The three articles selected for review were related to pain management in the older adult. The research shows that about eighty percent of the older adult patients experience chronic pain that is poorly controlled. Two of the articles identified nurse’s lack of knowledge and education as the key element for lack of or inadequate pain control. It is evident that awareness and understanding is an important critical thinking skills for nurses to assess and address patient's pain. Identified in this research is the nurse's personal perception of pain as a barrier to render adequate pain control for this patient population. All three articles focused on an inadequate assessment of pain as a factor in pain control. The nurse is responsible for
Management of pain is very important when it comes to palliative care patients, considering that 55-95% of this patient population requires analgesia for pain relief (Creedon & O’Regan, 2010, p. [ 257]). But what is considered pain management? And why does pain continue to be inadequately treated? According to the article on chronic non-cancer pain in older people: evidence for prescribing, in the past few decades significant improvements have been made to the management of pain in palliative care. However, it is universally acknowledged that pain on a global scale remains inadequately treated because of cultural, attitudinal, educational, legal, and systemic reasons (Creedon & O’Regan, 2010, p. ...
A. Chronic pain signifies a developing public health issue of huge magnitudes, mainly in view of aging populations in developed countries (Russo).
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.
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.
Scope and purpose of the clinical practice guideline - What are the scope and purpose of this document? What are the objectives, questions, and target population (patients, consumers, students, and so forth)? In other words, who are the recipients of the services outlined in the document?
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
Job satisfaction was found to be the high for both groups of nurses. Patients also reported high satisfaction with their care by both groups. There was no significant difference found in the amount of documentation on patient pain and nausea and the following of NCCN guidelines for CINV management. The researchers reported that they analyzed the data using SPSS 15.0. The researchers used independent sample t tests to determine the differences in nurse knowledge, symptom management, patient satisfaction, and nurse satisfaction between the groups. The only result that was statistically significant was the level of pain knowledge between certified and noncertified nurses. The certified nurses had a 0.02 difference, making it significant at the alpha level of 0.05. The fact only one dependent variable was found to be statically significant indicates that this study was not able to fully support its hypothesis and that the study had overall weak results. The researchers used t-tests, a form of inferential statistics, to calculate if certification caused differences in the dependent variable. The authors also used characteristics of descriptive statistics such as mean, range, and frequency. They talk frequency by using percentages to report the patient and nurse demographics. They also use percentages when
Mrs. Sia Who comes to the Nurse Practitioner (NP) Led clinic to follow up with 3- month of severe low back pain (LBP). The case study is based on her health history and comprehensive physical examination results. The data collection/analysis, information synthesis, and diagnostic/treatment planning are based on The Shuler Nurse Practitioner Practice Model (The Model) (Shuler & Davis, 1993), and fulfilled The Canadian Nurse Practitioner Core Competency Framework (The Framework) requirements (Canadian Nurses Association [CNA], 2010). The Model supports the NP to utilize extensive theory based knowledge to practical use; to respect client as a holistic health care partner; and to develop a systematic, comprehensive health assessment, information integration, therapeutic interaction that alternately improve client’s health status (Shuler & Davis, 1993). Likewise, The Framework “describe(s) the integrated knowledge, skills, judgement, and attributes that guide nurse practitioner practice” (CNA, 2010, p. 5).
As the population of the United States ages and lifespan increases, the U.S. is being faced with challenges that could either hurt the country or benefit it if plans are executed correctly. By the year 2050, more than thirty-two million Americans will be over the age eighty and the share of the 80-plus generation will have doubled to 7.4 percent. Health care and aging population has become a great deal considering the impact it is having on the U.S. The United States is heading into another century with an outstanding percentage of people within the aging population. Today’s challenges involving health care and the aging populations are the employees of health professions being a major percentage of the aging population, the drive into debt, and prevention and postponement of disease and disability.
Nurses were responsible to have knowledge and right practice on pain assessment for their patient. In medical dictionary, pain was defined as an unpleasant sensory and emotional experience that is conveyed by sensory neurons to the brain. Pain also have been defined as an unpleasant sensation that is created by a noxious stimulus mediated along the specific nerve pathways to the central nervous system (CNS), where it is interpreted (Mosby’s Dental Dictionary, 2008). Pain was an unpleasant sensory and emotional experience associated with, actual or potential tissue damage due to a complex interaction of sensory, emotional and behavioral factors that may be acute or chronic, visceral, somatic or neurogenic
The major concepts deduced from the hypothesis fall under three categories: (1) multimodal intervention, (2) attentive care, and (3) patient participation. Multimodal intervention includes the concepts of potent pain medication, pharmacological adjuvants, and non-pharmacological adjuvants. Attentive care relates to the assessment of pain and side effects and intervention along with reassessments. Patient participation includes goal setting and patient education. The resulting outcome of these three categories working together is the balance between analgesia and side effects.
Healthcare providers use the resulted data to guide them in order to appropriately diagnose, treat, monitor clinical conditions, and the effectiveness of the interventions prescribed (Kelly, 2010a.). Pertinent data assist providers in choosing among various treatment options, alerting when change is needed, as well as defining the boundaries of a specific interventions. Measurement is essential to managing and improving performance and outcomes on all systems within an organization. Measure and analyze performance assist managers to better understand and improve system behaviors. Customers, which now include the patient, stakeholder, and market, have requirements that are the foundation that drive the work provided by the organization. These
With life comes death. It is a well-known biological fact that the human body, no matter the individual or the amount of time, will one day begin to wear out and shut down its physiological processes. When that time comes, one hopes that the dying process is quick and painless. It is hard to know whether one’s death will be quick, but with the use of pain management and palliative care, one can rest assured that a painless death is achievable. Leming and Dickinson (2016) highlight palliative care, or controlling pain, as “care [that] seeks to satisfy the needs of patients and their families in several domains including the physical, psychological, social, and spiritual” (p 213). For patients, patients’ families, and healthcare professionals