Part 1
Pain can be classified based on its type. For instance, it can be acute, cancer or chronic of by pathophysiology that can either be visceral or somatic. Neuropathic pain is the pain ensuing from injury to the tissues hence causing nerve dysfunction. Neuropathic pain is therefore described as a shooting, throbbing, burning, lacinating or cold sensation. Cancer pain can also be defined as the pain that arises from both neuropathic and nociceptive pain. It is therefore important to identify the mechanisms as well as different forms of pain considering that selective treatment helps improve the outcomes of pain control.
Interventional pain management may also be used in the case of patients with advanced and terminal illness having refractory pain relief. Several techniques may be used in this case including neuraxial infusion techniques which are in relations to pain in the spinal canal, and neurolytic techniques which are in relations to nerves and implantable drug delivery systems where small electronic pumps are implanted under the skin so as to deliver the drugs through a catheter. For the patients who experience pain corresponding to certain nerve, peripheral neurolytic blocks should be performed.
Nursing care on patients having pain issues should also be taken into account where there are three forms of procedures that may be followed; pre-procedure, intra-procedure, and post-procedure. Under pre-procedure, it is the responsibility of the nurse to inquire from the patient about health related allergies. For intra-procedure, the nurse should help in positioning the patient of which the perfect position is determined by the patient’s condition. Post- procedure occurs after the procedure has been done. The patients are checked from time to time in recovery.
Part 2