Yes I am proud to be an advanced practice nurse.
And if you think that
is vague I will be more than pleased to help you with your reading comprehension.
Wouldn't it be prudent (prudent means acting with or showing care towards the future) to actually know something about the patient (like an assessment, diagnosis, past pain control treatment and their efficacy would fall under "actually knowing something about the patient") before making a blanket statement about their pain medication regimen (For example expressing a belief that there is a magical level at which everyone needs to be on a long acting opioid). Hopefully, knocking it down a few grade levels will allow it to be less vague for you.
Here is the thing. A patient who is in pain needs to have their pain assessed and treated in the manner that is correct for them- that is the basis of pain management (something I supposedly know nothing about per the poster). Treating the patients pain may mean long acting opioids or it may mean short acting opioids or it may not mean an opioid at all. The decision does not belong to a keyboard warrior with imaginary powers- whether they are a hospice nurse, a nurse practitioner or a physician.
For the poster to tell me I don't know anything about pain management because the poster believes the only correct treatment for the patient is a long acting opioid based on no knowledge of the patient at all is absurd. For all the poster knows the patient may have failed a trial of long acting opioids- but the poster doesn't know that because she doesn't know anything about the patient.
If a nurse calls me about a patient and they haven't assessed them I tell them to call me when they have made an assessment. This is as bad as Terry Schiavo being diagnosed by physicians on CNN off a ten second video clip.
Let me reiterate that no professional pain medicine guidelines suggest interventions or changes to interventions without assessing the patient. Period. End of story. Yet the poster tells me I don't know anything about pain management when she is making recommendations with no assessment. She has proven herself the fool.
And if you think I am dismissive to nurses who show ignorance like was just demonstrated you are correct. It is an embarrassment to the profession when a nurse suggest interventions and claims to be an expert of pain management when she doesn't think it is necessary to know things about the patient before recommending a treatment plan. I can't think of a way to harm the profession more than to publicly demonstrate ignorance.
Do you ever wonder why nursing doesn't advance as a profession at a faster pace? Part of the reason why is because we tolerate and accept stupid statements like the poster made. At least when the resident says something stupid in rounds they get corrected. On the nursing side we get other nurses supporting stupid ideas.
And if you don't think that the physicians are every bit as dismissive as I just was to baseless suggestions get a badge to the surgeon's lounge and hang out and see what stories you hear.
So just to hit the highlights so we aren't to vague. ASSESS THE PATIENT BEFORE YOU MAKE BLANKET STATEMENTS ABOUT HOW THEY SHOULD BE CARED FOR. Also, don't claim that someone doesn't understand a topic on which they can run circles around you.