This Nursing Times article discusses pain assessment tools specifically for PLP. Furthermore, it describes "five key facts" regarding PLP, as well as discussing the etiologies of PLP. Importantly, the article discusses the lack of consensus of treatment as well as the physical, psychological, social, and spiritual impacts of pain. In this way, it addresses not just the obvious symptoms of pain, but also the holistic effects on the individual. Finally, the article discusses drug treatment options. Unfortunately, mirror therapy is not mentioned.
Although not an official article, AllNurses discussion boards such as this one have the potential to propagate useful (and admittedly false) information and tips regarding the nursing care of phantom limb pain.
Comparative Pain Scale
Accessed through pinterest.com
Intervention
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Rationale
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Support the patient in seeking care
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There exists today echoes of the attitude of disbelief
towards patients who discuss their PLP. It is essential that the nurse
express belief in the patient’s condition. This way, the patient will not
fear judgment of their PLP and will be more encouraged to seek care and the
relief they deserve.
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Refer to appropriate health professionals
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Appropriate professionals may include not only a
specialist in pain relief or specifically PLP relief, but also a
psychotherapist and occupational therapist. PLP may cause depression, and it
may cause debilitating impact on quality of life, where an OT may be able to
discuss techniques that may help to manage daily life while the pain is still
occurring.
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Detailed assessment of pain
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Both the quantity and the quality of pain must be assessed
in order to understand the patient’s condition and to inform treatment.
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Monitor for change
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Change should be monitored before and after treatment, of
course, but pain should also be measured and recorded long-term. Since some
patients’ PLP may increase or decrease as time goes by, it’s essential to be
aware of the patients’ trends to inform treatment and communicate this
information to health care collaborators.
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Pain management
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Ensure that pain is managed appropriately. Since some
patients may be hesitant to discuss their PLP, it is all the more essential
that the nurse medicate appropriately to ease suffering.
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Fieldson, D.,
& Woods, S. (2011, November 1). Nurses must conduct holistic assessments to
manage this condition appropriately Dealing with phantom limb pain after
amputation. In Nursing Times.
allnurses.
(2008, April 4). phantom limb pain. In allnurses. Retrieved March 27,
2015.
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