article thumbnail

Advanced Pain Management in Cancer: Janet Abrahm

GeriPal

We didn’t have pain as a fifth vital sign then. Particularly with patients in our hospice unit who are often not on IV fluids, getting dehydrated, getting ever-escalating doses of IV Dilaudid. And you should be able to give it in your hospice unit, like we can in our intensive palliative care unit. Janet: Oh.

Books 206
article thumbnail

What can we learn from simulations? Amber Barnato

GeriPal

They were not touching the patient, and they were more likely to be looking at the nurse or the vital signs tracing than the patient or the family member. There’s a vital signs tracing, the patient’s wearing a mask. Of course, the doctors know they’re in simulation, they signed up for it.

article thumbnail

Exploring the Nature of Chronic Pain with Haider Warraich

GeriPal

And I wonder as you think about that and as you think about pain being a vital sign, every shift in the hospital people are asking if they’re having pain, we’re going in there asking people, “Are you hurting? And attention to pain builds pain. Do you have pain anywhere?” Ivan Ilyich’s character was a jerk.

Books 223