Online Case Studies Learning Activity #1: Opioids and Pain Management Assignment
Online Case Studies Learning Activity #1: Opioids and Pain Management Assignment
Assignment Outline
This assignment will give you the opportunity to apply your knowledge related to opioids and pain management. You will be asked to complete preparation work prior to watching a case study video, and follow the activity with knowledge application questions. To complete this activity, please download this worksheet and complete the fillable spaces. Please submit your completed document to Dropbox by midnight Friday February 17th, 2023. You will be evaluated based on your responses on the worksheet. This assignment is worth 5% of your overall theory mark.
Patient Information
John, an adult male, has undergone rotator cuff surgery on his shoulder for the second time. He has a history of adverse reactions to pain medication and sleep apnea.
Case Study Preparatory Work- Mini Drug Cards (1.5 marks)
| Morphine | Classification: Schedule II Narcotic anelgesics |
| Indication: any condition that causes pain, relief for moderate to severe acute and chronic pain | |
| Assessment required: Respiration before and during administrations, level of counsciousness and BP | |
| Contraindication: acute or severe asthma and breathing problems | |
| Hydromorphone (Dilaudid) | Classification: Schedule II Narcotic anelgesics |
| Indication: Moderate to severe or chronic pain | |
| Assessment required: Respirations, level of counsciousness, cyanosis and dyspnea | |
| Contraindication: Brain tumors, respiratory disease, hypotension | |
| Naloxone | Classification: Opiod antagonist |
| Indication: block or reverse effect of opiod overdoses | |
| Assessment required: level of counsciousness, respiratory depression and shock | |
| Contraindication: Hypersensitivity |
Learning Resources
Please review the following resources to assist you in completing the assignment:
- Case study video found at the following link: https://youtu.be/dH9agqZRdXw
- PCA Information
- o Anesthesiology and Pain Management (March 2017). Managing your pain with patient controlled analgesia (PCA). University Health Network. pdf (uhn.ca)
- WHO Pain Management Ladder
- o Anekar AA, Cascella M. WHO Analgesic Ladder. [Updated 2021 May 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554435/
You are encouraged to procure any additional resources that you find useful for completing the worksheet.
Assignment Questions
- John’s pain is initially managed using a morphine Patient-Controlled Analgesia (PCA).
- a) Which considerations should be included in determining appropriate PCA use?
(1 mark)
The effectiveness of pain management should be considered
- b) What information should be included by the nurse when providing teaching to a patient using a PCA pump? (1 mark)
The nurse should include the importance of using the pump when feeling pain and avoiding waiting until pain is too much.
- John was experiencing some adverse