Monday, April 10th, 2017

Pain Should Be Managed Appropriately For All

December 27, 2010 by  
Filed under Certified Nursing Assistant

Years ago in my high PE class, I jumped down some steps and sprained his ankle really bad. I sat with my ankle and was the face was a bit tense in an expression of pain, although there were no tears, no shouting and no drama. But one of my classmates accused me of acting like a baby. I was ashamed about it for years, because even my own family had the attitude of “Do not disturb me with your pain,” “Do not embarrass me by expressing it / what will think people “kind of stoicism.

Then I went through CNA training and the first half of LVN school,  and read what the book had to say about pain. The first thing I learned is that people and different cultures have different attitudes about pain and express it differently. Even within the same culture, people express their grief differently. The second thing I learned was that people should not be judged by how they express their pain, and people with chronic pain can look and act normal and have normal vital signs. The shame me up when I realized that there was nothing wrong in expressing my sorrow, but I was angry and disgusted by the attitude of the leaders I have met.

A year before the CNA class, I woke up with abdominal pain has been worse as the day progressed. I went to the doctor to see if it was appendicitis. Proved to be a ruptured ovarian cyst. The pain was great, at 8 on a scale of 10. individual physician’s office had rates of pain in the pain scale, and the doctor told me to take ibuprofen for pain, instead of writing a prescription for a painkiller. Ibuprofen did not even touch the pain. I agree and I say that because, when I was ill and thought that ibuprofen was all that was recommended and all I want to do, and not to prescribe something stronger. I do not know about codeine, as my dentist has prescribed after wisdom teeth touch. Really helped the pain.

I took care of a resident with dementia, when I was the CNA and the resident would swear in custody. A few months before I got the job I had Clinicals in the same facility and shared the same residence allocated to me, and that resident was not a gang and then I wondered why. I would consult with other colleagues tell this exotic “Do not swear, and I think they thought it was a thing of the behavior. One day, I gave the resident a shower and when I heard curses touched a knee, so I asked: “Is your knee hurt?”. The resident said yes and I told the nurse. After the resident did not pay as much because the pain has finally been sufficiently taken into account. I do not know how long this person has to live with the pain, because the staff thought it was a matter of behavior.

In a sense, we are all drug candidates and observers watch. When my wisdom teeth pulled hit, I was prescribed Tylenol with codeine, one tablet every 4 hours. At night, my jaw does not hurt, and when I looked at the time, it should be 4 hours after the last dose. I do not need to look at the clock, 7 / 10 pain in my jaw has done for me.When we have a cold we go down to the store for OTC meds. We look at the directions for how often to take them and we look at the clock to see when the next dose can be taken.