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Specific responsibilities
Long-Term Care Nursing Advisor, August 11, 2008
Nursing responsibilities for assessing, managing, and evaluating effectiveness of pain management include the following:
- Determining the nature of the pain and its impact on the resident
- Identifying factors that affect the resident's perception and expression of pain
- Determining when to administer analgesics
- Deciding which analgesic to administer, if more than one is ordered
- Determining the dose of analgesic medication to administer, if a range is prescribed
- Evaluating the effectiveness of the analgesic
- Assessing for and managing side effects of the medication
- Determining why the analgesic was ineffective, if applicable
- Determining the need to change the dose, timing, or medication and reporting this information to the healthcare provider
- Using nursing interventions to promote comfort and relieve pain
- Making sure the plan of care describes pain assessment and management
- Documenting pain assessment and intervention noted herein to relfect use of the nursing process
This week's tip is from Clinical Documentation: An Essential Guide for Long-Term Care Nurses.
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