Fundamentals of Nursing Q 260
Which statement represents the best rationale for using noninvasive and non-pharmacologic pain-control measures in conjunction with other measures?
A. These measures are more effective than analgesics.
B. These measures decrease input to large fibers.
C. These measures potentiate the effects of analgesics.
D. These measures block transmission of type C fiber impulses.
Correct Answer: C. These measures potentiate the effects of analgesics.
Noninvasive measures may result in the release of endogenous molecular neuropeptides with analgesic properties. They potentiate the effect of analgesics. The role of non-pharmacological approaches to pain management is evolving, and some non-pharmacological and complementary therapies have an increasingly important contribution to make to holistic patient care alongside analgesics.
Option A: No evidence indicates that noninvasive and nonpharmacologic measures are more effective than analgesics in relieving pain. Exercise, multidisciplinary rehabilitation, acupuncture, CBT, mindfulness practices, massage, and mind-body practices most consistently improve function and/or pain beyond the course of therapy for specific chronic pain conditions.
Option B: Decreased input over large fibers allows more pain impulses to reach the central nervous system. When deciding the most effective non-pharmacological technique, take into consideration the patient’s age, developmental level, medical history and prior experiences, the current degree of pain, and/or anticipated pain. The advantage of non-pharmacological treatments is that they are relatively inexpensive and safe.
Option D: There is no connection between type C fiber impulses and noninvasive and nonpharmacologic pain-control measures. Non-pharmacological pain therapy refers to interventions that do not involve the use of medications to treat pain. The goals of non-pharmacological interventions are to decrease fear, distress, and anxiety, and reduce pain and provide patients with a sense of control.