Pain (Acute, Chronic) for Progressive Care Certified Nurse (PCCN)
Outline
Pain- (Acute, Chronic)
Definition/Etiology:
- Acute vs. Chronic
- Causes:
- Injury
- Trauma
- Surgery
- Somatoform
Pathophysiology:
Noticing: Assessment & Recognizing Cues:
- Patient’s perception
- PQRST
- Numerical scale
- Faces scale (e.g. Wong-Baker)
- FLACC scale
- Types
Interpreting: Analyzing & Planning:
- NSAIDs
- Acetaminophen
- Opioids
- COX-2 inhibitors
- Antidepressant
- Anti-seizure
- Topicals (i.e lidocaine patch, diclofenac)
Responding: Patient Interventions & Taking Action:
- Alternative/complementary therapy
- Acupuncture
- Massage
- Mind-body therapies
- Balanced nutrition
- Exercise, as tolerated
- Physical therapy
Reflecting: Evaluating Patient Outcomes:
- Patient’s perception
- Is the pain improving?
- Side effects
- Tolerance
- Addiction
- Long-term pain management
- Pain medicine clinic
- Interdisciplinary team (i.e psych, physical therapy, chiro, etc)
Linchpins (Key Points):
- Time will tell
- Perception
- Acute vs. chronic
- Treatment options: pharm vs. non-pharm
Progressive Care Certified Nurse (PCCN)
Course Lessons