High Tolerance Due To Chronic Pain
Pain is a subjective experience, only the patient knows the location of pain, its degree of intensity, and which treatment regime works and how long it is effective, this is why the patient must be asked about pain. However, pain tolerance is the length of time or intensity of pain a person may endure before outwardly responding to it.
A person with acute pain of recent onset, lasting less than 6 months may have physiological symptoms such as increased pulse, respiration rates, increased blood pressure, diaphoresis, and increased muscle tension. A person with Chronic pain, the pain which lasts for more than six months, may have learned adaptive methods that allow them to manage their pain
Pain management includes a combination of therapies. The overall goal is to relieve pain, if that is impossible, the goal is to control pain. These treatments include physical therapies, nerve blocks, and medications. The cause of such pains is normally accidents and injuries. These pains cause emotional distress, they also interfere with the ability of a person to perform ADLs and affect sleep patterns and sexual activities (Justin, 2013). The main purpose of treating these pains is to reduce suffering and distress and also minimize the risks of adverse effects.
As a nurse when such a patient asks for more pain medication, you should first assess if they are in real pain or not. A self-report is the most reliable way to assess it. A report may indicate they are in severe pain, but the patient’s behavior, when observed, does not match (Justin, 2013). After being sure they are not in pain, the nurse should take a step by educating his/her patient on pain management and control techniques. This will first involve asking them to name their pain on a scale of ten, and based on their physical appearance e, the nurse will be able to know. Depending on the type of pain, adding various nonpharmacological interventions can help the patients control pain. Lastly, educating the patient about the risks of taking pain medication when not in pain is the key thing towards their pain control.
In conclusion, self-awareness about pain behavior is the main thing while dealing with patients experiencing chronic pain. A nurse should also consider the patient’s past diagnosis history before giving his/her judgment. A patient will feel understood, respected, and supported.
References
Justin K. (2013). Chronic Pain. How to Assess Whether Patients Are in Pain and the Nurse Their Judgement, 124, (34-37).
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Pain tolerance and perception are different in every individual. You will care for patients who have chronic pain issues and develop a high tolerance for pain medications.
High Tolerance Due To Chronic Pain
The patient rates his pain as an 8-9/10 but does not look like they are in pain!! How can you accurately assess these types of patients, and what do you do if they ask for more pain medication?
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