4. Compare your client’s situation to the theory. What parts were useful in thinking through your client’s situation? What parts of the theory did you actually use during your care, even though you weren’t acquainted with it while you were working with that client?
The middle-range theory of acute pain applies to this situation in several different ways. This particular situation would require a multimodal approach by the nurse and health care providers in order to provide the patient with the pain medication as well as teaching about nonpharmacological methods to aid in relieving the pain. This was evident in the care of JH, when I explained to her the type of analgesic medication she was receiving. She seemed not to be listening at this point due to her past knowledge of this medication in previous hospitalizations.
I promised JH that I would provide attentive care for her pain management, reassessing her pain thirty minutes after administration and every two hours to see if she required another dosage. This was crucial in order to assure the pain relief methods were adequate and to re-intervene if they were not. I think that this aspect of attentive care in the theory was useful in thinking through her care especially with her past of not having adequate pain relief. Before administration I asked for her to rate her pain on a scale of 0-10,
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A large aspect that may have helped this case is if we had asked her what has previously worked to get her pain to her desired goal. This would have helped us create a better plan of care to help achieve her goal. We acknowledged the fact that the pain she was experiencing after administration may be the least amount she could have felt with her condition. Because the syndrome has so many unanswered questions, it is impossible to know whether the relief of all pain is even possible, or a goal of a 2 on a 0-10 scale is
In medical school/pharmacology school, medical professionals are taught to treat severe pain with opioids. However, opioids should be prescribed with the possibility of future dependency in mind. Physicians often struggle with whether they should prescribe opioids or seek alternative methodologies. This ethical impasse has led may medical professionals to prescribe opioids out of sympathy, without regard for the possibility of addiction (Clarke). As previously stated, a way to address this is use alternative methods so that physicians will become more acquainted to not not treating pain by means of opioid
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. ...
Without question the cost of medical care in this country has skyrocketed over the last few decades. Walk into an emergency room with an earache or the need for a few stitches and you’re apt to walk out with a bill that is nothing short of shocking.
This method is grounded in the strengths perspective, a perspective in which the worker center’s their sessions around the clients’ abilities, gifts, and strengths (Shulman, 2016). Instead of focusing on what is wrong with the client, the worker highlights what is right with the client building on their strengths instead of emphasizing their deficits: the client already has what they need to get better or solve their problem (Corcoran, 2008). The role of the worker in this model is to help the client recognize their potential, recognize what resources they already have, and discuss what is going well for the client and what they have been able to accomplish already (Shulman, 2016). Techniques commonly used in this model, although they are not exclusive to this model, include an emphasis on pre- and between-session change, exception questions, the miracle question, scaling questions, and coping questions (Shulman, 2016). These questions are used for many reasons: for example, the miracle question is used because “sometimes asking clients to envision a brighter future may help them be clearer on what they want or to see a path to problem-solving.” (Corcoran, 2008, p. 434) while coping questions are used to allow the client to see what they are already accomplishing, rather than what they are transgressing (Corcoran, 2008). All
Physical pain is more easily addressed by the administration of medication or a non-pharmaceutical intervention like repositioning, or the application of heat or cold. Nursing care on a general medical unit is about patient and family centered care which is in alignment with Kolcaba’s Theory of Comfort. A large portion of the patients seen on this type of unit have multiple comorbidities and challenging social situations that require assessment of their past health history, their support system, and their current living situation. All of this is taken into consideration in multidisciplinary rounds where data that is collected is communicated to all disciplines and a plan of care developed for each patient. The unit which I currently manage assembles our multidisciplinary unit daily. Needs are identified and assigned to the team members who include social work, care management and therapies in addition to the nurses and the providers. Since the team meets daily there is an opportunity to evaluate the effectiveness of the interventions prescribed. Nursing care management is integral in this work as part of the assessment, planning, and coordination of care in the hospital
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.
of what I would experience as a client, unsure of how I would react or what I would disclose
on Pain Care will evaluate the adequacy of pain assessment, treatment, and management; identify and
In the medical profession, personnel are asked to make judgments or draw conclusions based on measureable results. Physical assessments, vitals, CT scan, MRI, biopsy are all activities engaged in to prove abnormalities and make decisions as to the way forward. So having hunches are not considered reliable and rightly so. To decide to give a particular medication because of a mere hunch can lead to serious errors. However, pain which is now considered a part of the vital signs is based on the patients’ philosophy or view point and we (nurses) are told not to ignore but respond. This is highly subjective. It’s viewed how the patient sees it and not as tangible or measurable as the other ways of proving when something is abnormal. The situation to be presented will disclose a patient’s ordeal due to a nurse’s approach to or understanding of pain management. It will also assess whether the nurse responded in accordance to protocol.
Exploring the precision of assessing pain by using available tools in the hospitals chosen for the study by comparing them with the (COPT).
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...
Freud had a preoccupation with death and suffering. He lived with great personal pain and during a time in history of war and death. From the burning of his books to the murder of his sister and dispersal of his family from their homes, Freud experienced the effects of human depravity by the efforts of Nazi ideology. His preoccupation with death and suffering was justifiable be, but he needed a rationale for why this problem of pain existed, and how men should to respond to it. Through personal struggle with pain, Freud examined his own psyche. He had a dichotomous desire for his own death. One the one hand he wished for immortality, but on the other hand he wished for an end to suffering through death. He chose to reject beliefs of heaven, hell, paradise and immortality on the basis that these ideas were only childhood fantasies. Freud found it preferable to esteem the work of thought as an end. Seeking comfort through “child-hood fantasy” was not an option, according to him. He said that he could not “face the idea of life without work. What would one do when ideas fail...,” and that it would be “impossible not to shudder at the thought.” His rejection of a real God caused his understanding of how and why the problem of pain existed to be limited to the realm of human invention. Freud theorized that guilt was at the heart of antisemitism. He wrote, “Moses and Monotheism” for this very purpose. According to his theory, Christianity was invented in order to relieve the unbearable guilt that the world experienced. Judaism, however, rejected this solution for the relief of guilt and consequently the world “repays Judaism with eternal hatred.” Despite his determined conclusions derived from thought, Freud did state t...
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.
IASP’s definition of pain is “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” (H. Merskey and N. Bogduk 1994). Pain however is much broader and can be further classified by its duration or pathophysiology. Most commonly pain can be classified as acute or chronic. Acute pain is a essential warning sign that helps the host protect itself from a potentially dangerous environment. The unset of acute pain is sudden and it usually accompanied by tissue damage and inflammation. The duration of acute pain is anything that last less than 3 months and subsides when the injury is healed.
...actually needs help. However, I have to respect his decision, in order to provide client-centred care. “Respect for life means that human life is precious and needs to be respected, protected and treated with consideration” (College of Nurses of Ontario, 2009c, p. 8). Sometimes offering medication may not necessary be the first and best solution for the situation. We as a registered nurse, have the responsibility to offer the client health teaching such as pain control instead of giving him medication right away. This prevents the client developing a certain medication addiction and helps to establish a therapeutic nurse-client relationship by providing supports and cares without the use of medication. Therefore, this experience from mental health clinical practicum had helped me to improve nursing practice of delivering high quality health care to my clients.