Pain Mgmt RN case studies
Pain Mgmt RN · Put your knowledge to work in context.
The Pain Management Nursing Certification Examination (commonly abbreviated Pain Mgmt RN or CPMN) is a specialty credential for registered nurses who assess and manage pain across the care continuum - from acute postoperative and periprocedural settings to chronic persistent pain, palliative care, and end-of-life care. It is intended for nurses who already hold an RN license and have accumulated supervised clinical experience in pain management, and it is used by employers and peers as an external signal that the nurse can apply evidence-based pain assessment, pharmacologic safety principles, interventional concepts, and integrative therapies in everyday practice. The Pain Mgmt RN case studies are 5 cases and about 4,822 words.
1Twitching, Drowsiness, and a Full Medication List: Renal Failure Meets a Combination Opioid Regimen
R is 74, lives with her daughter, and has metastatic pancreatic cancer with a prognosis measured in weeks. Her creatinine clearance is 26 mL/min.
984 words, about 5 min2Burning Feet After a Pelvic Fracture: Is This Neuropathic Pain, Tolerance, or Something You Must Rule Out Tonight?
D is 42, six days after a motorcycle crash with an open-book pelvic fracture managed with external fixation and a sacral fracture seen on CT. He is on IV hydromorphone patient-controlled analgesia; in the last 24 hours he pressed the button 190 times and received 18 mg.
869 words, about 4 min3Anticoagulated and Scheduled for an Epidural Steroid Injection in Three Days
L is 67 with a 5-month history of L4 radicular pain that has failed physical therapy and gabapentin. A fluoroscopy-guided L4-L5 transforaminal epidural steroid injection is scheduled in 3 days.
985 words, about 5 min4Opioid-Naive, Hypercapnic, and Dyspneic: Starting an Opioid When the Family Fears It Will Kill Her
K is 81, admitted from home with dyspnea 8/10 and back pain 7/10 from a T12 compression fracture. She has advanced COPD (FEV1 33% predicted), is on 2 L/min nasal cannula at home, and has an eGFR of 22 mL/min.
949 words, about 5 min5'Frequent Flyer' With a Vaso-Occlusive Crisis: Advocacy, Stigma, and the Individualized Analgesic Plan
J is 34 with sickle cell disease (HbSS) on hydroxyurea. He has had 8 emergency visits and 3 admissions in 6 months.
1,035 words, about 5 min