Pain shots are us, not this nurse! - page 5

Are you ever enraged by patients who really show no visual signs of pain but say that their pain scale is 10/10 and demand their pain shot every time it's due (thinking that they should know when it... Read More

  1. by   GardenDove
    Quote from JPine
    No, I'm not lying when I say I can't relate to someone else who becomes "enraged" at their patient.
    I think the use of the word 'enraged' was an exaggeration in order to express frustration. Just like pts have different pain thresholds for pain, nurses have different thresholds for pains in the tushes.
  2. by   CaLLaCoDe
    Thanks for acknowledging that the use of the word "enraged" was for the purpose of making this controversial subject more controversial...most of the time I am even tempered at work!!!:spin: :spin: :spin:
    Last edit by CaLLaCoDe on Jan 2, '07
  3. by   redwinggirlie
    Quote from Fgr8Out
    Never been enraged by a patient expecting to be medicated as prescribed by the physician... it's their pain, not mine... and I have no right to judge. Give them their medication and go read up on pain management.
    Amen to that. Thank you for saying so....

    To the OP: When reviewing pain management, don't forget about your patients who are sedated. They have pain management issues as well. Though they can't express it, it often exists. Sorry, this is an issue very close to me and my family right now. Thankfully, my brother's nurses and physicians are well-versed on pain management.
  4. by   damarystx
    If someone is really frustrated about something and brings it here I am guessing they are expecting a wide variety of responses and reading those opposing opinions may actually alleviate some of the op's frustration by hearing someone elses perspective...that being said here is my 2 cents. I was listening to NPR one day and heard them talking about a pain, saying that some people have more of a certain amino acid and those people experience pain more strongly, i.e. "lower pain threshold" so two people can suffer the exact same injury and one can deal with like it's nothing and to the other the pain will be unbearable. Totally agree with keeping pain under control for patients because I am the one who let's my own get out of control so it's hard to bring it back to a bearable level, and I suffer quietly, I do not express my pain other than maybe trying to sleep. Had an experience in the hospital the nurse asked my pain rating and I said maybe a 4 thank god my mom was in the room because she knows that I suffer silently and underestimate my pain and spoke up, they gave morphine several times and a sleep aid it did NOTHING!!! I had let it get out of control and looking back know I would probably say my pain was actually more like an 8-9. I was in induced labor, it was pretty painful. So I try to encourage my patients to try and keep their pain under control. As for "drug seekers" which I have encountered in an immediate care setting I just treat them as prescribed, it's not my call and I would hate to have judged someone and it turn out I was wrong........
  5. by   clemmm78
    I don't need anyone to apologize for me. If I need to apologize, I can do it well on my own, thank you.

    My post, and many others, were to point out that you CANNOT decide yourself if a patient is in pain because they don't act the way you think or feel that they should.

    And, no, I'm not lying. I have never become enraged at a patient, nor would I use that term to emphasize a point. I have become annoyed and frustrated from time to time. But please, don't ever apologize for me.
  6. by   dmomies
    If you are enraged, I'm concerned about your mental health, and would not want you to be my nurse! Perhaps you need some time off. Also, after my C-sec (many years ago) you are damn right I was asking for my pain pills every 4 hours and was therefore active and home in short order!
  7. by   damarystx
    clemmm78, your post followed mine, wasn't sure who you were addressing in regards to apologizing for you?????
  8. by   nrsang97
    I wouldn't go as far as to say that I was ever "Enraged" but maybe a little annoyed. I have been having chronic pain in my knee since I have avascular necrosis. I usually don't say anything. I was started on a nsaid but it ripped my stomach up and i was given tylenol 3, which helped. I can now deal with it just by taking motrin 800mg prn. I would have rated pain differently at different times. (I have a good tolerance for pain)
    But I have been a patient complaining of chest pain with every breath and was NEVER EVER offered or given ANYTHING AT ALL, while rating pain 8/10 with VERY tachy hr. ER doc sent me home with script. If I had been any other person and NOT a nurse I would have been given Morphine or dilaudid. This particular day I had been just released from the hospital with asthmatic bronchitis, and had elevated HR before they let me go. I was seen by and cleared by cardio even though I had been having chest pain and elevated HR for days. I always had to be pratically in tears before anyone decided to give me anything for pain. At most during hospital stay of 4 days when I complained of pain I was only medicated 2 times. Usually I was given some toradol or vicodin. That was fine but only as one time orders. The night before I was sent home, I called for my nurse. The tech came in and took my VS, I told her to tell my nurse that I felt like my heart was racing. NOT ONE NURSE SAW ME FOR OVER 1 HOUR. I was told she was in a staff meeting when I called again. STILL NO ONE CAME IN TO CHECK ON ME. Again my heart racing was chocked up to anxiety and not pain. I was given xanax and nitro ( which did nothing) and 1 hr later some ambien and I don't remember the rest of the night. I was screamed at by the ER doc telling me that the clarinex was causing me to be tachy. I explained to him that I had been on this med for over 1 yr and this was not the cause. My mom begged them to give me something for pain and they came back and gave me cardizem after arguing about which bed to put me in and how much to give and turned off the O2 so they could put me on a monitor in another room. I was in the 130-140 range and very uncomfortable. The cardizem didn't work so they gave me Lopressor. Brought HR down to 100. Before they gave me cardizem they gave me IVP ativan because the doc thought i was "JUST ANXIOUS". DAMN RIGHT I WAS ANXIOUS MY HEART WAS POUNDING AND I COULDN'T BREATHE, WOULDN'T YOU BE ANXIOUS. So sometimes a person in a lot of pain won't say anything at all and others with a simple sprained ankle will need vicodin for pain instead of motrin.

    I have had many issues with being in pain and just plugging along and no one really knows. I worked through a month long headache before being diagnosed with migraines. I have had to go to the ER for a few of those when abortive meds didn't do the trick.

    I guess I know how it feels to be on both sides.

    I had a great nursing instructor tell me and I totally believe this PAIN IS WHAT EVER THE PT SAYS IT IS. A pain that is no biggie to you and I is distressing to someone else. So don't be so quick to say, that you don't think some one is not in pain.
    Last edit by nrsang97 on Jan 3, '07 : Reason: left out a few details
  9. by   Tweety
    Quote from GardenDove
    I think the use of the word 'enraged' was an exaggeration in order to express frustration. Just like pts have different pain thresholds for pain, nurses have different thresholds for pains in the tushes.
    Quote from TeleRNer
    Thanks for acknowledging that the use of the word "enraged" was for the purpose of making this controversial subject more controversial...most of the time I am even tempered at work!!!:spin: :spin: :spin:
    Quote from JPine
    No, I'm not lying when I say I can't relate to someone else who becomes "enraged" at their patient.


    I think the original poster did come back and clarify that rather than "engraged" she/he meant "somewhat annoyed", which I took as them acknowledging that "enraged" was a bit strong. See post #14 and decide for yourself.
    Last edit by Tweety on Jan 3, '07
  10. by   grammyr
    About the only time I get really frustrated at a patient is when I give them pain medication as ordered and find them taking their own supply from a purse or pocket. I have had this happen on a couple of occasions and it makes for a scary time not knowiing what else these people might have taken. One of them ended up on the vent for OD of more than one thing. We found the meds in her personal belongings(fell out of pocket) when we were moving her to ICU
  11. by   GatorRN
    Quote from saharaonyxrn
    hello, telerner. hello, there, sweetheart. first, on behalf of all the naysayers, i want to apologize. because so many are talking about who shouldn't judge and all that, but yet, they are judging you based on one comment.

    yes, i do feel where you are coming from. i don't get angry, but i do get frustrated when dealing with these types of people. these people know good and well what you mean. they know that they, too, have been frustrated at times. because i tell you, it really takes away from dealing with your critically ill patients when you are in a patient's room every hour pushing drugs to people that have no other problem except unresolved pain. the hospital is not where these people need to resided. there are pain management clinics out there for that. if they have chronic pain, then the doctor needs to handle it to the point where they don't always have to come to the er for drugs.

    anybody who says that they can't relate to what you are saying is lying. they, too, have seen what you're talking about and they are not perfect. they have hang-ups, too.

    anyway, i support you and feel where you are coming from. keep coming to allnurses.com. this is a good place to vent, as opposed to doing it in front of the patients.
    if by chance this was directed at me, i don't need anyone to speak for me. i can and do speak quite well for myself, thanks. also, just for the record, i, personally, was not "judging" the op for her comment. i was simply stating my opinion regarding the subject. when a person comes to a forum such as this they can't and shouldn't expect every other person to agree wholeheartedly with their statements. nor was i "lying" when i said i had never been enraged at a pt who requested their prescribed pain meds. sure we all get stressed out from time to time when we have too much going on, but "enraged," not me.

    pts who are in the hospital "who have no other problem except unresolved pain" have just as much right to expect adequate nursing care as the next person. their physician likely admitted them to determine the root cause of their unresolved pain and attempt to relieve it, that's where we nurses come into play.

    my post was also to point out that many ppl don't wear their pain on their sleeve, and may not display visible outward signs of pain. while at the same time my have vitals wnl and still be very painful. not everyone is going to curl up in the corner writhing from pain. people in general have varied levels of pain/pain medication tolerances. the whole concept of pain management is to find a therapeutic level of meds, along with treatment modalities to allow the pt to function, and have some sense of normalcy in their lives.

    someone else said it's sad that pts feel they need to act a certain way in order to get their prescribed pain meds, i definately agree. it's very sad, indeed, that people have been programmed per se to display certain actions to make their pain appear believable. as far as others who may be talking to people, watching tv, walking around, doing puzzles, or whatever, perhaps they are doing such things to distract themselves from their pain. distraction can be a very good coping technique to many. as i said before, pain is what the pt says it is, plain and simple. it is not our job to pass judgement on our pts. it is our job to give good nursing care and comfort our pts with whatever means we have available to us. if that involves giving them prescribed pain meds when they request them, so be it.


    ________________________________________

    go gators!! sec champions!!

    national championship bowl bound!!
  12. by   CaLLaCoDe
    Through my starting this abnoxious post of "an enraged nurse" I have gained more understanding regarding this topic and have learned not to go by my gut reactions...besides weren't we taught in nursing school that pain is the 5th vital sign?!! Anyhow I have gained more clarification of this very important topic...And, I did happen to mention my post to a coworker who said a few years ago she went into ER with severe abd pain and bile emises and was denied pain medication...soon thereafter she was dx'd with bowel obstruction and spent 2 weeks in ICU after surgery LOL golly did I learn something!!!

    PS. Thanks to all for your contributions to this forum.
    Last edit by CaLLaCoDe on Jan 3, '07
  13. by   clemmm78
    Quote from damarystx
    clemmm78, your post followed mine, wasn't sure who you were addressing in regards to apologizing for you?????
    Sorry, I was referring to this post:

    Hello, TeleRner. Hello, there, sweetheart. First, on behalf of all the naysayers, i want to apologize. Because so many are talking about who shouldn't judge and all that, but yet, they are judging you based on one comment.

    I don't want her to apologize for me because she has no right to apologize on my behalf. I have nothing to apologize for. It really ticks me off when I read messages like that.

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