This is why we have a procedure for administering medications....we were all taught this procedure in Nursing school. Check your medications carefully everything must match or else you DO NOT give...
I have used Epocrates for a few years and really liked it. I just recently was introduced to PEPID.com and Love it. It has a lot more than epocrates..sort of like having a med surg book in your pocket...
I work with chronic pain patients. I try to lead them to sites that I have confidence in. Information is power and allows them to be a self advocate. It also encourages them to be a knowledgeable...
If what the patient is saying does not correlate with the behaviors that you are seeing (ie pt is grimacing, guarding, refusing to move, irritable etc) then I usually have a little sit down with them...
I disagree, It is not all that plain and simple. Chronic pain patients on a steady dose of opioid can and do drive and operate machinery safely. the operative word here is steady dose ie the same...
The problem with that is... what are you basing your judgement on? Pain is so subjective and the only one who can judge how much pain and when it is there is the patient. Pain assessment is...
I think that is a difficult question to answer. It is not clearly black and white. there are too many variables. My advise to my patients is: 1. Do not drive if you have just started on a new...
Very interesting dialogue. I am always amazed at the variety of opinions there are about pain, and its treatment. This is very stimulating material for me. Pain is my passion. I want to know more...
Duragesic Patches were a great invention but have a variety of cautions and drawbacks to them. First off Medicaid does not pay for them (many pts in nursing homes are on Medicaid) And I don't know...
To be valued for what I (we) do is very important and high on my list. Caring is important because if we do not care then why put up with the long hours and thankless work. Now the money is...
I too have chronic pain from a variety of causes, congenital, trauma, arthritis and surgery. And I use A LOT of non pharmacologic interventions, such as heat, cold, magnets, aroma therapy, reike,...
dhudzinski replied to Destinystar's topic in Geriatric, LTC
IN home care they are invaluable. It directs our care each and every visit and is how we get reimbursed for our services. If it is not in the care plan we don;t get paid. The nursing care plan also...
I went into nursing to help people. BUT it certainly made it nice to get paid...compassion and altruism does not pay the bills. My first nursing job paid $3.75 /hr and after 35 years I make $30/hr...
There are many reasons why an individual might deny they are in pain. They may fear the treatment or the tests that they feel might be warranted to find the cause of their pain. They might have a...