I was approaching the patient with an intention that I would assess the patient's condition, and if necessary, following assessment I would provide her some analgesic medication. The staff nurse told me not to give any more pain medication, "she had had enough."
It was very evident that there was difference of opinion between me and the staff nurse. From my academic learning, I knew that pain assessment is an important parameter of nursing care, and accurate assessment patient's pain status is important. Current evidence suggests that pain assessment and rating of pain would guide adequacy of pain medication.
In such cases of differences of opinion, there is a fair chance that nurses' assessment would be guided by personal beliefs. Literature suggests that in many cases clinical decisions are taken by the healthcare professional based on traditional practice which may not have any evidence. This is specially applicable in case of pain management in the clinical setting by the nurses. There is also evidence that nurses are guided by their own beliefs on pain assessment, and in many cases the experienced nurses underestimate the intensity of pain. ...Show more