Sunday, August 5, 2007

Pain

Hi everyone,
Im at a neurosurge ward and am currently treating a patient who has had an aneurysm in the (L) frontal lobe - so (R) hemi and so forth. It was one of my first sessions with her.

I was told that this patient goes teary quite frequently and that I really need to encourage her to do physio and "push" her a little bit.

I kept that in mind and did my neuro assessment and quite often had to "push" her instead of getting "stuck" while she cried.

However, once during the middle of the 1st week, she was very upset about the pain in her L knee - which she frequently complained about. She seemed more anxious than usual. At first thought, I thought, may be this is one of her usual complaints, but at closer look, she did seem to be very upset about it. I was empathetic and said I'll see what I can do about it. So I reported this to my supervisor and went to a nurse to ask about the pain medication.

I found out that my patient did not have pain medication yet.

Good learning experience not to ignore all of patient's complaints.

1 comment:

Rev said...

I agree, its important not to dismiss all complaints and behaviours shown by patients. As students i think we get bogged down by what other students or staff have said about a particular patient, and interact with the patients accordingly. We're prone to make judgements based on other peoples opinions, and lose our ability effectively analyse/assess the situation. Therefore resulting in our inability to effectively treat and build rapport with patients.