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 strategies to help your patients cope with short term, acute pain? I suppose the strategies vary by population too.
Give them directions? ("take deep breaths")
Try to talk to them about something irrelevant? (I am bad at doing this because I can't focus on a conversation while performing a procedure very well.....)
When I am getting my blood drawn (painful, but sort of nerve wrecking still) or having wound care done, I prefer not say anything so I can go to my happy place.
What do you prefer?
haha, I remember during my OB rotation, the nurse was working hard to coach the woman through her breathing while the baby was crowning. I felt a little helpless and just kept saying "almost there, I see the head!" I kept repeating this multiple times before the baby came all the way out. I reflected back on this, thinking how irritating that must have been for her and I should have just been silent.
the deep breathing is great
Last edit by linguine on Aug 8, '11
Quote from Trekfan
I would have told them no way in hell are you doing that to me with out drugging me
I have had to to just put my foot down more then once .
They really don't hurt much at all- I've had IVs that were worse- but they're considered painful..... Plus, the doc used a lot of Lidocaine..... Neupogen and Neulasta hurt a LOT worse- as in doesn't go away hurt, until it wears of in a few days.
Last edit by xtxrn on Aug 8, '11
: Reason: clarify
Some studies say deep breathing helps for acute pain
...some say it doesn't.It is used widely chronic pain
,and has evidence to prove it works there. I use it with pt's whose BP is too low to give pain meds to sometimes, or with pt's who are on the tranplant list who have chronic angina that can't receive any more IV nitroglycerin/pain meds and are still having pain, but are quite ready for ICU tx. It does increase pt satisfaction, and along with guided imagery does put the pt back into some control over their pain vs the pain controlling the pt.
Also, in a pt who has a PCI site or graft that has blown, and you are trying to keep them from vagaling, deep breathing really helps keep them from bearing down when you are holding lots of pressure on that groin site.
Last edit by elthia on Aug 9, '11