Nurses play a major role in preoperative , intra-operative and postoperative pain assessment and management .Pharmacological management is a challenging process to relieve pain. The first choice of drug is a background pain relief, is regular paracetamol, which is safe in the young and in the elderly, is well tolerated, effective in nociceptive and neuropathic pain and available in several dose forms. Regular doses of between 4g daily (four times a day) is recommended for patients with normal renal and hepatic function. Alternative medications such as glucosamine for moderate-to-severe chronic pain and nonsteroidal anti-inflammatory drugs (NSAID) such as aspirin, naproxen, ketorolac, indomethacin and ketoprofen may
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Postoperatively, regular assessment of the pain score and vital signs were documented every 30 minutes for 2 hours and hourly for as hospital policy .Oxynorm 10 mg and paracetamol 1gm administered regularly Mrs.J was very unsettled and had pain score 8/10 , JMO was notified , tramadol 100 mg stat administered , provided comfort measures, Mrs.J verbalised that pain score continued as 10/10 and was reviewed by acute pain service team morphine PCA started along with regular Oxycontin. Acute pain can increase the heart rate and blood pressure and may cause sweating and pallor (Bond and Simpson cited in Gregory 2014). Blood pressures and respiratory rates were high during the onset of pain. Therefore, hourly PCA observations and vital signs were monitored while R.J was on PCA. R.J’s pain was well controlled and pain score was 4/10 on movement. Regular medication of oxynorm 10 mg every three hourly and paracetamol 1 gm administerd along with R.J s own regular medications. Effective communication will encourage to verbalise the pain severity and help to take the …show more content…
Tolerance, perception, and successful approaches to pain management are related by genetic and physiological factors, previous experiences, psychosocial factors and health disorders(ASPMN cited in Goodman 2015) Every patients in the clinical area should be equally treated and respected in their cultural, social, psychological, spiritual, legal and ethical aspects. When patient refuse some of the treatment in related with their religious beliefs nurses should understand and support them also nurses can encourage them to undergo for alternative treatment . For example , some religious group are refuse to have blood transfusion and restriction with the dietary
Postoperatively, regular assessment of the pain score and vital signs were documented every 30 minutes for 2 hours and hourly for as hospital policy .Oxynorm 10 mg and paracetamol 1gm administered regularly Mrs.J was very unsettled and had pain score 8/10 , JMO was notified , tramadol 100 mg stat administered , provided comfort measures, Mrs.J verbalised that pain score continued as 10/10 and was reviewed by acute pain service team morphine PCA started along with regular Oxycontin. Acute pain can increase the heart rate and blood pressure and may cause sweating and pallor (Bond and Simpson cited in Gregory 2014). Blood pressures and respiratory rates were high during the onset of pain. Therefore, hourly PCA observations and vital signs were monitored while R.J was on PCA. R.J’s pain was well controlled and pain score was 4/10 on movement. Regular medication of oxynorm 10 mg every three hourly and paracetamol 1 gm administerd along with R.J s own regular medications. Effective communication will encourage to verbalise the pain severity and help to take the …show more content…
Tolerance, perception, and successful approaches to pain management are related by genetic and physiological factors, previous experiences, psychosocial factors and health disorders(ASPMN cited in Goodman 2015) Every patients in the clinical area should be equally treated and respected in their cultural, social, psychological, spiritual, legal and ethical aspects. When patient refuse some of the treatment in related with their religious beliefs nurses should understand and support them also nurses can encourage them to undergo for alternative treatment . For example , some religious group are refuse to have blood transfusion and restriction with the dietary