ProHealth health Vitamin and Natural Supplement Store and Health
Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help

|
|
|
|

Trending News

Missing protein explains link between obesity, diabetes

Single tick bite can pack double pathogen punch

Fish oil use associated with brain volume preservation

The Brain Boosting and Fatigue Fighting B-12

Genetic basis for distinct type of autism uncovered

Higher vitamin D levels associated with better cancer prognosis

Genetic study suggests causal link between vitamin D deficiency and hypertension

Unsuspected aspect of immune regulation revealed: Role of B cells

IBS, Crohn’s Disease, Colitis, and Other Digestive Disorders

Explaining 'Healthy' Obesity

 
Print Page
Email Article

Pain Waits for No One: Validating Patient Pain

  [ 22 votes ]   [ Post a Comment ]
By Diane M Goodman, APRN, BC, CCRN, CNRN • www.ProHealth.com • August 15, 2012


Diane Goodman is an Advanced Practice RN with special certifications in critical care & neuroscience nursing. She is a clinical educator at Advocate Condell Medical Center in suburban Chicago - part of the Advocate Health Care System, which employs more than 9,000 nursing professionals. This article, reproduced from the ADVANCE for Nurses blog and reproduced here with kind permission,* was first published Jul 19, 2012.

________________________________

Pain Waits for No One

In providing care to patients on their 'watch', nurses have developed a few bad habits in repeating phrases that have become second-nature to the profession. One of these phrases has been utilized so frequently the words are spoken benignly by nurses, although the words and their suggested agenda can be detrimental to patients.

The phrase "it isn't time for your pain medication" should be erased from nursing vocabulary ASAP, for what does this imply?

It implies pain should arrive on a schedule, one that happily coincides with the physician's orders, so no one is inconvenienced by pain that is refractory, arrives early, or refuses to respond as intended to what is on the patient's MAR [Medication Administration Record].

What should nurses learn to say instead of the phrase "it isn't time for your pain medication”?

Words designed to provide comfort and validation to the patient in pain!

Here are a few examples of how this can be achieved.

• Start with compassion, saying "I'm so sorry your pain has returned."

• Add an assessment feature, such as "tell me more about where the pain is, and how it feels. Is the pain similar to what you were experiencing earlier, or is this a new pain?"

• Add a component of empathy, such as pulling up a chair at eye level to the patient, holding their hand, and asking them to describe what they “usually do for pain at home."

Here is an opportunity to explore how often the patient self-medicates, and when they may have ‘gaps’ in controlling their pain.

All of these features can be accomplished in minutes, and the words "it isn't time for your medication" haven't been expressed by the nurse.

The next step is to engage in dialogue about the patient's plan of care for pain.

The nurse can begin by stating that:

• Pain management orders, left by the physician, are "fluid" and designed to be adapted to the patient's response.

• Patients are closely assessed to gauge their reaction to analgesics.

• Pain management orders are written for a majority of patients whose pain might be safely and effectively controlled on a schedule.

• However, this particular patient is "special." Their pain hasn't read the workbook, and doesn't know it should wait until the medication is due to be repeated. Their pain waits for no one.

What is said to the patient in the next few moments makes all the difference to someone in pain.

• "What can I do to make you more comfortable while I am getting new orders?" reminds the nurse and the patient to utilize non-pharmacological methods of pain relief, a forgotten art of bedside nursing care.

• Integrating ice, heat, distraction, touch, and repositioning are all effective components of pain relief, and never are they more appropriate than for the patient whose pain proves harder to suppress and control.

Utilizing the above techniques validates the patient's complaint of pain, while providing the nurse with time to follow up on the need for more flexible analgesic orders, including the possible addition of adjunctive therapy.

• At no time was the patient allowed to feel "bad" that their pain returned earlier than expected,

• And at no time did the nurse imply the patient should tough it out and wait until their medication was "due."

By exposing one of the bad habits nurses have utilized over time, nurses can learn to re-purpose time spent at the bedside into a "win-win" scenario for everyone involved.

[See also Diane Goodman's article "Pain Bias Toward Patients," on providers' invalidating attitudes about patients who request help for unrelenting pain, posted by ADVANCE for Nurses on Mar 25, 2011.

___

* This article is reproduced from the ADVANCE for Nurses blog (http://nursing.advanceweb.com) with kind permission of the author and Merion Matters©2012 All Rights Reserved.




Join the Discussion Post a Comment 




[ Be the first to comment on this article ]




 
Free Chronic Fatigue Syndrome and Fibromyalgia Newsletters
Subscribe to
Our FREE
Newsletter
Subscribe Now!
Receive up-to-date ME/CFS & Fibromyalgia treatment and research news
 Privacy Guaranteed  |  View Archives

Save on Your Next Order

Featured Products

Vitamin D3 Extreme™ by ProHealth Vitamin D3 Extreme™ by ProHealth
50,000 IU Vitamin D3 - Prescription Strength
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
FibroSleep™ by ProHealth FibroSleep™ by ProHealth
The All-in-One Natural Sleep Aid
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils

Natural Remedies

Live Longer: Groundbreaking Research on Omega-3s Live Longer: Groundbreaking Research on Omega-3s
Running on Empty? Fuel Up with NADH Running on Empty? Fuel Up with NADH
Ubiquinol - A More Advanced Form of the Energy Producing Nutrient CoQ-10 Ubiquinol - A More Advanced Form of the Energy Producing Nutrient CoQ-10
Could a B-12 Deficiency Be Causing Your Symptoms? Could a B-12 Deficiency Be Causing Your Symptoms?
Research Links Green Tea to Weight Loss Research Links Green Tea to Weight Loss

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia 101
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS 101
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE
CONTACT US
PRIVACY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing