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pain in the ed



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No. 70
from Sarah Kat
Old Dec 28, 2003, 01:25 AM

Originally posted by harry Krishna
What ever happened to the great Existential Philosophy of being responsible for one's own actions? I truly believe that our society has become enablers for people's circumstances they end up in. It seems we no longer blame people for the disasters that {thru their own choices and actions} they get themselves in to.

HK
Liberals AND conservatives have both played their parts in creating such a "nanny culture" that we live in. We all cry about how we wish people would take responsibility, then we complain about people not being smart (or educated) enough to make their own decisions.

I really don't think we can have it both ways...
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No. 71
from CCU NRS
Old Dec 28, 2003, 10:47 AM

Education:

Explaining the 0/10 pain scale (esp. with those you feel may be less than honest about their pain) assess pain as usual and ask if you could demonstrate something slightly painful for them to compare it to. To help us better understand if your pain is continually at this level.

Explain that when people are coming out from anesthesia we have certain little things we do that make the brain respond to painful stimuli. Explain that what you are about to do is somewhat painful but it only hurts for a second. Take your ink pen and roll it across their cuticle and apply brief but firm pressure. Then ask then what they rate the pain of this procedure. There are several you may want to experiment with which one gives you best results. You can apply pressure to the eyebrow by pushing on the bone at that point above the eye. You can pinch the cartiledge of the ear and there is always the good old sternal rub!!!


Too Bad we could never really do these things. You may be able to sort of slip it in on someone that is willing to participate.
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No. 72
from athomas91
Old Dec 28, 2003, 11:53 AM

had a very well known pt come in last nite by ambo for pain rated 9/10 FROM HIS ECZEMA......the etoh of 400 apparently wasn't helping it......poor ems.....
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No. 73
from MAGIK GIRL
Old Dec 29, 2003, 12:26 AM

Originally posted by CCU NRS
Education:

Explaining the 0/10 pain scale (esp. with those you feel may be less than honest about their pain) assess pain as usual and ask if you could demonstrate something slightly painful for them to compare it to. To help us better understand if your pain is continually at this level.

Explain that when people are coming out from anesthesia we have certain little things we do that make the brain respond to painful stimuli. Explain that what you are about to do is somewhat painful but it only hurts for a second. Take your ink pen and roll it across their cuticle and apply brief but firm pressure. Then ask then what they rate the pain of this procedure. There are several you may want to experiment with which one gives you best results. You can apply pressure to the eyebrow by pushing on the bone at that point above the eye. You can pinch the cartiledge of the ear and there is always the good old sternal rub!!!


Too Bad we could never really do these things. You may be able to sort of slip it in on someone that is willing to participate.
careful! the sternal rub can leave marks! LOL
true otherwise.
it is frustrating trying to explain the 0/10 scale to someone who just does not get it.

wong-baker face scale for all? lol
i wonder if the scale even matters. "has your pain gotten better since the pain med?" yes or no. leaves out the middle man. and we all know that if 3 nurses ask the same patient to rate pain 0/10, at 2 min intervals, they will all get a different number.
oh well!
mg
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No. 74
from hogan4736
Old Dec 29, 2003, 12:41 AM

Originally posted by erdiane
you may have been taught that pain is what ever the patient says............but. having been a nurse for umpteem years, my ******** detector is fine tuned. If a patient is moaning when I'm in the room, and laughing on the phone, when I'm standing outside the room, then I'm not sympathetic at all. for all of you who have never worked er.... get off your soap box, it ain't flying here.
well said

tough to argue above example

we've ALL seen it, rolled our eyes, taken a deep breath, and somehow moved on...Yes this patient sucks and will come back to do it again...Where do I find sympathy for this patient?


Please tell me how he's not wasting my time?
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No. 75
Old Dec 29, 2003, 01:03 AM

Whenever I see the title of this thread, I keep equating it to the way a Brit might tell you that he came to the ed because he has a migraine; i.e.

Nurse- "What brings you to the ER today?"

Brit pt- "Pain in the 'ed."
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No. 76
Old Dec 29, 2003, 01:29 AM

Originally posted by erdiane
If a patient is moaning when I'm in the room, and laughing on the phone, when I'm standing outside the room, then I'm not sympathetic at all. for all of you who have never worked er.... get off your soap box, it ain't flying here.

That happens everywhere, not just the ER.
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No. 77
Old Dec 29, 2003, 01:31 AM

(When i see 'ED' i think of Viagra commercials.)
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No. 78
from Sarah Kat
Old Dec 29, 2003, 01:44 AM

Originally posted by Hellllllo Nurse
Whenever I see the title of this thread, I keep equating it to the way a Brit might tell you that he came to the ed because he has a migraine; i.e.

Nurse- "What brings you to the ER today?"

Brit pt- "Pain in the 'ed."


I am imagining that heavy fake Cockney accent Dick Van Dyke did in Mary Poppins. "Pain in the 'ed, Mary!"
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No. 79
from MAGIK GIRL
Old Dec 29, 2003, 09:37 AM

Originally posted by hogan4736
well said

tough to argue above example

we've ALL seen it, rolled our eyes, taken a deep breath, and somehow moved on...Yes this patient sucks and will come back to do it again...Where do I find sympathy for this patient?


Please tell me how he's not wasting my time?
brava!!
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