The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes
Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes?
a. The patient's need for analgesic medication decreases during the dressing changes.
b. The patient rates pain during the dressing change as a 6 on a scale of 0 to 10.
c. The patient's facial expressions are stoic during the procedure.
d. The patient can tolerate more pain, so dressing changes can be performed more frequently.
ANS: A
The purpose of guided imagery is to allow the patient to alter the perception of pain. Guided imagery works in conjunction with analgesic medications, potentiating their effects. If the patient needs less pain medication during dressing changes, then guided imagery is helping to manage the patient's pain. A rating of 6 on a 0 to 10 scale indicates that the patient is having moderate pain and shows that this patient is not experiencing pain relief at this time. A person who is stoic is not showing feelings, which makes it difficult to know whether or not the patient is experiencing pain. The ability to change dressings more frequently is not a way to evaluate the effectiveness of guided imagery.
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Only lipid-soluble substances can pass the _____________ barrier.
Fill in the blank(s) with the appropriate word(s).