Barriers to Effective Pain Management

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Barriers to Effective Pain Management Introduction Pain is a fundamental and inevitable form of human suffering, the experience which is unique to every individual. Nurses have a unique role in alleviating the pain experienced by their patients. With their professional knowledge and regular close contacts with patients, they are ideally placed to listen and respond to any concerns. Taking time to assess the individual will allow for the development of a thrusting relationship between the nurse and patient. Accurate assessment and documentation can help to chart the multi- dimensional nature of the pain, aiding decision making and patient care planning (Mcguie 1992). Adequate control of pain is only achieved in 50% of patients…show more content…
However, it is imperative that the doctor carriers out a physical examination of the patient on admission to identify the pathological causes of the patients pain. This is an imperative part of pain management and is much needed to facilitate the planning of care. The more experienced the nurse is the more inclined they are to underestimate severe pain. The less experienced nurse is more inclined to overestimate an individuals pain. The doctor’s lack of confidence and knowledge may result in him or her avoiding discussions relating to analgesia and changing the drug or dose of the opoid, irrespective of the nurse’s belief that it for the best interest of the patient. Doctors that are lacking in knowledge have a tendency to prescribe analgesia below the therapeutic level of the pain and are often reluctant to act upon the nurse. This is a serious issue that must be addressed as the nurse is often the person who knows the most information about the patient as they provide a 24 hour round the clock care to the patient. It is clear that these poor practices arise from a number of inter- related reasons. However the lack of knowledge and effective team work seems to be the central issue. In order to assure effective communication is brought to the clinical practice, efforts to increase group learning and confidence of health care professions is much needed. Role play may improve health care professional’s
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