To be able to recognize someone is in pain without
To be able to recognize someone is in pain without them telling you vocally, you have to be able to understand the signs and symptoms that are present in someone who is experiencing pain. These signs include the persons facial expressions, the way their legs may appear (whether calm, rigid, or kicking), how they act (whether they’re lying still, wiggling, or arched and jerking), how they cry, and how consoling they are (whether like talking to them can make some their pain go away.)
There are multiple ways a nurse can assess a patient whether they are conscious or unconscious. The first and most common way is simply asking the patient to rate their pain on a scale of 1 to 10, with “0” being no pain and “10” being the worst pain imaginable. Asking a patient to verbally describe their pain is the most effective way of understanding how the patient feels. Since pain is subjective, self-report is considered the Gold Standard and the most accurate measure of pain. The PQRST method of assessing pain is a valuable tool to accurately describe, assess and document a patient’s pain. The method also aids in the selection of appropriate pain medication and evaluating the response to treatment. P is Provocation meaning “what provokes the pain?” Q is Quality meaning “what does the pain feel like or how would you describe it?” R is Radiation meaning “where is the pain located and does it radiate?” S is Severity meaning “How severe is the pain on a scale of 0 to 10, with zero being no pain and 10 being the worst pain ever?” T is Timing meaning “when did the pain start and how long did it last?” In addition to enabling a precise pain assessment, thorough documentation shows that you are doing everything necessary to guarantee that your patients receive the highest quality pain management. To assess pain in a patient who is unconscious, nurses use several specific pain-related behaviors (restlessness, muscle tension, facial grimacing, and patient sounds or vocalizations) as well as vital signs and other physiological parameters (blood pressure, heart rate, respiratory rate, and diaphoresis) to assess pain.
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