Criteria for Evaluating Theory Testing Research
Nurse’s Knowledge and Attitudes Toward Pain in the Emergency Department
Purpose
The purpose of the study was to examine emergency department nurses understanding and opinions about pain (Moceri & Drevdahl, 2014).
Theory Explicitly Described: Marion Good & Shirley Moore, (2010), acute pain care management model is briefly described.
Concepts Theoretically Defined
Concepts from Good & Moore (2010) acute pain management, major concepts are powerful pain medications, pharmacological practices, non-pharmacological practices, assessment of pain and the side effects associated with medications, goal setting and balance between analgesics as well as side effects (McEwen & Wills, 2011).
Overview of
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T/F: Respiratory depression seldom occurs in patients who have been receiving constant doses of opioids over a set period (T: 39.6%).
2. T/F: Study shows that promethazine (Phenergan) and hydroxyzine (Vistaril) are reliable potentiators of opioid analgesics (F; 48.3%).
3. T/F: Vicodin (hydrocodone 5mg + acetaminophen 500mg) PO is approximately equal to 5-10mg of morphine PO (T; 34.4%).
4. Which of the following IV doses of morphine administered over a 4-hour period would be equivalent to a 30mg of oral morphine given every 4 hours? (Morphine 10mg IV; 48.9%)
5. A patient with persistent cancer pain has received daily opioid analgesics for 2 months. Yesterday the patient was receiving morphine 200mg/hour intravenously. Today he has received 250mg/hour intravenously. The likelihood of the patient developing clinically significant respiratory depression in the absence of new comorbidity is? (Less than 1 %)
6. How likely is it that patients develop pain already has an alcohol and/or drug abuse problem? (5% -15%;
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McEwen, M., & Wills, E. M. (2011). Theoretical basis for nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams &
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. ...
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
Almost one hundred years ago, prescription drugs like morphine were available at almost any general store. Women carried bottles of very addictive potent opiate based pain killers in their purse. Many individuals like Edgar Allen Poe died from such addictions. Since that time through various federal, state and local laws, drugs like morphine are now prescription drugs; however, this has not stopped the addiction to opiate based pain killers. Today’s society combats an ever increasing number of very deadly addictive drugs from designer drugs to narcotics to the less potent but equally destructive alcohol and marijuana. With all of these new and old drugs going in and out of vogue with addicts, it appears that the increase of misuse and abuse is founded greater in the prescription opiate based painkillers.
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.
There are different forms of Opioids manufactured such as Morphine, Oxycodone, Buprenorphine, Hydrocodone, and Methadone. They are marketed under different brands such as Demerol, Oxycontin, Tylox, Percocet, and Vicodin and can be prescribed in liquid, tablets, capsules, and patches.
on Pain Care will evaluate the adequacy of pain assessment, treatment, and management; identify and
As a pain killer, morphine is used in hospitals around the United States for pain management and post-surgery. The main types of consumption is through smoking, snorting, rectal, I.V, orally, and through injection. A pump can also be used to administer the drug to the patient. Most times pumps are used in extreme cases of nerve disorders which usually entail a catheter being microscopically implanted into the spinal cord. The use of a pump is normally for pain management. Pumps are filled with a months or less supply of the drug, which is administered from the abdomen to the spinal area of pain. It basically numbs erratic nerve function and allows a normal life to be had by the patient. Morphine can also be us...
Our course, Transition to Professional Nursing, is barely two weeks old and already I am being enlightened and challenged to expand my experience of nursing. I will attempt to explain my personal journey and experience thus far including how and why I got here, my beliefs about nursing and related values, and my visions for the future.
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...
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
By the year 2000 opioid medicine containing oxycodone etc., are being abused and misused and more than doubled in 10 years’ time.
older adults. Journal of Nursing Education, 47(6), 269-271. Retrieved from CINAHL Plus with Full Text database.
As new nursing graduates begin the process of transitioning into the nursing practice. There are many challenges and issues associated throughout the transition. New graduates may embark on their journey through a graduate program or seek employment solo. The transition period may consist of challenges, that students will encounter during their journey. This essay will identify, discuss, and critically reflect on key nursing challenges that student nurses may face, throughout the process of the transition phase.
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.
Potter, P., Perry, A., Stockert, P., Hall, A. (2013). Fundamentals of Nursing, (8th Ed.). St. Louis, MO: Elsevier Mosby.