Pain shots are us, not this nurse! - page 8

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   SaharaOnyxRN
    Quote from Kait
    I think this response was needed here. Thank you.
    You're very welcome. We might as well keep it real.
  2. by   SaharaOnyxRN
    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'm not saying that you have to have been "enraged" to be able to relate to the OP. And besides, the "enraged" was an exaggeration on the part of the OP. She or he was exaggerating because it felt good to do so. She was venting here. Nothing wrong with that. It is very frustrating, and like I said, i believe that is what this poster was trying to convery: frustration.
  3. by   SaharaOnyxRN
    [quote=clemmm78;1999042]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.
    [quote]

    Well, since you didn't have the humilty to apologize for bashing the OP, I did it for you. Now, will there be anything else? If not, have a good day.
  4. by   RunningWithScissors
    Yeh, it can be time consuming to get that pain med to the patient every 2 hours, but:
    1) it helps keep your time paced for the day (wow, 2 hours have gone by ALREADY?!!!)

    2)If that's the least you can do for that person that day, hey, piece of CAKE!
  5. by   SaharaOnyxRN
    Quote from gatorrn
    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!!
    i didn't say it was you, but if the shoe fits, then wear it. i'm not going to sugar coat it at all. if you had something negative to say in regards to the original poster's comment, then i was talking to you, too. it's quite simple.

    and the question here isn't about adequate nursing care. adequate nursing care is taking care of all your patients. so, that means, someone being on the light every hours doesn't have the right to take away my time from a critically ill person. if all you want to do is pass out pain pills and pain shots, then go work at the pain clinic. an inpatient bed is not the place for this, it just isn't. too bad if that statement ruffles a few feathers. it's the truth. we have sick people who really do need inpatient beds that are not admitted because we have people that need "pain management". pain can be managed at home or on an outpatient basis. so, i don't want to hear any more excuses. just because someone has a problem with it and you do not, does not make you a better or a more caring nurse. because the truth is, deep down inside, you're tired of them, too.

    as for physicians admitting them for the unresolved pain, this is most likely not the case. how about them coming to the er looking for a legal fix, how about that? they never were seeing a doctor before that, they just got assigned one. it doesn't matter, they're getting a smorgisborg or drugs. most people have sense enough to know a drug-seeker when they see one and people that have other problems that are causing their pain.
  6. by   GardenDove
    LOL, right on Sahara. Tell it like it is! Legal fix, that's a great term. Sorry, but some of this PollyAnna talk on this thread is just too much. And also, it's not nice to bash people's nursing abilities just because they don't swallow hook, line and sinker the Sarah Bernhart performances that some pts put on to get their fix.

    We're entitled, at least, to our opinions without getting scolded.
  7. by   CaLLaCoDe
    Recently I had a patient who was receiving 2mg of morphine q 2hrs...no biggy really; however, this lady was to receive 60 mg of MScontin... a scheduled med BID...so I go the extra mile and hunt for this med...hunt on my Tele floor and eventually trickle down to ICU where she originally transferred from to get the goods...So, I give her her precious pain numbing pill with the reply, "Is it not time for my 2mg morphine shot!!!???.....OK OK..

    My response, let's wait a little while, say 30 minutes and see if this gives you your desired pain relief...she didn't counter with "Oh such pain" or anything like that just an understanding of my counter to her plea...

    PS. Thanks with glee to all the wonderful contributers, once again to this forum post....from the OP originator.
  8. by   clemmm78
    [quote=SaharaOnyxRN;2000380][quote=clemmm78;1999042]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.

    Well, since you didn't have the humilty to apologize for bashing the OP, I did it for you. Now, will there be anything else? If not, have a good day.
    Excuse me? Where exactly did I bash the poster that requires an apology?
    I have to stop typing now because then I really WILL say something to apologize for.
  9. by   jetscreamer101
    I read quite a few of there posts on this subject, but I didn't get to them all, so if what I say is just a repeat, bare with me.

    I have a high tolerance for pain. I live with chronic pain and have indeed hit 9 on a scale 1-10 (I never rate a 10, it could get worse). I've had disks so severely herniated I couldn't walk for the pain. I've had 9 surgeries. Thank goodness for that recovery nurse that kept giving me pain medication when I said I hurt. And hurt it did. Now, my response to pain is to lie still and close my eyes. I'm not the recovery room patient screaming or trying to get up, yelling, carrying on. But I hurt.

    I know there are patients that we question whether or not they are truly in pain or not. I'm not the one who gets to decide if they are in pain, they tell me. If your just drug seeking, fine, I'll give you whats ordered because who am I to judge someones reaction to pain and whether you are truley experiencing pain.

    Oh, and for those nurses 2 years ago that kept changing my wound vac to a large abdominal wound and I kept telling you it hurt badly, but you just kept going and said hit your button, I hit the Darn button many times and it did not relieve the pain. When I begged you not to put a new dressing on because of the pain I would have changing it and you said well we'll try some (adaptic type stuff if I remember correctly) and it won't hurt as bad, YOU LIED. It hurt like he**. You never got an increase in my pain medication knowing I was having severe pain with the dressing changes. It took 4 dressing changes, but I finally refused to allow another wound vac dressing placed on my wound. It may have taken more time to heal with BID W/D dressing changes, but it didn't hurt near so bad as that evil wound wac.

    jetscreamer101
  10. by   lashes
    Quote from clemmm78
    Pain is pain. What may seem to you as drug seeking may be true pain.
    I have become so used to severe pain that I can act and seem perfectly normal to the most trained eye. Yet, I still am in agony.

    If the patient is drug seeking, being enraged does nothing to help either of you.

    LIGHTEN UP! YOU HAVE NEVER BEEN UPSET AND OR FRUSTRATED KNOWING THAT THE PT YOU ARE MEDICATING IS AN ADDICT SEEKING ONLY "THE ADDED BENEFITS" ( AS ONE RN PUT IT) OF NARCOTICS? I'VE BEEN UPSET A NUMBER OF TIMES AND UNFORTUNATELY, WORK IN HOSPITAL WHERE ADDICTS ARE REPEATEDLY ADMITTED ( CARDIAC UNIT.. DRUGS= ARRTHYMIAS ETC ) . EVEN CAUGHT A PT DOING BLOW IN HER ROOM WITH HER BOYFRIEND ... RAZOR BLADE IN HAND AND ALL. FEELING ENRAGED IS SOMETIMES SIMPLY A NATURAL REACTION TO THESE KINDS OF EVENTS TRANSPIRING WAY TOO OFTEN!! IM SURE THE PT STILL GOT HIS HIGH SO IT STILL HELPED HIM AND IN THE END, IS HELPING THE RN WHO BEGAN THIS THREAD BECAUSE VENTING IS CATHARTIC ..
  11. by   clemmm78
    Quote from lashes
    LIGHTEN UP! YOU HAVE NEVER BEEN UPSET AND OR FRUSTRATED KNOWING THAT THE PT YOU ARE MEDICATING IS AN ADDICT SEEKING ONLY "THE ADDED BENEFITS" ( AS ONE RN PUT IT) OF NARCOTICS? I'VE BEEN UPSET A NUMBER OF TIMES AND UNFORTUNATELY, WORK IN HOSPITAL WHERE ADDICTS ARE REPEATEDLY ADMITTED ( CARDIAC UNIT.. DRUGS= ARRTHYMIAS ETC ) . EVEN CAUGHT A PT DOING BLOW IN HER ROOM WITH HER BOYFRIEND ... RAZOR BLADE IN HAND AND ALL. FEELING ENRAGED IS SOMETIMES SIMPLY A NATURAL REACTION TO THESE KINDS OF EVENTS TRANSPIRING WAY TOO OFTEN!! IM SURE THE PT STILL GOT HIS HIGH SO IT STILL HELPED HIM AND IN THE END, IS HELPING THE RN WHO BEGAN THIS THREAD BECAUSE VENTING IS CATHARTIC ..
    Uh. No.
    Just curious. How did I become the target here?
    I'll just go lighten up now.
    Last edit by clemmm78 on Jan 4, '07 : Reason: clarity
  12. by   all4schwa
    Quote from Tweety
    I still allow myself to get irritated at the patient that says with a smile "you're going too slow, push it faster......."
    this is the type of patient i educate immediatley and continue to push at my own pace...maybe a tad slower....they can take it or leave it, we have our reasons why we push it slow.
    Quote from earle58
    but that's just it skm1, pain shouldn't really be the 5th vital sign as it is not an accurate indicator.
    when they say pain is the 5th vital sign, it's refering to the fact that it should not be ignored, or forgotten about and needs to be assessed and treated as often as you would any other vital sign
    Quote from RunningWithScissors
    Yeh, it can be time consuming to get that pain med to the patient every 2 hours, but:
    1) it helps keep your time paced for the day (wow, 2 hours have gone by ALREADY?!!!)

    2)If that's the least you can do for that person that day, hey, piece of CAKE!
    hey, that's a good point!
  13. by   oramar
    I think I know what is really bothering the author of this thread. I have similar problem. I usually medicate between 8 and 16 times per shift. Each medication involves assessing the patient, all the paper work involved in taking the medication out of narcotic cupboard(no we don't have accudose), the time involved in giving the medication and then reassessing within an hour. I then have to do 5-10minutes of documentation involving the original assessment and the hourly assessment. Many times I have to contact physician when there are problems with the medication and everything involved with that. Frequently I have 8 patients and they each need to be medicated 2 times a shift and so by the end of the shift I am enraged also. However, my rage is aimed at the system not at my patients. Thank God for those nights when I have people who are not heavy hitters when it comes to the narcs, I usually medicate about 8 or 10 times on those shifts and it is much easier.

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