The nurse is teaching the client who is about to be discharged about ways to help control chronic pain in the home using the gate control theory. The nurse teaches the client with back pain to use which of the following to close the gate?
1. Take ordered pain medication every 4 hours around the clock.
2. Assume a supine position for 1 hour when pain is perceived.
3. Obtain a back massage.
4. Take chondroitin when pain begins.
Answer: 3
1. Medication for pain is useful to alter the perception of pain once the gate is open and pain perception reaches the brain.
2. Position changes will not close the gate and block pain.
3. Massage therapy blocks the pain by stimulating the large A-beta fibers, which close the gate and decrease the perception of pain.
4. Chondroitin is an herbal preparation taken to prevent the pain in joints from arthritis that has no effect on the gate.
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