NURSING 3SS3 Chapter Notes - Chapter n/a: Methadone, Tramadol, Tachypnea

• School: McMaster University
• Department: Nursing
• Course: NURSING 3SS3
• Professor: joannapierrazo

Document Summary

Non-pharm therapy for pain: physical relief strategies: massage, therapeutic exercise, transcutaneous electrical nerve stimulation, application of heat or cold, cognitive techniques: distraction and imagery, hypnosis, relaxation strategies, self- management. Nursing management: need to have effective communication with patient, lots of education, (cid:272)o(cid:373)(cid:373)u(cid:374)i(cid:272)ate (cid:272)o(cid:374)(cid:272)er(cid:374) a(cid:271)out patie(cid:374)t"s (cid:374)eeds, ad(cid:448)o(cid:272)ate, support through trial a(cid:374)d error, (cid:272)larify responsibilities of pain relief, evaluate total effect of pain on lives of patient and family. Cognitively impaired: behavioural and physiological changes may be the only indicators of pain: look for vocalization, facial expression, breathing, body movements, body tension, (cid:272)o(cid:374)sola(cid:271)ility, o(cid:271)tai(cid:374) i(cid:374)fo a(cid:271)out patie(cid:374)t"s (cid:271)aseli(cid:374)e fro(cid:373) fa(cid:373)ily or (cid:272)aregi(cid:448)ers. Patients with substance abuse problems: still have right to receive treatment, comprehensive pain assessment is imperative, screen for possible risk of addiction, requires expert leadership and consultation for a planned, multidisciplinary approach. Clinical bpg: assessment and management of pressure injuries for the interprofessional team.