| 1. | Define the scope of cancer pain management. | |
| 2. | List 4 causes of pain in cancer patients. | |
| 3. | Discuss the probability of successful management of cancer pain. | |
| 4. | List 2 important reasons for controlling cancer pain. | |
| 5. | Discuss the relationship between cancer pain and quality of life. | |
| 6. | Define pain. | |
| 7. | List 3 barriers to cancer pain management. | |
| 8. | Discuss the relationship between cost and reimbursement for pain management. | |
| 9. | List 4 components of the intial pain assessment. | |
| 10. | State the primary source for pain assessment data. | |
| 11. | State 3 characteristics of a good pain assessment tool. | |
| 12. | State 3 times when pain should be assessed and documented. | |
| 13. | Discuss 3 potential causes for discrepancies between behaviors and a patient's self- report of pain. | |
| 14. | List 8 common cancer pain syndromes. | |
| 15. | List the 3 major classes of drugs used in cancer pain management. | |
| 16. | State 3 recommendations for pharmacologic management of cancer pain. | |
| 17. | Discuss the importance of aroung-the-clock administration of pain medication. | |
| 18. | List 3 major side effects of NSAIDs. | |
| 19. | Define the following and give an example of each type of opioid:
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| 20. | State why meperidine should not be used in long-term management of cancer pain. | |
| 21. | Define opioid tolerance and discuss its clinical implications. | |
| 22. | Define opioid physical dependence and state the clinical application of this concept. | |
| 23. | List 4 routes of analgesic administration and discuss the pros and cons of each. | |
| 24. | List 5 side effects of opioids and discuss the nursing management of each. | |
| 25. | Define adjuvant drug and give 3 examples. | |
| 26. | Discuss the role of placebos in management of cancer pain. | |
| 27. | Discuss 3 principles to include indischarge planning of the patient being treated for cancer pain. | |
| 28. | List 3 physical modalities of pain management and state one precaution to follow with each. | |
| 29. | Discuss the role of exercise in cancer pain management. | |
| 30. | List 3 effect of prolonged immobilization. | |
| 31. | Discuss the role of psychological interventions in cancer pain management. | |
| 32. | List 3 advantages of relaxation techniques and imagery as part of a pain management approach. | |
| 33. | Define the following terms in relation to pain management:
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| 34. | Discuss the role of patient education in cancer pain management. | |
| 35. | Discuss the role of pastoral care in cancer pain management. | |
| 36. | State the panel consensus regarding invasive palliative approaches to pain management. | |
| 37. | List 3 indications for palliative radiation therapy. | |
| 38. | State 3 precautions to be followed when administering radiation therapy. | |
| 39. | Define and give an example of each of the following:
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| 40. | Discuss the role of anesthetic techniques in management of cancer pain. | |
| 41. | Discuss nursing implications for neuroablation therapies. | |
| 42. | List 4 principles relevant to surgical management of pain due to primary or metastatic tumor. | |
| 43. | Discuss potential for chronic pain syndromes after surgery. | |
| 44. | List 4 factors to consider when managing procedure-related pain. | |
| 45. | Discuss 4 types of drugs used for management of procedural pain. | |
| 46. | State 2 important considerations when using conscious sedation for procedural pain. | |
| 47. | Discuss the panel consensus regarding managing pain in special populations. | |
| 48. | State the primary assessment method for young children and cognitively impaired adults. | |
| 49. | State a precaution to follow when administering opioids to infants. | |
| 50. | State the relationship between aging and opioid administration. | |
| 51. | Discuss the relationship between uncontrolled pain and new psychiatric symptoms, including depression. | |
| 52. | Discuss 4 factors to consider when managing cancer pain in patients diagnosed as substance abusers. | |
| 53. | Discuss the occurrence of pain in HIV infection. | |
| 54. | Discuss 2 considerations when evaluating cancer pain management. | |
| 55. | List 9 recommendations to be implemented in a cancer pain management practice setting. | |
| Executive Summary | |
| 1. | Overview |
| 2. | Assessment of Pain in the Patient With Cancer |
| 3. | Pharmacologic Management |
| 4. | Nonpharmacologic Management: Physical and Psychological Modalities |
| 5. | Nonpharmacologic Interventions: Invasive Therapies |
| 6. | Procedure Related Pain in Adults and Children |
| 7. | Pain in Special Populations |
| 8. | Monitoring the Quality of Pain Management |
| References | |
| Attachment B: Pain assessment and management instruments | |
| Attachment C: Sample relaxation exercises |
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