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Multidisciplinary teams in healthcare
Multidisciplinary teams in healthcare
Utilization of non pharmacological pain alleviating methods
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It is known that venipuncture and immunization are among the most common, and significant, sources of pain/anxiety in children and adolescents. Since untreated pain in children and adolescents can cause both longterm physical and psychological sequela, it is vital that pediatric healthcare workers are aware of appropriate pharmacological and nonpharmacological pain management approaches (CITE). Distraction is a nonpharmacological pain management mode and is a simple, yet effective, technique to redirect and divert a child's attention away from a frightening or painful stimulus. Examples of nonpharmacological pain management methods through distraction include watching a video, singing, reading, or playing a game and aid in decreasing pain/anxiety …show more content…
The current study exemplifies that distraction in the form of distraction cards, music playback, and balloon inflation with parental/caregiver presence aid in decreasing pain and anxiety in children ages 6-12 years old. One of the primary objectives of child life is to help children to cope with, and to minimize, stress in the hospital environment and during painful or frightening procedures. To achieve that primary objective, while taking the results of the current study into account, child life specialists can work to implement these distraction techniques and encourage caregiver involvement during procedures. Child life specialists need to be cognizant of these results and be able to developmentally identify the most appropriate and worthwhile distraction technique for each patient based on their physical and developmental …show more content…
While in the emergency department, I have seen various forms of distraction utilized by Caitlin, Kelsey, and parents. During this rotation I have provided procedural support and distraction through similar, but not exactly the same, modes of distraction. Instead of using the distraction cards, I use "I Spy" books, but they have the same idea of searching for specific items and discussing all of the items that the patient attends to. Rather than matching music to a specific cartoon, I have played favorite music, YouTube videos, and cartoons. Where the current study mentions using balloon inflating, alternatively, I have used deep breathing techniques, such as blowing out birthday candles. The current study allowed me to see alternative distraction techniques compared to what I typically use. I think that this is an important article to read as an emerging child life specialist, because it allows me to continue searching for distraction techniques and see the similarities across different items. In turn, I don't know what typical items/techniques will be used wherever I end up in my career, so being aware of various items and techniques for distraction is critical. Overall, this article helps to provide results which can aid in providing evidence-based practice in child life
Have you ever wondered why when you stub your toe on the chair in the living room, it helps tremendously to yell out an expletive or two and vigorously rub the area? I may not be able to discuss the basis for such language in this paper, but we will explore the analgesic response to rubbing that toe, in addition to the mechanism of pain and alternative treatments such as acupuncture and transcutaneous electrical nerve stimulation.
Mrs. Farrington was constantly worrying about allowing him out of the house or be with other kids. The hospital constantly kept correcting this behavior by stating that she needs to allow him to be like other kids but sometimes it was her first instinct to prevent hospitalization. Mainly Cody is hospitalized due to weight loss or to clean mucus out of his lungs completely. Unlike Mrs. Farrington who has to deal with the medical treatments daily, her husband is in more denial. When Cody becomes sick he understands to call the hospital but Mr. Farrington has no understanding of Cody’s medicine and such. Though studies have shown that children who are cared by their mother recover faster and are discharged earlier, Mr. Farrington behavior is very concerning (Family-Centered Care and the Pediatrician’s Role, 692). He avoids the topic overall by working constantly. Mrs. Farrington finds this behavior to be strange because if something negative happened to her, Mr. Farrington needs to know these treatments, so they aren’t neglected or performed incorrectly. However, this arrangement between the parents is not very healthy because the stress of Cody condition is completely Mrs. Farrington burden. This makes Mrs. Farrington struggle giving her other children the fair attention they deserve as
Pain is not always curable but effects the life of millions of people. This essay examines the Essence of Care 2010: Benchmarks for the Prevention and Management of Pain (DH, 2010). Particularly reflecting on a practical working knowledge of its implementation and its relevance to nursing practice. It is part of the wider ranging Essence of Care policy, that includes all the latest benchmarks developed since it was first launched in 2001.
Institute of Medicine Report from the Committee on Advancing Pain Research, Care and Education. (2011). Relieving Pain in America A Blueprint for Transforming Prevention, Care, Education and Research. Retrieved from http://books.nap.edu/openbook.php?records_13172
The hours of many physicians are long and irregular as the job entails caring for many different patients who have different needs. While working in a hospital, pediatrics is collaborative specialty meaning one must work with other medical specialists and healthcare professionals to improve heath and emotional needs of adolescents. If a child has a heart condition, a pediatrician must meet with a cardiologist to produce a plan that would benefit the young patient’s heart. Pediatricians in a hospital sett...
Pain assessment is critical for pediatric patients not only in order to select a proper approach to treating pain but also to prevent further complication that might develop. With age appropriate
American Academy of Pediactrics. (2003). Family-Centered Care and the Pediatrician’s Role. Available: http://pediatrics.aappublications.org/content/112/3/691.full. Last accessed 23/01/14.
In 1931, the French medical missionary Dr. Albert Schweitzer wrote, "Pain is a more terrible lord of mankind than even death itself." Today, pain has become the universal disorder, a serious and costly public health issue, and a challenge for family, friends, and health care providers who must give support to the individual suffering from the physical as well as the emotional consequences of pain (1).
Most adolescents who misuse prescription pain relievers are given the medication by an unknown friend or relative. This is a situation that can easily be avoided with an education on the risks of opioids. Patricia Schram, MD, an adolescent substance abuse specialist at Children’s Hospital Boston, stresses the importance of parent involvement in preventing young adults from abusing opioids and in the recovery process, citing a study that claimed, “teens were less likely to abuse opioids if their parents often checked their homework, if they had been frequently praised by their parents and if they perceived strong disapproval of marijuana from their parents” (Viamont 1). Besides parent and family involvement, physicians have a role to play in preventing the spread of the opioid epidemic.
There are numerous difficulties that need to be addresses when working with parents of children with a chronic condition (CCC). Emotional difficulties are the biggest concerns. They may occur in parent-child relationship, conjugal relationship, or in relations with the extended family. Rehm found that parents who took care for CCC had a higher level of stress, worry, fear, anxiety, and felt more overwhelmed. All this has its impact on relationships the caregiver and the child, as well the whole family, and community (Rehm, 2013). One of the main nurses role when working with a family is psychological assistance to reduce family stress and preven...
The practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse. Some of the benefits of PCA include improved pain management, improved use of nursing resources, increased patient satisfaction, and reduced pulmonary issues (Hicks, Sikirica, Nelson, Schein & Cousins, 2008). Some of the safety issues surrounding PCA use include infusion pump programing errors, basal infusion dosing, and proxy errors when using PCA by proxy (Ladak, Chan, Easty, & Chagpar, 2007). Therefore, the purpose of this report is to examine the benefits and risks of patient-controlled analgesia and how it relates to nursing practice.
Prevention of injury-induced functional alterations in the CNS by pre-emptive analgesia is a fascinating working hypothesis based on substantial scientific evidence. Studies investigating the treatment of pain via drug delivery across the nasal mucosa show an equivalent or superior pain control to intravenous, intramuscular or subcutaneous delivery methods. Several endoscopic ENT procedures have been recently developed with the aim of minimizing surgical invasiveness; they are associated with mild to moderate post-operative
This is a counselling method used to help youngsters communicate their inner experiences through using toys and play. Nondirective play therapy is a non-pathologizing technique founded on the belief that youngsters have the internal drive to attain wellness (Petruk, 2009). Play therapy is grounded on the theory that play is a youngster’s language, the toys considered the words a youngster uses to express or show their inner experiences and how they experience and perceive the world. Within a play session, and throughout the course of sessions, themes develop in the youngster’s play, giving the therapist insight into the child’s feelings, thoughts, experiences, and interpretations of their world (Petruk,
The nurse should educate the patient of the importance of pain control and how controlling pain is essential to a patient’s wellbeing and recovery. It needs to be a balance of what the patient says and what the nurse observes and interprets while always respecting the wishes of the patient. Nurses have a variety of assessment tools available to assess pain in their patients. One dimensional pain scales such as visual analog scale, verbal descriptor scale, numeric pain intensity scale and the combined thermometer scale all measure the intensity of the pain (Jensen, 2011). Other pain scales such as McGill pain questionnaire, brief pain inventory, and brief pain impact questionnaire take into account aspects beyond intensity (Jensen 2011). There are additional pain assessments specialized for children, older adults, patients who are unable to respond, and patients with opioid tolerance (Jensen, 2011). The nurse should be familiar with these methods of pain assessment and know the appropriate use of each. Incorrect medication and treatment choices due to inaccurate or poor pain assessment cause patient suffering (Jensen,
His contributions towards human growth and development include detailed studies on cognition among children, coming up with a theory of child cognitive development, as well as the series of tests he developed that reveal the various cognitive abilities of children (Boeree, 2006a). A good understanding of a patient’s cognition is important as it allows the nurse to constantly organize and reorganize the tasks of care and the priorities in order to accommodate the fluctuating status of a patient. This is especially so because the hospital environment may be characterized by numerous distractions may affect the cognition of a