Certified Wound Ostomy Nurse (CWON) Practice Test

What type of pain management is emphasized in the treatment of sickle cell ulcers?

1. Minimal pain control

2. Aggressive pain control

3. Use of non-steroidal anti-inflammatory drugs only

4. Psychological pain management techniques

The correct answer is: Aggressive pain control

Aggressive pain control is emphasized in the treatment of sickle cell ulcers due to the nature of the pain associated with this condition. Sickle cell disease often leads to vaso-occlusive crises, which can cause severe, acute pain that significantly impacts a patient’s quality of life. Effective pain management is crucial in these circumstances as it not only alleviates discomfort but also promotes better overall management of the disease and can aid in wound healing. While minimal pain control may not adequately address the severity of pain experienced, and the exclusive use of non-steroidal anti-inflammatory drugs is insufficient given that these specific ulcers often require a multi-faceted pain management approach that may include opioids and adjunct therapies, psychological pain management techniques, while important, do not address the immediate and intense physical pain that sickle cell patients may experience. Thus, an aggressive approach ensures that patients receive the necessary relief from their debilitating symptoms.