癌痛的护理(英文版)2.ppt

Discussion: Consequences of Untreated PainWhat happens if pain isn’t properly treated? Poor appetite and weight loss Disturbed sleep Withdrawal from talking or social activities Sadness, anxiety, or depression Physical and verbal aggression, wandering, acting-out behavior, resists care Difficulty walking or transferring; may become bed bound Discussion: How do you respond to a patient who wants to “wait until the pain is so bad they can’t stand it” because they are afraid they will become “immune” to the pain medication? The common patient-related barriers to pain management Drugs .. are addicting should be saved for when it is really needed have unpleasant or dangerous side effects pills are not as effective as a shot narcotics are only for dying people Common Misconceptions about Pain The caregiver is the best judge of pain. A person with pain will always have obvious signs such as moaning, abnormal vital signs, or not eating. Pain is a normal part of aging. Addiction is common when opioid medications are prescribed. Common Misconceptions about Pain, cont. Morphine and other strong pain relievers should be reserved for the late stages of dying. Morphine and other opioids can easily cause lethal respiratory depression. Pain medication should be given only after the resident develops pain. Anxiety always makes pain worse. Common biases about Pain Drug abusers alcoholics overreact to pain False—they are actually giving you a more truthful perception since inhibitions are lowered. Clients with minor illnesses have less pain False—for that patient, the experience could be major depending on previous experience. Giving analgesics regularly will start drug dependency False—studies show only 3% of patients ever develop a true addiction Amount of damage dictates pain intensity False—minor injuries may cause excruciating pain Psychogenic pain is not real False—in that patient’s mind, the experience is real Health care personnel know best the nature of the patie