Provide support to manage pain and discomfort (HSC 2003)
1. It is important that we take into consideration, areas other than physical pain and have an holistic approach. Pain is whatever the person who is suffering it feels it to be. Physical pain can be experienced as a result of disease or injury, or some other form of bodily distress. For example childbirth. Although not associated with injury or disease, but can be an extremely painful experience. Pain can also be social, emotional and spiritual as well as just physical. Having a personalised and holistic approach to a persons pain and discomfort needs good teamwork. E.g. Nurses and care workers may be able to help to support the person with physical pain. By using effective communication skills verbal and non verbal, including active listening will help to support people holistically. Supporting people is looking at the person as a whole, and considering all of their needs. 2. It is essential that all risk assessments that the employer will have carried out are read and understood. Follow correct procedures and take all necessary precautions. The most effective approaches to alleviate pain are :- DRUGS:- These come in four different categories which are :- Analgesics (e.g. aspirin and paracetamol)
Opiates (e.g. morphine and heroin)
Anti-inflammatories (e.g. ibuprofen)
Anaesthetic blocks (e.g. epidural)
Drugs that are prescribed by doctors via prescription are likely to be analgesics or in more extreme cases of pain may be opiates. PHYSICAL METHODS
Massage (superficial or pressure)
Ice application (with massage)
Superficial heat or cold
Transcutaneous electrical nerve stimulation (TENS)
Transcutaneous spinal electroanalgesia (TSE)
Moving or walking about (if possible)
Imagining oneself in a pleasant place and in comfort
Taking a warm bath
Taking some recommended exercise
Finding a task to distract from the pain
Having a conversation
Aromatherapy – the use of natural oils
Homeopathic medicine which works by treating the illness or disease with minute quantities of natural occurring substances which would cause the illness if taken in larger amounts. Reflexology – specialised foot massage to stimulate particular areas of the feet which are linked to parts of the body. Acupuncture – this must be administered by an expert, it uses ancient Chinese medical knowledge which the body is stimulated by fine needles. Yoga and meditation – these work essentially on the emotional component of pain. Meditation works by dealing with mental response from pain, whereas yoga combines both mind and body in an exercise and relaxation programme.
3. Information about the best ways to manage pain and help someone towards re rest and sleep should be entered into a plan of care. Check the plan before to starting to support and make them comfortable. Any information you enter into a plan is covered by the Data Protection Act 1988.
Be very clear about how a persons pain and discomfort should be managed and only use agreed and approved methods. Remember team work and communication and a consistent approach are vital If unsure read support plans or ask supervisor
If the person asks for something different from what is on the support plan always check with the supervisor. If you have any concerns at all about how a person wants to relieve pain, discuss this with you supervisor immediately.
Pain can have a huge impact on a persons inability to sleep and rest. One theory suggests that sleep is for repair and renewal of the body while other theories say it is for allowing our brains to organize and file all the things which have happened during the day, or to recharge our batteries. Being in pain and discomfort and unable to sleep can certainly affect the amount of sleep we...
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