A client with chronic low back pain presents to the clinic. In addition to a detailed pain assessment, which of the following questions would be appropriate to ask? Select all that apply
A) "Do you have trouble making water?"
B) "Can you financially afford your medicine?"
C) "What kind of stressors are you experiencing?"
D) "Do you consider yourself a good driver?"
E) "Are you having trouble sleeping?"
Ans: B, C, E
Feedback:
Unlike acute pain that serves as a warning system, persistent chronic pain usually serves no useful function. To the contrary, it imposes physiologic, psychological, interpersonal, and economic stresses and may exhaust a person's resources. It is often associated with loss of appetite, sleep disturbances, and depression, which commonly is relieved once the pain is removed. Trouble urinating (dysuria) is usually not associated with chronic pain syndrome (unless this is a preexisting condition like BPH). A person's ability to drive is not a priority question asked of a client with chronic pain.
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