
Chronic Pain Behavior patient may appear functional even with high pain levels.
Created by: Kayla_12
 

 



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