Registered Psychiatric Nurses, Partnering with People
The Registered Psychiatric Nurses Association of Saskatchewan believes that Pain Management requires the expertise of health care professionals in every field. We support the client in their choice of complementary alternatives, i.e., TENS, meditation, visualization, et. The goal of the care team in Pain Management is to help improve quality of life.
Attitudes about pain and pain management have changed drastically among health-care professionals and the general public. Decisions regarding pain management must be consistent, and part of a well planned and structured routine.
The Registered Psychiatric Nurses Association of Saskatchewan believes that the following principles of Pain Control published in association with the Canadian Cancer Society, 1991 should guide Pain Management regimes:
Total Pain:The concept of “total pain” relates to the clients experience of pain as it relates to somatic factors as well as the many other factors that affect their psychological state.
Breakthrough Dose: The breakthrough dose is essential to handle pain that “breaks through” because it is either not controlled at all or peaks at particular times for whatever reason. Generally, the frequency of administration of breakthrough doses should be specified as at least hourly.
Stepped Approach: World Health Organization Analgesic Stepped Approach In Cancer Pain (modified after WHO Draft Interim Guidelines Handbook on Relief of Cancer Pain, World Health Organization, Geneva 1984)
Non-Opioids = aspirin, acetaminophen, other NSAIDs
Weak Opioids = codeine, oxycodone
Strong Opioids = morphine, hydromorphone
Adjuvants = steroids, psychotropic drugs, anticonvulsants
Approved by Council