You are part of the health care team caring for a 77-year-old woman who has been admitted to your rehabilitation facility after falling and breaking both legs. The patient complains of pain in both legs
Pain management has become an issue for the patient and her family. The patient appears to be getting more and more ill and may have to be readmitted to an acute-care facility. What do you know about the negative effects of the stress of pain?
A) It makes children more vulnerable.
B) It is particularly harmful in the elderly who have been injured or who are ill.
C) It affects only those who are already debilitated.
D) It has no negative effects; it just alerts the person/health care team of something wrong in the body.
Ans: B
Feedback: The widespread endocrine, immunologic, and inflammatory changes that occur with stress can have significant negative effects. This is particularly harmful in patients whose health is already compromised by age, illness, or injury. Option A is incorrect; it is an incomplete answer that does not address what the woman is more vulnerable to. Option C is incorrect; the negative effects of stress/pain affect everyone, not just those who are already debilitated. Option D is incorrect; research has shown that there are negative effects on the body caused by stress/pain.
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