Helping pts cope with painful procedures - page 2

by linguine

Hi all, I work in an urgent care clinic and many times, patients come in requiring short procedures (minor burn management, wound care). I am wondering, from your personal experiences (maybe even as a patient), what are some... Read More


  1. 0
    Panting doesn't help me...deep breathing does...

    I've had herniated disks in my neck, I've had bowel obstructions, and I'm a migraineur.
    I live with pain. I've explored nonpharmacological pain techniques, and I know what works for me. Guided imagery works, if applied correctly with deep breathing it is a form of self hypnosis but it is best with chronic pain. Yes, when I am in status migraine and it has been going on for days and I am vomiting uncontrollably, I can't do my guided imagery, but when it is only 5/10...yes it works.

    I've held patients hands and had them breathe through the pain while they were bleeding out from a blown graft and the blood pressure was in the toilet, and the MD's fist was in the groin, and we were pressure bagging blood on the way to the OR, and couldn't give any pain meds...and the pt thanked me later....

    I've done the same for a pt who threw an arterial thrombus and and was screaming from the pain, and the MD wouldn't let me give any sedation...because he was afraid it would interfere with the anesthesia as we were on the way to the OR

    Sometimes when pain meds are contraindicated, that's all a nurse has to work with...
  2. 0
    Quote from elthia
    Panting doesn't help me...deep breathing does...

    I've had herniated disks in my neck, I've had bowel obstructions, and I'm a migraineur.
    I live with pain. I've explored nonpharmacological pain techniques, and I know what works for me. Guided imagery works, if applied correctly with deep breathing it is a form of self hypnosis but it is best with chronic pain. Yes, when I am in status migraine and it has been going on for days and I am vomiting uncontrollably, I can't do my guided imagery, but when it is only 5/10...yes it works.

    I've held patients hands and had them breathe through the pain while they were bleeding out from a blown graft and the blood pressure was in the toilet, and the MD's fist was in the groin, and we were pressure bagging blood on the way to the OR, and couldn't give any pain meds...and the pt thanked me later....

    I've done the same for a pt who threw an arterial thrombus and and was screaming from the pain, and the MD wouldn't let me give any sedation...because he was afraid it would interfere with the anesthesia as we were on the way to the OR

    Sometimes when pain meds are contraindicated, that's all a nurse has to work with...

    That's great that it works for you And guided imagery may work for SOME- not everyone, unless I'm an alien, and nobody told me Your experience is valid- as your experience And mine is valid for mine Nothing works for everyone
  3. 0
    I had the most lovely man who had to get a bedside sternal biopsy. Just saying it makes me shiver. I didn't know if I was going to be able to handle it.

    I used distraction. I held his hand, I spoke to him about how lovely his family is, spoke about his wife, and anything else. he seemed to handle it well.


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