nc dhsr hcpr: power point v painfranhgreen98.weebly.com/uploads/3/8/1/0/38108543/na_i_v.pdf ·...
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 11
N.C. Nurse Aide I Curriculum N.C. Nurse Aide I Curriculum
MODULE VMODULE V
PainPain
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 22
ObjectivesObjectives
�� Define pain. Define pain.
�� Explain the role of the nurse aide in Explain the role of the nurse aide in
pain management. pain management.
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 33
Pain - Definition
“Anything the patient says it is, occurring whenever the patient says it does.”
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 44
Pain – Importance
Believing what the patient says will lead to more effective evaluation and treatment of pain
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Sore
Numb
Nagging
Penetra
ting
Tiring
Exhausting
Burning
TenderSharp
Gnawing
Stabbing
Shooting
Throbbing
Squeezing
Aching
Hurting
Stiff
Creaky
Radiating
Dull
Unbearable
Miserable
PAIN
55DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 66
Pain – Facts
� Pain may come with aging but people do not have to live with it
� Pain is significantly under-reported in nursing facilities
� In nursing homes, many experience pain
� Nurse aides commonly underestimate pain
� Under rating and under-treating pain can be neglect, negligence, or abuse
� Nursing homes that do not manage pain
properly will be cited
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 77
Reactions to Pain
� Religious beliefs and cultural traditions affect pain
� Men and women may report pain differently
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 88
Acute Pain
� Temporary
� Usually comes on suddenly
� Goes away when healing is complete
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 99
Acute Pain
� Serves a purpose
� Obvious when people are in acute pain
� Acute pain can rev up the body
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 1010
Chronic Pain
� Considered long-term
� Gradual onset
� No purpose
� Diagnosing cause can be complicated
� Source of chronic pain may not be obvious
� May seem depressed
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 1111
Common Causesof Pain
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 1212
Pain – Effects
� Giving up hope
� Depression
� Anxiety
� Withdrawal
� Change in appetite
� � in activities
� Inability to sleep
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 1313
Pain – Effects
� Restlessness/agitation
� Refusal to participate
� Suicide
� Negative effect on immune system
� � risk for injuries, falls or accidents
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 1414
Pain – Use of Medications
Nurse aide reports complaints of pain to nurse so nurse can assess and
medicate if appropriate
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 1515
Pain – Nurse Aide’s Role in Management
Nurse aides play an important role in pain management
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WHEN TO ASK?
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DHSR/HCPR/CRE NAT I Curriculum DHSR/HCPR/CRE NAT I Curriculum -- July 2013July 2013
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WHAT TO ASK?
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 1818
Comfort Measures –Nurse Aide’s Role
� Supportive talk
� Gentle touch
� Music
� Soft lighting
� � noise
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 1919
� Warm or cold packs
� Massage
� Re-positioning
� Soothing activities
� Prayer and spiritual support
Comfort Measures –Nurse Aide’s Role
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 2020
Comfort Measures –Nurse Aide’s Role
� Listening
� Conversation
� Favorite foods or drinks
� Personal cleanliness
� A walk
� Reminiscing
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DHSR/HCPR/CARE NAT I Curriculum DHSR/HCPR/CARE NAT I Curriculum -- July 2013July 2013 2121
Care of the Resident Who is Cognitively Impaired and in Pain
� Observe for signs of pain
� Report observations
� When something works, let others know
� Work as a team with others
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The EndThe End
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