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colleen colleen
wrote...
Valued Member
Posts: 17076
11 years ago
A nurse is caring for elderly patients in a long-term care facility. Which of the following are factors influencing pain management for these patients? Select all that apply.
Standard Text: Select all that apply.
1. Increased A fiber transmission cause increased potential for addiction in the elderly.
2. Increased risk of depression in the elderly is related to chronic pain.
3. Decreased report of referred pain may mask myocardial infarction in the elderly.
4. Assessment of pain in the cognitively impaired older adult is not possible.
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Sunshine ☀ ☼

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wrote...
Valued Member
11 years ago
2,3 -- In the elderly there are decreased fiber transmission, no greater risk for addiction, an increased risk of depression related to chronic pain, a decreased level of referred pain in which the patient may not exhibit classic symptoms of myocardial infarction, and research has shown the numeric rating, verbal descriptor, and FACES rating scales to be effective with young, middle, and older adults. These scales also are effective in cognitively impaired older adults, although the FACES scale was the preferred tool.
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