Ok -- we have now had the Star Wars side line junk -- back to business.
I feel that as long as you act within the protocol and inform your patient of a) what you plan to do, what the potential side effects of what you plan to do could be, and c) you do as an advocate of the patient, then the doc that made this comment can go pound sand!
I am a firm believer in pain control, and I will tell you all that MS doesn't actually take the pain away, but after a couple minutes, you really DON'T CARE about the pain anymore (yes, I know from personal experience) -- but Fentanyl is MUCH better -- the pain goes away AND you didn't care about it anymore!
As far as measuring "how much pain" your patient is having -- I can only go by what they tell me, if it hurts where the patient reports having the pain and degree of suspicion as to the validity of the pain. Although , one needs to treat pain similar to chest pain (but this theory is mostly outdated because we can prove reasonable doubt now) until it can be proven as NOT cardiac chest pain, treat it as cardiac related chest pain. (This was my theory before 12-leads were the standard of care, I know that we can, do and will continue to do 12-leads to rule out MI in all of our chestpain patients.)
giving Narcotics like candy
in Patient Care
Posted
Ok -- we have now had the Star Wars side line junk -- back to business.
I feel that as long as you act within the protocol and inform your patient of a) what you plan to do,
what the potential side effects of what you plan to do could be, and c) you do as an advocate of the patient, then the doc that made this comment can go pound sand!
I am a firm believer in pain control, and I will tell you all that MS doesn't actually take the pain away, but after a couple minutes, you really DON'T CARE about the pain anymore (yes, I know from personal experience) -- but Fentanyl is MUCH better -- the pain goes away AND you didn't care about it anymore!
As far as measuring "how much pain" your patient is having -- I can only go by what they tell me, if it hurts where the patient reports having the pain and degree of suspicion as to the validity of the pain. Although , one needs to treat pain similar to chest pain (but this theory is mostly outdated because we can prove reasonable doubt now) until it can be proven as NOT cardiac chest pain, treat it as cardiac related chest pain. (This was my theory before 12-leads were the standard of care, I know that we can, do and will continue to do 12-leads to rule out MI in all of our chestpain patients.)