Pain is a signal by your nervous system to alert you that something is very unpleasant, uncomfortable or wrong.It may come like a burning sensation, aches, sting,pricking ,dull discomfort or hammering. It can be acute or chronic, comes and goes or constant. Pain is what the person says that it is ,where is occurring and what triggers it.
PAIN SUBJECTIVE OR OBJECTIVE.
Pain is subjective. It is a unique sensation in part or parts of the body. It is unfortunate that your provider determines if you are in pain or not. There is no exact way to determine. Some providers will assess your pain based on your race or socioeconomic status or history. The question then is how do we measure validity of pain based on scale of 0 to 10.pain rating from 0 to 10.Ten is the highest and zero means no pain.
OBJECTIVE PAIN SCALES.
Restless or irritability.
Pain can be acute or chronic.
It can be localized or diffused.
How Do we Take Care of Pain.
Patient has every right for accurate assessment and management of pain .
What Does This mean for you as a Nurse.
Assessment of patient on admission every four hours and when necessary. If pain is identified you follow doctor’s orders and give pain medication. Also include other treatment such as relaxation techniques, reposition, environmental factors in management of pain medication.
Assess pain level on admission, every four hours, every shift, before invasive procedure, after invasive procedure .Before physical therapy, before wound care and after.
Education :Educate patient about pain medications, actions and side effects.
Before giving medications you must know and check the eight rights of medication administration.
Document your teaching. Also it is important to document your medication administration and teachings. The effect of medication given and the route. Prn medications( that is medication not scheduled) should be documented when given.
Reassessment of effect of medication after given.30minutes if it is intravenous and 60minutes if it is by mouth.
If pain is not control, reassess patient and notify the doctor. Our patients are our customers ,so their needs must be met.
Understand your patient, his or her needs cultural, ethical and pain history and management.
WHAT SCALES ARE USED?.
When you give medication, it must be dated and signed.But if you are using the scanner make sure that you scan it and file it. In the hospitals there are formulary which is simply a list of drugs use on your facility. There are none formulary meaning that your facility does not carry them.Pharmacist will review medications for appropriateness before they are dispensed or given. Medications cannot be left at the bedside or unattended. Narcotics stored according to federal law and State laws to avoid diversion .Wasted narcotics witnessed and signed.Multidose medication dated and discarded after 28days.But single dose vial should be discarded immediately.