The Joint Commission supports the client's right to pain management, and published standards for assessment and management of pain in hospitals, ambulatory care settings, and home care settings (Joint Commission, 2008b)
Which of the following are recommended guidelines for pain management? Select all that apply.
A) Teach all clients to use a pain rating scale.
B) Determine a pain-rating goal with each client.
C) Use pharmacologic pain relief measures first.
D) Manipulate factors that affect the pain experience.
E) Keep the primary care provider in charge of all pain relief measures.
Ans: A, B, D
The Joint Commission recommendations include teaching all clients to use a pain-rating scale and determining a pain-rating goal with each client. Nursing interventions to achieve this goal include establishing a trusting nurse–patient relationship; manipulating factors that affect the pain experience; initiating nonpharmacologic pain relief measures; managing pharmacologic interventions; reviewing additional pain control measures; ensuring ethical and legal responsibility to relieve pain; and educating the client about pain.
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