Comfort/Pain
Comfort/Pain
The relationship between comfort and pain involves the idea that bringing one can alleviate the other.
Pain and its Perception
Referenced video: https://www.youtube.com/watch?v=eakyDiXX6Uc
Defining Pain
Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.
Verbatim Definition: "Pain is what the person says it is" (McCaffery, 1985).
Margo McCaffery partnered with Chris Pasero to define pain.
What Is Pain?
Pain is considered an unpleasant sensory/emotional experience with several key attributes:
- Can have destructive effects.
- Can serve as a warning of potential injury.
- It is a multidimensional experience.
What Happens with Pain
Origin of Pain:
- Refers to the site where pain is felt, which may not always correlate with the location of the underlying issue.Effects of Pain:
- Interferes with daily life activities.
- Can be protective in nature, acting as a warning sign.
- Comes in many types.
Types of Pain
Cutaneous/Superficial Pain:
- Location: Skin or subcutaneous tissue.
- Examples: Burns, abrasions.Visceral Pain:
- Location: Deep pain, abdominal cavity, cranium, thorax.
- Not localized; described as tight, pressure, or crampy.
- Examples: Menstrual pain, labor pains, gastrointestinal issues, organ cancers.Somatic Pain:
- Location: Ligaments, tendons, nerves, blood vessels, and bones.
- Localized; described as achy or tender.
- Examples: Fractures, sprains, arthritis.Radiating Pain:
- Begins in one location but radiates to other locations.
- Example: A sore throat may extend to the ears and cause a headache.Referred Pain:
- Occurs in an area distant from the original site of pain.
- Example: Myocardial infarction (MI) can be felt in the left arm, jaw, shoulder blades, or as an earache.Phantom Pain:
- Originates from a body part that is no longer there.
- Example: Pain experienced in an amputated limb.Psychogenic Pain:
- Arises from the mind, often due to anxiety or depression.
- Example: Pain perceived without a physiological cause found in the body.Idiopathic Pain:
- Pain is real to the patient but lacks a physiological or psychological basis.
Chris Pasero Pain Scale
The Pasero Opioid-induced Sedation Scale (POSS) is a validated tool for assessing sedation when administering opioid medications for pain management.
Endorsed by The Joint Commission and the American Society for Pain Management Nursing to prevent adverse opioid-related respiratory events.
Chris Pasero Pain Scale: POSS Scale
POSS Scale Breakdown:
- S = Sleep, easy to arouse:
- Acceptable; no action needed; possible increase in opioid dose if required. - 1 = Awake and alert:
- Acceptable; no action needed; possible increase in opioid dose if required. - 2 = Slightly drowsy, easily aroused:
- Acceptable; no action needed; possible increase in opioid dose if required. - 3 = Frequently drowsy, arousable, drifts off during conversation:
- Unacceptable; monitor respiratory status and sedation closely; consider reducing opioid dose or alternate pain relief strategies. 4- = Somnolent with minimal or no response to stimulation:
- Unacceptable; stop opioid; monitor closely; possible naloxone administration required.
Cause of Pain
Nociceptive Pain:
- Most common type; results from the body's response to potentially damaging stimuli, such as:
- Trauma, surgery, or inflammation.
Nociceptive Pain Types:
Visceral Pain:
- Originates from internal organs.Somatic Pain:
- Originates from skin, muscles, bones (e.g., fractures), and connective tissue.
Neuropathic Pain
A complex and chronic pain arising from nerve injury, leading to repeated pain signals even in the absence of painful stimuli.
Physiological Pain
Pain felt in the body which manifests through physiological symptoms.
Duration of Pain
Acute Pain:
- Short duration with rapid onset, may last up to 3 months.
- Associated with actual or potential tissue damage; exhibits pain behaviors due to novelty of pain.Chronic Pain:
- Lasts for 3 months or longer; associated with chronic illnesses like diabetes or cancer.
- Exhibits periods of remission or exacerbation; has emotional and psychological impacts such as withdrawal, depression, anger, and fatigue.Intractable Pain:
- Chronic pain that is very resistant to relief.
Pain Descriptions
Pain Quality:
- Sharp, dull, aching, throbbing, stabbing, burning, ripping, or tingling.Pain Time Period:
- Episodic, intermittent, or constant.Pain Intensity:
- Measured as mild, distracting, moderate, severe, or intolerable.
Factors That Influence Pain
Emotions
Previous experiences with pain
Developmental stage of the individual
Sociocultural factors
Communication skills
Cognitive impairments
Intensity of the pain itself.
Medications for Pain
Acetaminophen:
- Used for moderate pain.
- Side Effects: Vomiting, diarrhea.NSAIDs (Ibuprofen & Naproxen):
- Side Effects: Coffee ground emesis, ringing in the ears, abdominal pain, weakness.Opioids:
- Side Effects: Change in level of consciousness (LOC), respiratory depression, confusion, constipation, urinary retention.Antidepressants:
- Side Effects: Weight gain, dizziness.Sedatives or Hypnotics:
- Side Effects: Disrupted natural sleep (e.g., REM), drowsiness.
Patient Controlled Analgesia
Utilizes a PCA pump located at the bedside, allowing patients to control their medication.
Timed intervals allow for safety; nursing staff programs per provider's orders and monitors effectiveness.
Body Reaction to Pain
Endocrine Reaction:
- Can cause bone, joint, & muscle pain through hormone release (e.g., adrenaline, cortisol).Cardiovascular Impact:
- Can result in heart disease and hypertension.Musculoskeletal Effect:
- Can lead to muscle and bone pain.Respiratory Involvement:
- Affects inspiration and expiration.Genitourinary Responses:
- May manifest as dull, burning, UTI-like sensations, or overactive bladder.Gastrointestinal Reactions:
- Descriptions: Aching, burning, cramping, stabbing, twisting, or dull sensations.
Assessing Pain
Obtain a comprehensive pain history, including onset, location, and aggravating or alleviating factors (subjective data).
Evaluate nonverbal signs such as:
- Elevated pulse/blood pressure.
- Crying, moaning, or grimacing.
Pain Assessment Tools
Visual Analogue Scale (VAS)
Numeric Rating Scale (NRS)
Simple Descriptor Scale
Wong-Baker Faces Pain Rating Scale
FLACC Scale: Used for assessing young children (ages 2 months to 7 years).
Rating the Intensity of Pain
When patients rate their pain with a number, they are reflecting its intensity.
Nonverbal Signs of Pain
Includes facial expression, posture, body positioning, vital sign changes, and behavioral manifestations.
Assessment for depression is also significant in understanding pain manifestations.
Pain Management Strategies
Techniques include:
- Cutaneous stimulation (e.g., skin contact).
- Transcutaneous electrical nerve stimulation (TENS).
- Percutaneous electrical nerve stimulation (PENS).
- Spinal cord stimulation (SCS).
- Acupuncture, acupressure, and massage therapies.
- Application of heat and cold for relief.
- Contralateral stimulation methodologies.
TENS and PENS Units
Low voltage units that assist in managing pain, especially effective for lower back pain.
Acupuncture
A non-pharmacologic pain relief measure involving needle insertion at specific points (e.g., Sishen-zhen, various other designated points).
Chemical Pain Relief Measures
Various medical interventions include:
- Nerve blocks, epidural injections, local anesthesia, and topical anesthesia.Monitoring for end-of-dose medication failure; seek additional prescriptions for breakthrough pain if pain worsens.
Pain Management (Continued)
Oral Sucrose:
- Used for infants up to 12 months as a sweet formula to assist with pain management.Immobilization Techniques:
- Include the use of casts or splints.Cognitive-Behavioral Interventions:
- Focus on addressing negative thoughts, enhancing guided imagery, and promoting positive thinking.
Medication Types for Pain Management
Nonopiod Analgesics:
- NSAIDs, acetaminophen.Adjuvant Analgesics:
- Medications designed for other purposes that also alleviate pain (e.g., antidepressants, corticosteroids, muscle relaxants, anticonvulsants).Opioid Analgesics:
- Can be administered via IV, transdermal patches, or epidural routes.
- Include client-controlled IV analgesia pumps or oral dispensers.
Alleviating Factors for Pain
Factors that may improve pain include rest, activity, movement, use of ice and heat, and specific protective measures like UV protective glasses.
Opioid and Non-opioid Symptom Monitoring
Non-opioid Concerns:
- Risk of bleeding, liver damage, dizziness, abdominal pain, and weakness.Opioid Concerns:
- Changes in LOC, smooth muscle relaxation, and effects on motor skills.
Pain and Sleep Interference
Pharmacological Measures for Sleep Disturbance Related to Pain:
- Ambien, Lunesta, and melatonin.Non-Pharmacological Measures:
- Bedtime rituals (e.g., warm drinks, warm baths) are effective strategies.
Sleep Apnea
For patients using CPAP (Continuous Positive Airway Pressure), a healthcare provider's order is necessary in both acute care and home settings.
Ensure CPAP is utilized during sleep and monitor vital signs for effectiveness.