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There was an article in the newspaper just a few months back concerning the use of pain treatment as a vital sign. Most paitents are not aware that they must by law, request medication for pain. Nurses are not allowed to push pain medications on patients, unless they are not able to verbalize the needs and there are outwards signs of pain visible to the nurse. Very often a post-surgical patient will not ask for medication for pain because he or she thinks the nurse already knows how the pain is. This is not so. It is very far from the truth.
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>As nurses, we need all the input from the patients that we can get. It is very important that the patients rate the pain on a pain scale from 0 to 10, meaning that 0 is no pain at all and 10 is the absolute worst pain they could ever experience. This indicator gives the nurse some feeling of how much medication is needed to combat the pain and whether the coverage with the pain medication is useful or not.
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Every patient that comes into the hospital comes in for a multiple amount of reasons. If for some reason, the list is not written down, the family or patients forget all the things they need addressed. It is easier if the patients are able to write down what they need and problems that they need fixed before they arrive to the hospital. This is not always easy. However, then the patient must realize that with the amount of time the insurance companies are allowing the patients to stay in the hospital is much shorter that is was a few years ago, and they must be discharged home earlier, the patient must assume some of their own care. If the patient ccan not speak English, then a translator should come with them and stay until all the paperwork is done on the floor. This is vital.













Patients can continue to help by asking questions of their doctors. And I say this because all too often, the patient will ask the nurse something, but not say a word to the doctor. This is bad, for many reasons, as the doctor is the one ordering the medication, the tests, and procedures. If the doctor does not know from the patient what is needed specifically that the patient wants, it is generally too late at night to order it.


Patients are now requested to assume some of the responsibility of their own care. The doctor needs to converse with the client all concerns. The time to do that is when the doctor is in the room, not 10 minutes after he leaves.




At night, most of the cafeterias in the hospitals are closed. At night, most of the doctors try to get some sleep. If the patient is in the emergency room, waiting to come to the floor, that is the time to get the meal tray ordered. Not after the cafeteria closes. No one benefits then. Also, when the doctor is in the room, that is the time to request patient needs.







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