Controlling the pain caused by certain wounds has always been a worrisome topic for many health professionals. It is extremely important to provide the best treatment to patients in palliative care since many situations such as changing medical coverings, or removing dead tissue can become very painful. Understanding the different types of pain can greatly help to better control and evaluate wound pain.
According to widely known health organizations, the following are the four different kinds of pain related to wounds:
Procedural pain: This is the type of pain that results from routine procedures such as changing medical coverings or cleaning the wound. By administering certain medication or by getting medical coverings dampened prior to taking them off can greatly decrease the pain while carrying out routine procedures for wound care. It is also advisable to pause several times if needed while removing dressings to let the patient recuperate.
Background pain: This is the kind of pain which originates from the wound. It is normally a constant or intermittent pain. The severity level of this type of pain may vary throughout the day depending on the different alterations the wound might go through and where the patient draws his or her attention to.
Operative pain: This is the kind of pain associated with wound intervention such as debridement or wound biopsy. Due to its level of pain, operative pain requires the application of anesthesia.
Incident pain: This is the type of pain that occurs during regular mobilization which is mostly generated from friction or shear caused by inappropriately applied medical coverings.
It is imperative for pain to be regularly evaluated, to provide health professionals with correct information so they can know if the varied pain management alternatives given to the patient are working as expected.
Pain is considered to be based on personal opinions and feelings. So, a procedure or medicine that may work for a patient may not have the same results for another. The same goes for the response of each patient to pain tolerance, which may greatly differ. Pain control can also be affected by other situations, for instance, patients nearing death may prefer to have their pain controlled instead of having wound care and healing put first.