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Re: Pain management From: LCLEMOS@aol.com Thu Mar 30 05:17:42 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: LCLEMOS@aol.com: "Re: Pain management" Previous message: GA12L@aol.com: "Vitamins may up pregnancy risk" Maybe in reply to: Lynn Montgomery, MD: "Pain management" Next in thread: LCLEMOS@aol.com: "Re: Pain management" In a message dated 3/29/2006 12:32:34 P.M. Eastern Standard Time, henrygregor@yahoo.com writes: Suggestions on how to get rid of that pain scale, or on how to better address this issue than by handing out more and stronger pain meds? What I have seen offered as an alternative to the VAS scale, is the following form that emphasizes COPING not pain, and STARTS with the assessment and documentation of what the client anticipates and desires for pain management. By all reports, this meets the needs of JHACO for assessment. It begins with: Upon admission, ask the laboring woman about her preferences: Which of the following best describes your plan for pain management during labor? _____ a) I would like to have an unmedicated birth. Please do not offer me any type of pain medication. If I decide that I want medication for pain, I will ask for it. _____ b) I want to see how it goes. I would like to try nonpharmacologic (non-drug) pain management strategies, but I may decide to use pain medications too. _____ c) I would like to have a small dose of pain medication (narcotic) by injection (“shot”) or put into my IV (if I have an IV.) _____ d) I would like to have epidural analgesia. and then progresses to give ideas on how to support a woman who does not desire an epidural. It does not get away from asking about a scale 1-10 or the requirement to document assessments, but gives another approach to the assessment. n _http://www.anacs.org/downloads/Coping_duri_ (http://www.anacs.org/downloads/Coping_during_Labor.pdf) _ng_Labor.pdf_ (http://www.anacs.org/downloads/Coping_during_Labor.pdf) Laurie in ME Next message: LCLEMOS@aol.com: "Re: Pain management" Previous message: GA12L@aol.com: "Vitamins may up pregnancy risk" Maybe in reply to: Lynn Montgomery, MD: "Pain management" Next in thread: LCLEMOS@aol.com: "Re: Pain management"

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