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Chronic Pain in the preoperative population Patient-Centered Care Patricia Davies Capella University Orientation to Graduate Nursing Study MSN6000 Nancyruth Leibold October 31, 2015 CHRONIC PAIN IN THE PREOPERATIVE PATIENT CENTERED 3 CHRONIC PAIN IN THE PREOPERATIVE PATIENT CENTERED 2 Chronic Pain preoperative population. Patient-Centered Care " Chronic Pain (CP) statistics astounding according to The Institute of medicine approximately 100 million adults suffer from chronic pain which is more than heart disease, diabetes, and cancer combined."(IOM Relieving Pain in America 2011, p. 1) In every American hospital, someone is admitted for an elective surgical procedure that has CP as comorbidity. We will examine patient-centered care by defining chronic pain and identifying the shared culture of this patient subpopulation. First we will explore the institutionally imposed stigma of chronic pain that has created barriers to care through a converse relationship between health care provider and CP patient. Next we will describe features of patient center care with evidence-based interventions, that can transform the surgical experience and promote post-operative healing. Defining Chronic Pain. "Chronic pain persists despite the fact that the fact the injury has healed. Pain signals remain active in the nervous system for the prolonged or infinite amount of time. Physical effects include tense muscles, limited mobility, lack of energy, and changes in the appetite. Emotional effects include depression, anger, anxiety, and fear of re-injury"(Cleveland Clinic 2013). Chronic pain can develop from multiple common conditions. These can include; instance migraines, diabetes, IBS, fibroids, and endometri... ... middle of paper ... ...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from 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 Monsivais, D. B., & Engerbretson, J. C. (2011). Cultural cues: Review of patient- centered care in patient with nonmalignant chronic pain. [Magazine ]. Rehabilitation Nursing, 36(4), 166-71. Retrieved from http://search.proquest.com.library.capella.edu/docview/876578026?accountid=27965 Rubenfeld, M. G., & Scheffer, K. B. (2015). Critical thinking tactics for nurses: Achieving the IOM competencies (3rd ed.). [VitalSource Bookshelf Version]. http://dx.doi.org/9781284059571
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. ...
Pain is something that several Americans suffer from on a daily basis for varying reasons.
Phillips, C. (2009). The Cost and Burden of Chronic Pain. British Journal of Pain, 3(1),
Pain has been defined by Coates & Hindle as an unpleasant emotional and sensory experience which signals a potential or actual damage to tissues (2011, p. 213). Pain is a common human experience and can emanate from injury and illness. There are two main types of pain; acute pain is short-lived, lasting for minutes or several days and its onset often takes place rapidly. It results from the activation of pain nerve endings or nociceptors either by internal or external pain stimuli. On the other hand chronic pain is continuous and sometimes recurrent and can last for weeks, months or even years. Chronic pain is usually not located at or related to the tissue undergoing trauma (Draper & Knight, 2007, p. 104). Various theories have been proposed to explain the mechanism underlying the transmission and perception of pain.
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
chronic pain could be handled at the bedside with no need to await a doctor's
Pain is something most people want to get rid of. It would be shocking if a person would want pain or create their own pain. Sounds outrageous, right? The millions of Americans suffering with diseases and conditions, from chronic pain to cancer, all want their pain to simply disappear. But, most people are aware that some treatment options and pharmaceuticals don’t always work. As a result, they are forced to live with their conditions or diseases for long amounts of time, sometimes even leading to their death. Other times, treatment options and pharmaceuticals that don’t medically have any pain-relieving or curing effect do work. In turn, patients who suffered with cancer or post-tooth extraction pain are relieved with nothing but a
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).
Conclusions. An adequate and clear understanding of the concept of pain and implementing interventions of pain treatment and management is essential in the clinical settings. Understanding the concept of pain is necessary for its relationships with other concepts that are related and similar to the pain experience for theory building. The in the end, understanding the concept of pain will ultimately benefit the patient and lead to better and approp...
Chronic Pain is described as a long lasting pain that people experience beyond a normal healing time (Hasenbring, Rusu & Turk, 2012). This time is usually up to three or six months prior to an incident (Hasenbring, Rusu & Turk, 2012). Chronic back pain can include common diagnosis of muscle spasms, back strain, or myofasical syndrome (Weiner & Nordin, 2010). There are three different types of chronic back pain; simple musculoskeletal back pain, spinal nerve root pain and serious spinal pathology (Jackson & Simpson, 2006). (Hasenbring, 2012)
Lunney, M. (2010). Use of critical thinking in the diagnostic process. International Journal Of Nursing Terminologies & Classifications,21(2), 82-88. doi:10.1111/j.1744-618X.2010.01150.x
Sorensen, H. J., & Yankech, L. (2008). Precepting in the Fast Lane: Improving Critical Thinking in New Graduate Nurses. Journal Of Continuing Education In Nursing, 39(5), 208.
Background: Chronic pain results when there is delayed healing. Grumbine claims that chronic pain ‘produces a fear in the patient and a panicked feeling that the pain will
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.
Today effective pain control is one of the most important and pressing issue that we face in the medical field. The importance of this issue comes from the fact that approximately half of the population of western countries have many patients in chronic pain, and a large number with acute pain, and seeing that it is being inadequately relieved (Bonica, 2008). Chronic pain can be described as any pain lasting more than twelve weeks, or a persistent pain. Whereas acute pain can be referred to a sensation that alerts us to possible injury or disease. Often pain is viewed as an inevitable part of illness, and otherwise over looked as unmanageable.