CWCA Pain Management in Wound Care Flashcards

The WHO analgesic ladder recommends starting pain management with which class of medication for mild wound pain?

Answer: Non-opioid analgesics (NSAIDs, acetaminophen)

The WHO analgesic ladder starts with non-opioid medications such as NSAIDs and acetaminophen for mild pain before escalating to opioids.

Which intervention is considered a non-pharmacological method for wound pain management?

Answer: Distraction techniques and relaxation

Distraction, guided imagery, and relaxation techniques are evidence-based non-pharmacological strategies that reduce the perception of wound pain.

Soaking a dry adherent dressing with normal saline before removal primarily serves to:

Answer: Soften the dressing to reduce trauma and pain on removal

Moistening a dried dressing before removal loosens adherence to prevent tearing of fragile wound tissue and reduces pain.

In the CWCA framework, pain reassessment after an analgesic intervention should occur within:

Answer: 1 hour for oral medications, 30 minutes for IV

Reassessment timing depends on route: 1 hour for oral analgesics to allow absorption and peak effect, 30 minutes for IV medications.

A patient with a diabetic foot ulcer reports no pain despite deep tissue involvement. This is most likely due to:

Answer: Peripheral neuropathy causing sensory loss

Peripheral neuropathy, common in diabetes, causes sensory deficits that prevent patients from feeling pain even in deep or infected wounds.

Which of the following accurately describes 'incident pain' in wound care?

Answer: Pain triggered by specific activities such as repositioning or dressing changes

Incident pain is predictable pain triggered by specific activities such as movement, repositioning, or wound procedures.