Nursing the Patient in Pain Essay Example | Topics and Well Written Essays - 1750 words

Nursing the Patient in Pain - Essay ExampleSearches leave be made based upon these 5 aspects of epidural anaesthesia, using as a beginning the references supplied by Chumbley and Thomas. Epidural analgesia is now a comm only(prenominal) used technique used to manage the acute perturb which comes after surgery, usually being a planned procedure, the best time to consider postoperative wound relief actually being before surgery begins. The method first became available in the sixties ( Klein, 2011) and has increased in use especially since the1980s (Wheatley et al, 2001). Usually it is given for from 2 to 5 days postoperatively , this depending upon the surgery type undergone. After this period the patient should have recovered enough to cope with verbal medication for their pain relief. ( Chumbley and Thomas, 2010, page 40). ... ffectively, according to evidence based practice, this method reduces any risk of major(ip) adverse outcomes according to Chumbley and Thomas ( 2010, pag e 35). Both opioids and local anaesthetics place be used . These medications can however themselves produce serious, possibly fatal, side effects. Usually the epidural cannula will be put in place while the patient is still in the operating theatre. The role of the attending nurse is to admonisher and assess patients receiving epidural anaesthetics, and to work with the evidence obtained , reporting any possible causes for concern, and so work towards preventing the tuition of these adverse effects. The College of Anaesthetists ( 2004 , 4.1) describe how it is the responsibility of the department of anaesthetics to ensure that properly qualified staff and appropriate protocols atomic number 18 in place in order that epidural analgesia can be undertaken safely and effectively with the anaesthetist, pharmaceutics and nursing staff working together. The epidural lacuna into which the medication is inserted by a doctor is the likely space between the outer membrane, the dura mate r, surrounding the spine and the bony vertebrae. This space contains blood vessels, nerves, concurrence tissues and fat. The nerves which are present work in various ways, such as passing on messages regarding movement. They also relay messages via the sympathetic nervous system to the brain about pain, touch, and temperature. This potential epidural space is present from the base of the skull down as far as the sacrum, but the spinal cord itself only extends as far as the second lumber vertebrae ( Macintyre and Schug, 2007). The patient is usually placed with their spine trend as this makes insertion somewhat easier. The needle is pushed in until it reaches the hard