pain control

pain control

a nursing outcome from the Nursing Outcomes Classification (NOC) defined as personal actions to control pain. See also Nursing Outcomes Classification.

pain control

therapeutic measures used to reduce or resolve all components of pain, including analgesic drugs (e.g. paracetamol, non-steroidal anti-inflammatory drugs [NSAIDs], disease-modifying antirheumatic drugs [DMARDs], opioids and anxiolytics), electrical stimulation of the inhibitory control mechanisms (e.g. transcutaneous electrical nerve stimulation [TENS]), hypnosis and other cognitive and behavioural approaches (Table 1)
Table 1: Principles of pain management
StepPain typeManagement regimeExamples of drug
1Mild to moderateNon-opioid analgesics:
Paracetamol
  • NSAIDs:

  • Pyrazoles


± Adjuvant drugs:
Paracetamol
Aspirin; ibuprofen pheylbutazone; dipyrone
Amitriptyline
Gabapentin
Mexilitine
Ketamine
2Moderate to severeLess potent opioidsCodeine
  • Dihydrocodeine

  • Dextropropoxyphene

± Non-opioid analgesics
± Adjuvant drugs
Paracetamol
As above
3SeverePotent opioidsMorphine
Tramadol
Fentanyl
Oxycodone
± Non-opioid analgesics
± Adjuvant drugs
Paracetamol
As above

Pain management should address both the nociceptive and neuropathic components of pain.

NSAIDs, non-steroidal anti-inflammatory drugs.

Patient discussion about pain control

Q. Is there any other mind control system to reduce on her pain? My wife has is living with fibromyalgia for nearly 7 years. She has frequent pain, very severe with some other symptoms like heavy tiredness. Life is very difficult for her. She has at times experienced minor and very temporary reduction of pain due to enhanced rest and massage. If rest can help reduce her pain, is there any other mind control system to reduce on her pain?

A. Yes, I went to yoga sessions once for my pain. I do yoga very regularly and have adequate sleep now. Massage therapy is a very good treatment to get relief from pain. Also make sure to bath in hot water which will expand the muscles and relieve the pain. You can try all these along with meds being prescribed by your doctor. All the best!

Q. My sister is having fibromyalgia since last year. Is massage beneficial to get fibromyalgia pain in control? My sister is having fibromyalgia for the past 1 year. She is taking her medicines since then. She is not fully recovered but her pain is in control. Sometimes her irritation takes on her and makes her to scream very badly. I think she deserves some massage treatment. Is massage beneficial to get fibromyalgia pain in control?

A. Yes sure I am having my massage therapy for the past 7 months and frankly speaking I am relieved with pain to a great extent. It doesn’t give complete cure but it does reduce the devastating pain. I also do swimming and I think with massage and swimming I am able to feel free from the pain a lot. Still I take my medicines as without medicines my pain aggravates and massage helps to keep the pain in control.
http://www.youtube.com/watch?v=NurIdRtdxi4&eurl=http://www.imedix.com/health_community/vNurIdRtdxi4_therapy_rocks_sedona_arizona?q=massage%20therapy%20for%20fibromy&feature=player_embedded

More discussions about pain control
References in periodicals archive ?
Stable pain control was maintained by 76% of patients three years after the first treatment.
9-12 Studies on pain control are usually limited to clinical observations, acute pain diagnosis and treatment.
The present study demonstrated that VAL-158MET polymorphism is related with the amount of morphine required for pain control in the postoperative period.
To date, no studies examining the efficacy of local anesthetics in post-tonsillectomy pain control have used a paired design to account for the variability in pain difference between individuals.
In our 14 years of existence, we have discovered three areas that are very poorly served by Medicaid: psychiatry, pain control, and elective surgery.
They believe that ibuprofen may provide safe and effective pain control for selected plastic surgery procedures, while avoiding the higher risks and costs of some other pain medications.
The objective of this study was to compare the decrease in pain score with ibuprofen and chewing gums in orthodontic pain control during the first week after initial arch wire placement.
minimize unwanted side effects more commonly associated with traditional pain control protocols
Effective postoperative pain control is an essential component of the care of the surgical patient.
Even with treatment with TNF inhibitors, patients are often requiring additional pain control with narcotic medications.
There is a high level of unmet need for pain control in both cancer and HIV/AIDS, and serious concerns have been raised regarding inadequate pain management in the emerging markets.
Prof Katherine Wisner, a perinatal psychiatrist at Northwestern Medicine in Chicago, said: "Maximising pain control in labour and delivery with your obstetrician and anaesthesia team may help stop postpartum depression.