Pain management, nursing care, pain assessment, pharmacological management, non-pharmacological management, wound pain, pain scales, care refusal, nurse-patient relationship
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Abstract
This document discusses the importance of pain assessment and management in nursing care, including pharmacological and non-pharmacological approaches, and the ethical and legal aspects of care refusal.
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[...] Pain assessment is part of the decision-making process of these professionals. As a result, they establish the pain assessment with the patient and set the pain relief schedule. They are also responsible for ensuring that patients receive care during the waiting period (Vassort, 2006) and are relieved of any suffering. During the assessment, it is not just a matter of identifying and knowing that the patient is suffering, but also of genuinely caring for the patients to ensure good pain management and care in the service. [...]
[...] Effective wound management requires a collaborative approach between the nursing team and the treating medical team. Wound healing can occur through: - primary intention: the edges of the wound can be brought together, for example in the case of a surgical incision (using sutures, staples, sterile strips or adhesive), small wounds or paper cuts. - Secondary intention: the edges of the wound do not come together and require dressing products to promote granulation. - Tertiary intention/ delayed primary intention: the wound is cleaned before being closed due to a high risk of infection (for example, contaminated wounds). [...]
[...] Paris: Vuibert. Le Van Quyen, M. (2015). Chapter 5. Modifying one's perception through hypnosis. In : , The powers of the mind (pp. 111-134). Paris: Flammarion. Péoch, N. (2012). Pain and care, between the act and the accompaniment.Research in nursing care 65-77. Ray, S. (2010). Peripheral antagonists of opioids: Useful complements to the therapeutic arsenal against constipation.International Journal of Palliative Care 113-116. [...]
[...] Sauzeau, J. (2003). Right to care and professional responsibility: what obligations?. In: Alain Pidolle ed.,Right to be cared for, rights of caregivers (pp. 183-185). Toulouse: Érès. Sebai, J. (2021). From experience to patient satisfaction: a force for improvement in France.Vie & sciences de l'entreprise, 211-212, 137-158. Tregouet, S. (2018). Mal-être in the caring group: the professionalism prevented of the nurse in psychiatry.VST - Social life and treatments 81-87. Vassort, E. (2006). [...]
[...] The decision to refuse care must be based on valid and justifiable reasons, always keeping in mind the patient's best interest. Nurses must be aware of the professional standards, ethical guidelines, and legal obligations specific to their place of practice to ensure they provide appropriate care to all patients in an equitable and non-discriminatory manner. In summary, refusing to care for a patient is possible if the reason is valid and justifiable, and the nurse must familiarize themselves with local laws and regulations before refusing a patient, while respecting established protocols. Lectures : Refusal of Care. Pain Management. [...]
