All About Nursing · Hospice & Palliative Care

Pain Management: Addiction, Dependence, Pseudoaddiction, and Tolerance

Addiction: Compulsive use of a substance that occurs when it is used in a way other than intended. Patients have cravings when the substance is withdrawn, with an overriding inability to control their perceived need for the substance, even though there may be an awareness that the substance, or overuse of the substance, is harmful.

Dependence: A state in which the person feels that they can only function normally when using a specific substance. Abrupt withdrawal of the substance causes withdrawal symptoms.

Pseudoaddiction: The mistaken assumption that a patient who is seeking pain relief is addicted to a substance.

Tolerance: Occurs when the patient no longer has a therapeutic response to the drug and a higher dose is required to achieve the prior effectiveness.

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Pain Management (Reading & Sharing Cont. 2)

In terms of substance abuse, dependence, or addiction, the substance can be defined as a prescribed drug, an illegal drug, alcohol, or a substance used in an unintended manner to produce mood or mind-altering effect. According to Mayerson and Julian (2017), Drug or substance addiction is a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences. Very often, under the influences of substance/ drug addiction, the individuals are facing not only psychological but physiological consequences.

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Manage End-of-Life Symptoms Part 1 – Nursing Continue Education

Nurses frequently care for patients at the end of life. One of the challenges is managing end-of-life (EOL) symptoms such as dyspnea and pain. For patients nearing death, relieving distressing symptoms is perhaps the most valuable contribution you can make. Thus, the goal of patient care changes from cure to comfort.

End-of-life uncomfortable signs and symptoms: 

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Osgood-Schlatter Disease – Knee Pain – Learning from and with kids…

What is Osgood-Schlatter Disease?

Osgood-Schlatter disease is a painful enlargement of the bump of the shin bone (tibia) just below the knee. This bump is called the tibial tuberosity. The tendon from the kneecap (patella) inserts here. Osgood-Schlatter disease is commonly seen in growing (usually appears during a period of rapid growth), active adolescents, and most often seen in children between the ages of 10 and 15.

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