Broken Bones and Pain Management - page 2

Hello everyone! I'm hoping that some of you can help me. I am in my last leg of the BScN program...I have finished shift 16 of my 42 shift preceptorship! And I have 2 papers to do as well. We... Read More

  1. by   Dazedgiggle
    I'm definitely with the whole oxyconting q 12 and oxycodone 5-10 for breakthrough pain. I'm also a fan of NSAIDS, but for ortho I really do think you need the narcs. Toradol is great, but you can only use it for a limited time (someone mentioned it, 72 hours), it's not really recommended for people >65, and you need to keep an eye on creatnine. Ice seems to work wonderfully for these people also! And it's so simple! Positioning can help and stratigically placed pillows. Our hospital is also going to be piloting a volunteer Reiki program soon, not sure how that will work. And I've heard therapeutic touch helps, but again, I don't know much about it. Hope this helps!
  2. by   NRSKarenRN
    panda--above info accurate info outlined these sites...

    overview of types of pain management:
    http://www.sepaincare.com/pain_acute.htm

    the management of postoperative pain
    world federation of societies of anaesthesiologists (england)
    http://www.nda.ox.ac.uk/wfsa/html/u07/u07_003.htm

    acute pain management in the perioperative setting
    ... these guidelines focus on management of acute pain in the perioperative setting for ... to inpatient and outpatient surgery. these guidelines are intended ...
    www.asahq.org/practice/pain/pain.html


    acute pain management (clinical guide)- gold standard everyone uses extensive info
    clinical practice guideline acute pain management: operative or medical procedure
    http://hstat.nlm.nih.gov/hq/hquest/d...593/action/toc

    the oxford pain internet site (england)
    http://www.jr2.ox.ac.uk/bandolier/booth/painpag/

    pain after surgery or injury
    http://www.medbroadcast.com/health_t...in/index.shtml

    wake forest university pain index:
    listing of acute and chronic pain links
    http://www.wfubmc.edu/surg-sci/ns/pain.html
  3. by   aus nurse
    PRN thankyou for the translation.
    Hopefully it won't take me too long to work out the different names, until then thanks.

    We use Tramal a lot in our hospital for all post-op. It either works really well or not at all, if that makes any sense.

    Kidsrus, we have recently just had a seritonon syndrome just as you described...combination of Tramal and Zoloft. Pretty scary as it took a while for us all to work it out. Guess who finally thought it through????? The nurses!!!

    Anyway thanks for putting up with my ignorant questions...there's plenty more to come I'm sure!!! LOL :roll
  4. by   panda_181
    NRSKaren, that is great! Thank you so much for your help. I haven't looked at them yet, but I'm sure this will be VERY helpful for my paper! Does anyone else have some internet sites that I could look at? I need to be able to reference stuff too. You guys are great!

    Amanda
  5. by   Jenny P
    Panda, please do your own research. You are on the internet already, we can't do the homework and research for you. (BTW, this has been a good discussion on this thread! I've learned a lot here!)

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Broken Bones and Pain Management