Check the MARs and nurses’ notes for the past several days.
Ask the nurse educator to give an in-service about pain management.
Perform a complete pain assessment and history on the client.
Have a conference with the nurses responsible for the care of this client
A client with fibrolyalgia
A client with phantom limb pain
A client with progressive pancreatic cancer
A client with trigeminal neuralgia
Make a note in the nurse’s file and continue to observe clinical performance
Refer the new nurse to the in-service education department.
Quiz the nurse about knowledge of pain management
Give praise for the correct dose and time and discuss the deficits in charting.
Simple description pain intensity scale
0-10 numeric pain scale
Faces pain-rating scale
McGill-Melzack pain questionnaire
Treatment is based on client goals.
A multidisciplinary approach is needed.
The client must be believed about perceptions of own pain.
Drug side effects must be prevented and managed.