Louisa LaRussa, 82 years old, fell, bruising her chest and ...

[Beheh]

Louisa LaRussa, 82 years old, fell, bruising her chest and fracturing her right sixth rib. She has been medicated for severe pain. Which of the following statements is the least helpful in assessing Ms. LaRussa's pain?
 
  a. How do you feel today?
  b. Point to where the pain is the worst
  c. Tell me what makes the pain increase
  d. How has this pain changed your daily rou-tine?

Question 2

Environmental management is a crucial topic when considering the quality of living for elderly persons. Several aspects need to be considered when examining the environment. One critical aspect is safety.
 
  If you were evaluating the home of an elderly person who has had a total hip replacement, what areas would you consider the most important?
  a. The safety of the neighborhood and the internal safety of the home
  b. The accessibility of a grocery and drug store and the availability of a working telephone
  c. Does the neighborhood have an Emergency Medical Services nearby in case the patient falls again?
  d. Are the neighbors friendly?

[kescobar@64]

Answer to Question 1

A
Asking how the resident is feeling is not specific for information regarding the pain experience. Responses B, C, and D are excellent questions to ask a resident who is experiencing pain.

Answer to Question 2

A
Responses B, C, and D could be aspects of the overall safety assessment you perform, but they are too narrow to use as the only factors to consider.

[Beheh]

Thanks for the timely response, appreciate it

[aliotak]

Excellent