An 88-year-old man is suffering from long-term severe intractable pain; all pharmacologic and nonpharmacologic methods of pain relief have been ineffective. The nurse tells the patient that he may want to consider:
A) Investigating new alternative pain management options that are outside the United States
B) Consulting a neurologist or neurosurgeon to discuss pain management options
C) Significantly increasing his exercise and activities to create distractions
D) Moving into a nursing home, so others may care for him
Ans: B
Feedback: In some situations, especially with long-term severe intractable pain, usual pharmacologic and nonpharmacologic methods of pain relief are ineffective. In those situations, neurologic and neurosurgical approaches to pain management may be considered. Pain resulting from malignancy (especially of the cervix, bladder, prostate, and lower bowel) may need special surgical and neurologic interventions. Option A is incorrect; investigating new alternative pain management options that are outside the United States is unrealistic and may even be dangerous advice. Option D is incorrect; moving into a nursing home so others may care for him is an intervention that does not address the issue of pain.
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