CM E Identifying Pain and Effects on Quality of 1 AMA PRA ANCC TM Life from Chronic Wounds Secondary to Category 1 Credit 1.5 Contact Hours Lower-Extremity Vascular Disease: An Integrative Review 1. What percentage of patients with 8. Which organization recommends using 14. Which assessment instrument was diabetes mellitus type 2 patients suffer from a combination of instruments to assess included in the study because it compared lower-extremity vascular disease (LEVD)? pain and QOL? patient and provider assessments of pain? a. 50% c. 75% a. The Joint Commission a. Brockopp-Warden Pain Questionnaire b. 67% b. American Chronic Pain Association b. Hospital Depression and Anxiety Scale c. Centers for Disease Control and Prevention c. SF-36 Health Status Questionnaire 2. Which of the following statements is true about the gap the researchers found 15. Which of the following is not included 9. The author predicts that this integrative in the literature? in leg symptom clusters? review will a. Primary care providers manage wounds a. edema a. improve pain and QOL assessments without addressing the patient’s concerns. b. fatigue related to chronic LEVD wounds. b. Primary care providers use wound c. footwear b. identify the best strategies for healing management guidelines that are not chronic wounds secondary to LEVD in the 16. According to the researchers, based on evidence. primary care setting. a. different instruments should be used to c. Primary care providers lack knowledge related c. identify the best instrument for assessing assess nociceptive and neuropathic pain. to wound assessment and management. and reassessing pain in LEVD patients with b. single-question pain instruments are as chronic pain. 3. What was the purpose of this research valid and reliable as more comprehensive project? 10. An integrative review was chosen as instruments. a. To review articles about LEVD pain and quality the method of review for this study to c. there is no validated pain assessment of life (QOL) from the patients’ perspective. a. enable use of statistical tools to analyze instrument for diabetic foot ulcers and b. To develop a tool for assessing LEVD the data. lower-extremity wounds. wound pain and QOL. b. include both experimental and 17. Holistic treatment of chronic wounds c. To develop guidelines for addressing LEVD nonexperimental studies. secondary to LEVD patients’ pain and QOL. c. evaluate the relevance and validity of the a. requires detailed assessment of race, studies identified. 4. The cause of LEVD is ethnicity, and cultural factors. 11. Inclusion criteria for the study a. hypertension. c. dependent edema. b. includes treatment of the physical, included diagnosis of LEVD, b. atherosclerosis. psychological, and social impacts of a. a publication date between 2012 and chronic wounds. 5. Wound pain from LEVD is 2017, and pain assessment instruments. c. is beyond the scope of primary care a. sympathetic dystrophic pain. b. a publication date between 2006 and providers and requires referral to wound b. sensory hypersensitivity pain. 2016, and pain assessment instruments. care specialists. c. nociceptive and/or neuropathic pain. c. a publication date between 2010 and 2017, and QOL assessment instruments. 18. The researchers report that studies 6. Which class of drugs is most likely to are being conducted to explore if relieve neuropathic pain? 12. How many articles were ultimately a. providers do not acknowledge chronic pain a. corticosteroids included in the study? because of reluctance in managing it. b. antiseizure medications a. 14 c. 62 b. providers understand the relationship c. nonsteroidal anti-inflammatory drugs b. 38 between LEVD wounds and QOL. c. a new instrument to assess pain from 7. In this review of the literature, the 13. What approach did the researchers take chronic wounds in LEVD patient is valid author found that to evaluate the studies included in their study? and reliable. a. there is no instrument to assess pain in a. Data were divided into categories about patients with LEVD. pain effects and pain assessments. b. there are 2 instruments that measure pain b. Data were extracted about pain and QOL and QOL in LEVD patients. for effect on patient outcomes. c. most providers adequately assess LEVD c. Data were analyzed using statistical patients’ pain but fail to adequately techniques to determine the effectiveness of manage it. pain instruments. ASWC0318 Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
Advances in Skin & Wound Care – Wolters Kluwer Health
Published: Jan 1, 2018
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