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Pain 

Chapter:
Pain
Author(s):

Judith A. Paice

DOI:
10.1093/med/9780190204747.003.0023
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date: 22 September 2019

To provide safe and effective pain relief, the palliative advanced practice registered nurse must possess exceptional pain assessment skills including keen history taking and physical examination. Biological, psychological, social and spiritual factors should be considered part of a complete assessment and serve as a guide for development of a comprehensive plan of care. APRNs must havecomprehensive knowledge of pain management options including appropriate pharmacologic and nonpharmacologic therapies. The advanced practice registered nurse consults colleagues who provide interventions such as physical therapy, interventional techniques, and cognitive-behavioral strategies. APRNs must practice universal precautions to detect aberrant behavior with pain medications. Finally, APRNs must implement safe prescribing practices.

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