Wake up...Are you in pain? - page 2

Ok, so what is the consensus here? I was taught that one can be in pain and be asleep. So do I wake up my PACU patient every 15 minutes to question them, or do I chart "pt sleeping"? We must chart... Read More

  1. by   caffine addict
    Hey Gwenith:

    You guys should start a web site with your own tutorials and CEUs. I need CEUs and am very willing to learn anything you guys would be willing to teach. Seriously

    I have invited our Hospice company to come out to our facility to give lectures to us on proper pain management, 45min is not enough time to learn all there is to know.
  2. by   angelbear
    I only pick up one nasty tone here and it isnt dave or fab. If that means I am part of their click or clan or whatever yippy skippy for me. I can attest to the waking up in a full blown pain crisis. This happened to me when I had my TAH/BSO. I had a fentanyl pca pump which was rediculous. Of course I fell asleep and had not pushed my button enough and was in horrid agony when I woke up. I have no idea how much or what they gave me but the nurse had to push quite a few syringes of whatever and it took what felt like hours to get back under control. If anyone ever told me not to wake a sleeping pain pt just to check on their pain I would pitch a fit. I have been there and I consider it abuse to not adequetly treat pain just cause it is easier not to wake someone. I have my flame retardent suit on and am in a bad mood just so ya know.
  3. by   Dave ARNP
    Quote from angelbear
    I only pick up one nasty tone here and it isnt dave or fab. If that means I am part of their click or clan or whatever yippy skippy for me. I can attest to the waking up in a full blown pain crisis. This happened to me when I had my TAH/BSO. I had a fentanyl pca pump which was rediculous. Of course I fell asleep and had not pushed my button enough and was in horrid agony when I woke up. I have no idea how much or what they gave me but the nurse had to push quite a few syringes of whatever and it took what felt like hours to get back under control. If anyone ever told me not to wake a sleeping pain pt just to check on their pain I would pitch a fit. I have been there and I consider it abuse to not adequetly treat pain just cause it is easier not to wake someone. I have my flame retardent suit on and am in a bad mood just so ya know.
    No flame needed Angel...
    You're just speaking some GREAT nursing!

    -Dave, who supports everything you say.
  4. by   Dave ARNP
    Quote from gwenith
    Hey Dave! when we put togther that thread we should think about adding "The Top Ten Golden Rules of Pain Managment"
    Can we have one called "Rules of the pain managment forum?"

    -Dave
  5. by   angelbear
    I dont understand. Isnt it just common sense and taught in most nursing schools worth their salt that it is easier and better to keep pain under control than to attempt to get out of control pain back under control. Why cant nurses just stop and think how they would want their pain treated. So annoying and scarey.
  6. by   Dave ARNP
    It makes sense, but apparently it's not common.

    Ofcourse sense never has been

    And yes, very scary.... Certainly would hope someone would wake ME up so I don't wake up and find myself in trouble.

    -Dave
  7. by   angelbear
    shish dont tell but I think we won the debate. YIPPY
  8. by   Dave ARNP
    I know...

    hehehe

    -Dave
  9. by   caffine addict
    Sorry,

    I missed something. Congrats to the winners.P.S. I've been at Medscape, (The one one back pain only gave CEUs to Physicians) Earned 1.2 more CEUs at medscape on pain as the 6th Vital sign thanks to Dave. See I'm tryin to educate myself. I think I'll stick around this forum for a while.

    Sorry you had to go through that Angelbear, you shouldn't have had to.
  10. by   angelbear
    Thanks caffine. And BTW nurses who are always trying to educate themselves are the best nurses.
  11. by   hadrian142
    If five doctors disagreed than I would say you did not present the statement as it is. By reading many of your replies, I don't doubt this at all. Soud like a doctor wanabe.
  12. by   Dave ARNP
    Quote from hadrian142
    if five doctors disagreed than i would say you did not present the statement as it is. by reading many of your replies, i don't doubt this at all. soud like a doctor wanabe.
    reminder to all:

    do not feed the trolls!

    but ya'll can speculate on the color of this one's spikey hair.
  13. by   Dave ARNP
    Quoting:
    PAIN AND SLEEP COINCIDE AND AFFECT EVERY ASPECT OF OUR LIVES
    The combination of pain and sleep is a two-way process:

    People with pain, particularly if it is chronic, often experience less deep sleep, more arousals and disruptions with waking as well as less efficient sleep. It is estimated that over half of chronic pain sufferers have trouble falling and staying asleep.

    While pain interferes with sleep, disturbances to deep sleep result in light unrefreshing sleep, muscular aching, stiffness and fatigue. The poor quality of sleep and waking pain create a vicious cycle affecting mood, energy, behavior and safety. Hence, sleep and pain sufferers will find it difficult to function at their best.

    http://www.sleepfoundation.org/publi...eepandpain.cfm

    -Dave

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