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OVER THE LAST 5 years, changes in pain management practice include new medications, new pain-intensity rating scales, and the implementation of The Joint Commission standards for pain management. This survey is designed to measure nurses' knowledge and attitudes about current pain management standards and best practices. Please take a few minutes to complete it. We'll compile the results and publish an analysis in a future issue.
You can take this survey online at http://www.nursing2007.com; it's fast, easy, and free. Or photocopy and fax these pages to 215-367-2155 or mail to Nursing2007 Pain Management Survey, 323 Norristown Rd., Suite 200, Ambler, PA 19002. Deadline for responses is September 28, 2007.
All questions pertain to your primary work setting. Share this survey with your colleagues and encourage them to participate too.
Please check T for true or F for false.
1. Increases in vital signs are an indication that the patient is experiencing pain.
2. Intramuscular injection is a good way to deliver pain medication.
3. A patient may sleep despite being in pain.
4. Depression is common in patients who have chronic pain.
5. A nurse can tell how much pain a patient is experiencing by closely observing him.
6. Behavioral pain scales using behaviors such as grimacing, moaning, or rubbing are effective for assessing pain in nonverbal patients.
7. Patients who exhibit behaviors such as clock-watching are showing signs of addiction.
8. Continuous infusion via patient-controlled analgesia (PCA) pumps is a good way to provide analgesia for all patients.
9. Differences in mu (opioid) binding sites account for differences in patient response to opioids.
10. Management of neuropathic pain, such as diabetic neuropathy, often requires a combination of medications such as opioids and antidepressants for effective pain relief.
11. There is no ceiling or upper limit on how far you can increase doses of opioid medication to improve pain relief.
12. Nonsteroidal anti-inflammatory drugs used for relief of mild pain cause few adverse reactions.
13. In patients with chronic pain, functionality may be a better measure of the efficacy of pain medication than decreased pain levels.
14. Giving a patient a placebo is a good way to tell if he's really having pain.
Read the following information, then check the correct answer to the questions in this section.
Addiction: a chronic neurobiologic disease characterized by four C's: craving for the substance, compulsive use, lack of control, and continued use despite harm
Dependency: a state where the patient's body has become accustomed to the regular use of the medication. A withdrawal syndrome will occur if the medication is stopped abruptly.
15. What percentage of patients who receive opioids for short-term treatment of acute pain (1 to 3 days) will become addicted?
- less than 1%
16. What percentage of patients who have chronic pain and use opioids for 1 year become addicted?
17. What percentage of addicted patients who abuse prescription opioids can be considered dependent on opioids?
- 50% or more
18. How comfortable are you giving opioids regularly to a patient who's been taking opioids for 12 months to control chronic low back pain?
- very comfortable
- very uncomfortable
19. Please check all of the following that apply to use of patient-controlled analgesia (PCA) in your practice.
- Two nurses must sign when therapy is initiated and with all dosing changes.
- Standard order sets are used for PCA.
- Annual competency on PCA use is required to assess your ability to correctly enter dose settings and parameters.
- Nurse-activated PCA or PCA by proxy is permitted.
- Standardized education on PCA use is provided to patients.
- PCA solutions and concentrations are standardized.
20. On a scale of 1 (not confident) to 5 (very confident), how confident are you that you answered most of the questions correctly? (Please circle a number.)
21.What is your highest educational level?
- RN diploma
- PhD or other doctoral degree
- other (please specify)
22. What is your current position title?
- staff/primary care nurse
- charge nurse/assistant nurse-manager
- staff educator/case manager
- advanced practice nurse (CNS/NP)
23. What is your primary work setting?
- home health care/community health
- long-term/subacute care
24.What is your primary clinical area?
- intensive care/critical care unit
- emergency department
25. How would you describe the area where you practice?
- small town
26. How many years have you been in nursing?
- 5 or less
- 11 to 15
- 6 to 10
- over 15
27. What is your age?
- under 21
- over 50
28. Are you certified in a specialty?
29. We'd like to hear from you. On a separate sheet if necessary, please tell us what the biggest pain management challenge is in your practice or share any additional comments on this topic.
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