Playlist

Factors Affecting Pain Perception: Introduction (Nursing)

by Jacquelyn McMillian-Bohler, PhD, CNM

Ask Questions
Take Notes
  • Required.
Save Cancel
    Download Slides 4
    • PDF
      Slides Factors Affecting Pain Perception Introduction Nursing.pdf
    • PDF
      Reference List Maternity Nursing Care of the Childbearing Family.pdf
    • PDF
      Review Sheet Pain Perception (During Labor) Nursing.pdf
    • PDF
      Download Lecture Overview
    Report Mistake
    Transcript

    00:01 Today, we're going to talk about how to manage comfort in labor.

    00:05 This is a very important topic as it encompasses all the things that the nurse and the birthing person must do before and during labor to help make labor a little more comfortable.

    00:17 When we consider factors that affect the perception of pain of the birthing person, there's several things to actually consider.

    00:25 The first one would be the stage of labor.

    00:28 As the birthing person progresses through labor and the cervix dilates more and more, pain levels may actually be increased.

    00:35 We also want to make sure that we have a good understanding of what the birthing person and all the support people understand about the labor process.

    00:44 The more preparation they've had, the more likely they are to understand what's going on in the labor room and have decreased anxiety, and therefore, a decreased perception of pain.

    00:55 Now, we must include cultural beliefs but I also want to make very clear that when we talk about cultural beliefs, we don't want to stereotype anyone by any sort of racial group or religious group or anything along those lines.

    01:10 When we say cultural beliefs, we want to ask each individual person what their beliefs are, everyone has a culture.

    01:17 So, we want to make sure we know exactly what sort of practices and rituals that that person typically would engage in when they're going through their labor experience.

    01:27 We also know through research that having a support person with you while you are laboring can actually decrease your perception of pain and improve your satisfaction about the birth process.

    01:39 So, we want to really assess and talk to the client about who their support person might be.

    01:45 Maybe who they want to be there and maybe who they don't want to be there.

    01:50 Also being tired. Now, let's think about this. This one's pretty logical.

    01:54 When you're studying for an exam and then, you perhaps finish studying for that exam and you're really tired.

    02:00 You've taken your test and then, someone comes up to you and asks you a simple question and you just bite their head off. Right? Because you're tired. So, imagine laboring after hours and hours and hours that you can see that your perception of pain might be a little more sensitive than someone who's well-rested. So, fatigue can definitely play a factor.

    02:22 Another factor that could affect the birthing person's perception of pain is their previous experience.

    02:28 So, let's imagine that during a previous birth, it was a positive, uplifting, supportive, encouraging situation versus perhaps a previous experience where pain was not managed well or someone experienced a lot of fear.

    02:42 That might affect how they feel coming into this labor situation.

    02:47 All of that contributes to a sense of anxiety.

    02:51 Someone who is at an increased sense or state of anxiety is going to perceive a greater amount of pain than someone who is calmer and relaxed.

    03:00 So, the nurse really needs to think about what this person's triggers for anxiety might be or if they're already experiencing anxiety.

    03:07 And then, finally, and this is where we're going to spend quite a bit of time today is how the labor is managed.

    03:14 So, thinking about if this client comes in and they're unmedicated and they don't receive any Oxytocin to stimulate labor contractions.

    03:23 Then, that may be a slightly different situation than someone who comes in who has Oxytocin, who is being induced, who has been in the hospital for two or three days.

    03:33 That absolutely could affect someone's perception of pain.


    About the Lecture

    The lecture Factors Affecting Pain Perception: Introduction (Nursing) by Jacquelyn McMillian-Bohler, PhD, CNM is from the course Comfort and Pain Management During Labor and Delivery (Nursing).


    Included Quiz Questions

    1. Stage of labor
    2. Fatigue
    3. Labor management
    4. Sex of the baby
    5. Gravida
    1. Cultural beliefs
    2. Preparation
    3. Previous experiences with labor
    4. Anxiety
    5. Resiliency

    Author of lecture Factors Affecting Pain Perception: Introduction (Nursing)

     Jacquelyn McMillian-Bohler, PhD, CNM

    Jacquelyn McMillian-Bohler, PhD, CNM


    Customer reviews

    (1)
    5,0 of 5 stars
    5 Stars
    5
    4 Stars
    0
    3 Stars
    0
    2 Stars
    0
    1  Star
    0