POST PAIN REASSESSMENT IN THE BURN UNIT 6 The implementation of reassessing

Post pain reassessment in the burn unit 6 the

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POST PAIN REASSESSMENT IN THE BURN UNIT 6 The implementation of reassessing patient after each pain management intervention, once enough time has elapsed for the treatment to reach peak effect (for example, 15 to 30 minutes after an IV/ CVAD medication administration and 1 hour after oral medication or a nonpharmacologic intervention). “The objective is to ensure that nurses consistently reevaluate patients after administering pain medication and document reassessment results” (Trail- Mahan 106). The nurses may use tools (pain scale) as needed for reassessment. Reassessment should include whether the patient's goal for pain relief was met (for example, pain intensity, effect on function [physical or psychosocial], patient satisfaction with pain relief, whether side effects had occurred and were tolerable) All Nurses should be instructed in hospital orientation on the importance and benefits of pain reassessments and on the policy and specific documentation requirements. Reassessment of pain is a routine variable displayed on all unit and departmental quality dashboards. The full set of pain reassessment parameters (pain relief, impact on function, side effects, and satisfaction), have been built into the customized electronic documentation record, and measures should be set in place to ensure that the staff are documenting as needed by the individual patient need. Some nurses may have indeed been performing and communicating reassessments, just not documenting them so it is crucial for the nurses to be educated on follow-up documentations about pain reassessment and interventions/evaluations. The dynamic evolution of burn pain both centrally and peripherally, and the many factors which influence pain perception illustrate the need for a therapeutic plan which is similarly dynamic and flexible enough to cope in the regard of background, breakthrough, procedural and
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POST PAIN REASSESSMENT IN THE BURN UNIT 7 post-operative pain. Regular, ongoing and documented pain assessment is key in directing and managing this process. References Tracy Trail-Mahan, MS, RN-BC; Scott Heisler, MBA, RN; Mary Katica, BFA. (2016) “Improvement Project to Improve Patient Satisfaction with Pain Management Using Human- Centered Design. Nurse Care Qual Vol. 31, No. 2, pp. 105–112 Wolters Kluwer Health, Inc. Debra B. Gordon, R.N., M.S.; Susan M. Rees, M.S., R.N., C.P.H.Q.; Maureen P. McCausland, D.N.Sc., R.N.; Teresa A. Pellino, Ph.D., R.N.; Sue Sanford-Ring, M.H.A.; Jackie Smith- Helmenstine, C.P.H.Q.; Dianne M. Danis, R.N., M.S. (2015) “The Joint Commission Journal on quality and patient safety; Improving Reassessment and Documentation of Pain Management”. Aidan T Norman MB ChB FRCA and Keith C Judkins MB ChB FRCA. (2014) “Pain in the patient with burns”. pp. 57 – 61. Continuing Education in Anesthesia, Critical Care & Pain | Volume 4 Number 2 2014.
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  • Spring '19
  • Grace Edobor

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