Teaching of Nursing interventions as non-pharmacological strategy for pain relief

Romanek, Flávia Alves Ribeiro; Avelar, Maria do Carmo Querido

doi:10.5935/1806-0013.20140057

BACKGROUND AND OBJECTIVES:

This study is justified by the relevance of highlighting strategies which may be used by the nursing team to contribute to pain management, considering the importance of pain as the fifth vital sign. This study aimed at describing Nursing interventions to be taught as strategies for pain relief, according to Nursing professors’ perception.

METHODS:

This is a descriptive, exploratory and qualitative study. The scenario was a Nursing Graduation Course and participants were Nursing professors teaching Nursing disciplines. All participants have signed the Free and Informed Consent Term. Data collected by means of semi-structured interviews recorded in audio were afterward organized in categories.

RESULTS:

From data analysis, the category "Nursing care as non-pharmacological intervention to manage pain" has emerged. Specific Nursing action strategies taught during the course were additional care, such as effective communication, patients’ positioning and mobilization and support with artifacts, added to family monitoring.

CONCLUSION:

Nursing interventions adopted as non-pharmacological therapies to manage pain were the strategies used by professors during the teaching process.

Analgesia; Nursing care; Nursing professors

[1] Correspondence to: Flávia Alves Ribeiro Monclùs Romanek, Estrada Municipal do Espigão, 1413 - Granja Viana, 06710-500 Cotia, SP, Brasil. E-mail: flaviaalvesribeiro@hotmail.com

Statements	Registry Unit	Understanding Core	Category
"Changing position, dressing too compressive, could be left more flexible or loose, patient in bed for a long time, one could keep him sitting until hygiene which brings comfort, and patient feeling good ends up helping resistance to pain" (A).
	Biological care providing comfort
"Family has to be oriented to value what the child feels, the speech... once pain is diagnosed, we teach to try first to intervene with non-pharmacological measures, such changing position, or even a toy... forget the biomedical model and value nursing actions, but not forgetting that sometimes we have to medicate. Orient students... that they cannot eliminate pain, but they can minimize it" (B).	Biological care providing comfort
		The relevance of Nursing care to relieve pain in bio-socio-emotional aspects	Nursing care as non-pharmacological intervention to manage pain.
"I approached a patient with a student ... he spontaneously told us that he was apart from the family, that he could not pick his niece in lap, that the physician was decreasing drug doses... it is magic, these are details of our profession, talking to patients is a non-pharmacological therapeutic and behavioral technique" (C).	Dialog as therapeutic technique
"Emotional care is with non-pharmacological interventions, such as replacing the mattress, touch, changing position and encouraging mobility" (D). "To observe the patient is nothing, one has to encourage him to talk" (E).	Emotional care as Nursing intervention
“To observe the patient is nothing, one has to encourage him to talk” (E).

Brasil

Brasil

Teaching of Nursing interventions as non-pharmacological strategy for pain relief* * Received from College Mario Schenberg, Cotia, SP, Brazil.

BACKGROUND AND OBJECTIVES:

METHODS:

RESULTS:

CONCLUSION:

Teaching of Nursing interventions as non-pharmacological strategy for pain relief^* * Received from College Mario Schenberg, Cotia, SP, Brazil.