Manual: Pain Management Policy and Procedure Manual (Ver 2) Department: HOME HEALTH SERVICES External Reference: (JCAHO PC.15.10, MM.3.10)
As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Pain Management Policy and Procedure Manual includes this customizable template, Pain Management in Home Health Services. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch. Here is some sample content from Pain Management in Home Health Services:
| | POLICY:
Pain reduction is a physical, psychological and social process managed collaboratively by the patient, family, nursing staff, physician, social worker and spiritual coordinator.
Caregivers are to be proactive, not reactive. Ask the patient often to rate his/her pain using a consistent measure such as a 1-10 scale. If pain increases, respond immediately and reevaluate.
A nonsteroidal anti-inflammatory drug such as ibuprofen may be tried first. If pain continues, add an opioid.
Oral administration is to be tried first if possible. Rectal suppository or sublingual is next with IM... |
| Second excerpt: |
| | ...as morphine blood levels drop, provoking the need for additional breakthrough doses.
Though tolerance may be present, increased pain is generally the signal that a dosage increase is needed. There is no ceiling for morphine's effectiveness; very high levels i.e., more than 4,000 mg per day can be safely administered. Also consider substitution at reduced dosage of other opioids like hydromorphone, for which cross-tolerance may not have developed.
Talk to the patient about constipation... |
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