The International Association for the Study of Pain (IASP) has the best known and accepted pain definition: Pain is an unpleasant sensory and emotional/affective and cognitive experience that is associated with actual or potential tissue damage or is described in terms of such damage . Pain is always a personal, subjective, unique , and multidimensional experience and is affected by the patient’s gender , age, culture, previous pain experiences, and emotional factors, such as joy, grief, fear, excitement, and the patient’s beliefs and attitudes toward pain .
In this current facility, patient satisfaction scores are lower than average. Random surveys conducted by the hospital, one week after discharge, reveal that most complaints are related to patient’s pain, response of the nurse, and comfort. When patients are admitted to the hospital, shift assessments are completed by the nurse. These assessments include a patient’s complaint of pain. The patient is asked to rate their pain on a scale of 0-10 (0 = no pain and 10 = extreme pain). If the patient has a pain scale of 3-5, the nurse is to offer a PRN PO medication and then follow up within an hour to reassess the patient’s perception of the pain. If the patient has a pain scale of 6-10, the nurse is to offer IV PRN pain medications, and again to reassess pain within the hour (pain reassessments often get missed). Nurses then administer the medication as ordered, record the time administered and write the next time due on the dry erase board in the patient’s room. ...
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... patient along with keeping proper documentation. Serious complications may occur with any patient receiving IV Opioids, respiratory depression, low oxygenation, and over-sedation. Monitoring the patient is essential and should include respiratory rate, sedation score, blood pressure, pain score, location of pain, amount of drug used, and any side effects from the use of the PCA (Chumbley 2010).
To implement the use of PCA pumps to patients requiring frequent PRN IV pain medications would require re/education of staff on general use and troubleshooting for the PCA pump, proper management of and disposal of controlled medications, and refresher on correct documentation of patient pain and response to pain management.
There is certainly a shortage of reputable studies with the general inpatient population. Further studies seem to be warranted due to this lack.
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