Prioritizing Pain Experiences for Pain
Management
Nurses prioritized activities that sometimes trivialized
patients’ pain experiences, making them seem unimportant.
At times, nursing assessment identified pain as
a relatively unimportant event, but when activities
were prioritized, action was still taken to treat the
pain, suggesting that the pain signal was not ignored.
However, pain cues were often not prioritized highly
and were considered unimportant compared with
other activities. Examples of prioritized activities included
the completion of medication rounds, the conduct
of vital sign observations, and the completion of
wound dressings. The following examples indicate the
ways in which nurses prioritized pain compared with
other activities.
The patient has opened his eyes, and the nurse is introducing
herself to him. She is asking the patient how he’s
feeling. Does he have any pain? She is asking him if he is
able to take a nice deep breath. The patient has taken a
deep breath, and he is pointing to his lower abdomen and
saying that it catches there. She is asking him when he
does have pain, can he rate it on a scale of 0 to 10. The
patient gives a rating of 7. She is asking him if he has been
able to cough. The patient is saying, “Yes.” He is just doing
a cough for her now. She is asking if it hurts when he
coughs. The patient is saying “No.” She is asking him if
there is any niggling pains when he coughs, and he is
saying “No.” She is just telling the patient that she is going
to get him a spare pillow. She is going to leave it on the
side of the bed and get the patient to support his lower
abdomen with that when he does cough. She has just
lifted his pajama top a little bit to have a look at his suture
line. He has an abdominal suture line. The dressing is
intact, and she is just having a look at his catheter again.
She is asking the patient if he has been lying on his back
for a while, while she is looking at the catheter tubing.
And she is asking him now if he would like to turn onto his
side. She is lowering the bed with the remote, just leaning
across the patient.
Prioritizing Pain Experiences for PainManagementNurses prioritized activities that sometimes trivializedpatients’ pain experiences, making them seem unimportant.At times, nursing assessment identified pain asa relatively unimportant event, but when activitieswere prioritized, action was still taken to treat thepain, suggesting that the pain signal was not ignored.However, pain cues were often not prioritized highlyand were considered unimportant compared withother activities. Examples of prioritized activities includedthe completion of medication rounds, the conductof vital sign observations, and the completion ofwound dressings. The following examples indicate theways in which nurses prioritized pain compared withother activities.The patient has opened his eyes, and the nurse is introducingherself to him. She is asking the patient how he’sfeeling. Does he have any pain? She is asking him if he isable to take a nice deep breath. The patient has taken adeep breath, and he is pointing to his lower abdomen andsaying that it catches there. She is asking him when hedoes have pain, can he rate it on a scale of 0 to 10. Thepatient gives a rating of 7. She is asking him if he has beenable to cough. The patient is saying, “Yes.” He is just doinga cough for her now. She is asking if it hurts when hecoughs. The patient is saying “No.” She is asking him ifthere is any niggling pains when he coughs, and he isว่า "เลข" เธอเป็นเพียงแค่บอกผู้ป่วยว่า เธอกำลังจะได้รับเขาหมอนอะไหล่ เธอจะไปปล่อยในด้านข้างของเตียงรับผู้ป่วยเพื่อสนับสนุนต่ำกว่าเขาหน้าท้อง ด้วยซึ่งเมื่อเขาไอ เธอมีเพียงยกชุดนอนบนเขาน้อยให้ดูที่รอยประสานของเขาบรรทัด เขาบรรทัดรอยประสานท้องได้ การแต่งตัวเป็นเหมือนเดิม และเธอเพียงจะมีลักษณะที่พัฒนาโปรแกรมฐานข้อมูลของเขาอีกด้วยเธอจะถามคนไข้ถ้า เขาได้นอนบนเขาสำหรับในขณะที่ ขณะที่เธอกำลังมองหาที่ท่อพัฒนาโปรแกรมฐานข้อมูลและเธอจะขอให้เขาตอนนี้ถ้า อยากจะเปลี่ยนไปของเขาข้างหนึ่ง เธอคือลดเตียงระยะไกล เพียงเอียงในผู้ป่วย
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