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第1页/共59页Discussion:What might the consequences be if you do not believe your patient’s level of pain? 第一页,编辑于星期三:十二点 五十二分。第2页/共59页Consequences of Untreated PainWhat happens if pain isn’t properly treated?Poor appetite and weight lossDisturbed sleepWithdrawal from talking or social activitiesSadness, anxiety, or depressionPhysical and verbal aggression, wandering, acting-out behavior, resists careDifficulty walking or transferring; may become bed bound第二页,编辑于星期三:十二点 五十二分。第3页/共59页Pain ManagementGuidelines on Pain Management Li Xiaodan 第三页,编辑于星期三:十二点 五十二分。第4页/共59页Discussion:How do you respond to a patient who wants to “wait until the pain is so bad they can’t stand it” because they are afraid they will become “immune” to the pain medication?Why do some patients not tell health professionals about their pain?第四页,编辑于星期三:十二点 五十二分。第5页/共59页The common patient-related barriers to pain managementDrugs ..are addictingshould be saved for when it is really neededhave unpleasant or dangerous side effects pills are not as effective as a shotnarcotics are only for dying peopleCommon biases about Pain第五页,编辑于星期三:十二点 五十二分。第6页/共59页Common Misconceptions about PainThe caregiver is the best judge of pain.A person with pain will always have obvious signs such as moaning, abnormal vital signs, or not eating.Pain is a normal part of aging.Addiction is common when opioid medications are prescribed.第六页,编辑于星期三:十二点 五十二分。第7页/共59页Common Misconceptions about Pain, cont.Morphine and other strong pain relievers should be reserved for the late stages of dying.Morphine and other opioids can easily cause lethal respiratory depression.Pain medication should be given only after the resident develops pain.Anxiety always makes pain worse.第七页,编辑于星期三:十二点 五十二分。第8页/共59页The common patient-related barriers to pain managementDrug abusers alcoholics overreact to pain False—they are actually giving you a more truthful perception since inhibitions are lowered.Clients with minor illnesses have less pain False—for tha
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