Rethinking Pain Assessment - page 6

I want to do a little exploration here and get general nursing input from nurses everywhere across all disciplines about assessing pain and in particular non -verbal cues that indicated the patient... Read More

  1. by   CrohnieToo
    Quote from purplemania
    ..... This is why rest (with or without sleep) is so impt. to people in pain. Conversation is a stimulant to a degree. Visitors need to be educated to this.
    As a patient I can SO vouch for this! I had had a tubal ligation with bladder and uterine suspension plus appendectomy via a "smiley" incision. I was miserable, especially the afternoon after surgery and the day after. A couple of years later I had an emergency resection of 18" of the mid ileum after releasing myself from local hospital and flying to Mayo with the surgery the next day. Due to the timing I flew to Mayo alone. It was full open abdomen surgery and so much easier recovery!!!! I didn't feel the need to stay awake to comfort my husband sitting there. I had absolutely no recall from entering the OR until the second day after surgery!!! Yet they did have me up to stand and to turn and to cough. I just didn't have to stay awake for them like I would have had to for my family. That recovery was so comfortable, so easy, so quick I would PREFER to NOT have my family or visitors for at least the first two days after any future surgery!! The sad part is that you can't do that to your family. It is too hard on them worrying, etc. It doesn't help even if they sit there quietly and say nothing. Once you know they are there you fight to awaken or to stay awake to reassure them. Maybe I am just an oddball. When I'm hurting or feeling sick I just want to crawl in a hole and bury myself. DON'T BOTHER ME! JUST LEAVE ME ALONE. Or bring me my pain, nausea and/or sleep meds and THEN leave me alone. And I DO love to sleep when I'm in pain or sick.
  2. by   CrohnieToo
    Quote from z's playa
    ... You know how he explained my VS? He said "Everyone 's pressure goes up a bit when they come to the ER." I heard of white coat syndrome but come on. No one under the age of 80 should have a pressure of 190/103 :chuckle
    I'm just the opposite. I always seem to feel somewhat better when I get to my doctor's office or ER. Then I feel like an arse for being there!!! Maybe I just unconsciously wait until the worst is past. I even once told my doctor instead of calling for an appointment I was thinking of just driving into his parking lot and sacking out in the car when I felt rotten. Maybe it is because I can be fairly sure that some type of relief will be forthcoming when I get to his office or the ER. Placebo effect???
    Last edit by CrohnieToo on Aug 10, '05
  3. by   grannynurse FNP student
    Quote from CrohnieToo
    As a patient I can SO vouch for this! I had had a tubal ligation with bladder and uterine suspension plus appendectomy via a "smiley" incision. I was miserable, especially the afternoon after surgery and the day after. A couple of years later I had an emergency resection of 18" of the mid ileum after releasing myself from local hospital and flying to Mayo with the surgery the next day. Due to the timing I flew to Mayo alone. It was full open abdomen surgery and so much easier recovery!!!! I didn't feel the need to stay awake to comfort my husband sitting there. I had absolutely no recall from entering the OR until the second day after surgery!!! Yet they did have me up to stand and to turn and to cough. I just didn't have to stay awake for them like I would have had to for my family. That recovery was so comfortable, so easy, so quick I would PREFER to NOT have my family or visitors for at least the first two days after any future surgery!! The sad part is that you can't do that to your family. It is too hard on them worrying, etc. It doesn't help even if they sit there quietly and say nothing. Once you know they are there you fight to awaken or to stay awake to reassure them. Maybe I am just an oddball. When I'm hurting or feeling sick I just want to crawl in a hole and bury myself. DON'T BOTHER ME! JUST LEAVE ME ALONE. Or bring me my pain, nausea and/or sleep meds and THEN leave me alone. And I DO love to sleep when I'm in pain or sick.
    I wish I could forget my first few hours, following my C4-5,5-6,6-7 lami. I remember being in tyhe preop area, at 5:30AM. The next time, it was 4:00PM and they wanted me to deep breath and cough. I'm like you, give me my medication and let me sleep. I know, I know, deep breathing and coughing are important.

    Grannynurse
  4. by   wolftrades
    Actiq is for cancer pain ONLY and most insurance companies will NOT pay for this med if it is RX'ed for non-cancer pain.

    Alan

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