I am a nurse manager at a small nursing home. I am so fed up with the nurses there being oblivious to the resident's pain. I see it everyday. I have observed a little old lady who has metastasized lung cancer and advanced dementia, sit in her wheelchair, babbling, shaking and grabbing at anyone who walks by and the nurse not showing a care in the world about it. To me, this is a sure sign that she is in pain and when I point this out to the nurse, the response I get is "what do you want me to do?" Well, it is obvious right? Give her something for pain. And other examples are a lady s/p kyphoplasty, screaming out for something for pain and the nurse just saying "it's not time for your medication yet" Why not call the MD and get an order for increased pain med or something for break through pain?
My question is, how do you get your nurses to recognize pain? I know it is a monotonous job at a nursing home, punching out pills and getting the resident's to actually take them, but I believe it takes a special kind of nurse to work in long term care - one who really cares.
When I mentioned my concern to the DON, I was told I could hold a nurse's meeting on pain management.
Any suggestions on how to reteach these nurses about pain? I know they learned this in nursing school, but are either not recognizing the signs or just don't want to be bothered.
Thanks for letting me vent and I would appreciate any suggestions.