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Mistrust between the patient and the nurse can cause ineffective pain management due to the underreporting or exaggerated reporting of pain (Daly 1999). Therefore, for the integrity of patient assessment, it is vital that there is trust and understanding between the nurse and patient.
From this discussed therapeutic relationship, there is a basis from which the nurse can converse the patient's experience of their pain. Carr et al (1997) describes pain as 'whatever the experiencing person says it is and exists when ever they say it does.' Therefore, to give holistic care, the nurse must work to understand the patient and their individual experience then correlate this with their knowledge of pain as a practitioner in the assessment and management stages of care...
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