Discussion
Pain is a prevalent symptom among patients in general and in cancer patients. The treatment and control of pain have been through the years one of the most significant concerns of health workers and a constant inspiration for the scientific community in the search for the ideal drug to treat pain with the least possible amount of adverse reactions.
The implementation of pain management based on the best available evidence implies the comprehensive assessment of pain with a reliable and valid assessment instrument, the application of pharmacological and non-pharmacological interventions based on the findings of the evaluation, the frequent re-evaluation of pain to know the level of response to treatment (Samuels, 2010). Although
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This trend dramatically impacts the quality of patient care given (Wandner et al. 2013). The factors that are attributed to the low acceptance of evidence-based pain management interventions include the invincibility or reluctance to change by the primary caregivers. Additionally, organizational or personal concerns may deter the primary caregivers from incorporating evidence-based pain management interventions (Rogal et al. 2013). Therefore, this is a problematic aspect where researchers must evaluate, and generate possible solutions to the problem associated with lack of acceptance or adherence to implementing evidence-based strategies in medical practice. Besides, it is crucial that organizations or different socio-economic strata evaluate reasons for not implementing evidence-based guidelines and develop effective strategies to achieve the set guidelines. Personal commitment and the commitment of the organizations is key in emphasizing the necessity for performing evidence-based practice (Rogal et al. 2013). High-quality studies that are well designed and equally controlled can be conducted that emphasis on the management of pain for both cancer and non-cancer
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. ...
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
department: Are we ever going to get better? Journal of Pain Research, 2, 5-10. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3004630/
Effective treatment of cancer pain is essential for ensuring the best outcomes for cancer patients, in terms of physical, psychological and social aspects. Although there are no NICE guidelines for management of cancer pain, WHO guidance should be used to inform clinical practice. Careful assessment is a critical element of the process to ensure that patients are offered the treatment which is likely to offer the best outcomes, yet without providing a greater than necessary risk of complications such as tolerance and addiction to opioids. The main outcome that this paper highlights is that “Pain is what the patient says it is and exists when he says it does” (McCaffery 1983
2015). To increase the pain management for patients, solutions were raised on how to do so by providing nurses and other health professionals with more education around assessments and interventions that are appropriate, also the care for the patient needs to be more patient-centred and less generalised, and lastly an update or change in current protocols and policies regarding pain
The purpose of this paper is to successfully define the concept of pain management. This paper will study the structure and role of this concept. Through this study, the concepts defining attributes will be discussed along with antecedents, consequences, literature review of the concept and its conceptual definition. By clarifying the definition of pain management through concept analysis one will be able to read the definition within a theory and understand when the concept is being used. The concept
Pain is a universal experience and everyone can agree that they have experienced in their lifetime. It could be acute pain which is stingy pain that is short lived which is related to tissue damage or chronic pain which can be long lasting. To identify the development of chronic pain we use the biopsychosocial model of pain, to help with psychological treatment in determining chronic pain using techniques and therapy. The article Psychological Treatment of Chronic pain written by Robert D. Kerns is on chronic pain management and in which it breaks down into categories showing a review of the psychological treatments for chronic pain, using self-regulatory approaches as well as behavioral, cognitive behavioral therapy, acceptance and commitment
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.
The National Health and Medical Research Council (NHMRC) 1999, Acute Pain Management: Scientific Evidence, viewed 14th April 2011,
...t by non-specialty providers. Pain management by oncologists was slightly more effective, but still managed the pain of only 55% of patients. By the Cancer Weekly editors from staff and other reports.
The researchers looked at the issue of postoperative pain assessment and management. With gathered information they have observed that more and more patients are leaving health facilities without their pain needs being met and has now become a common occurrence. They analyzed the barriers affecting healthcare professionals and how these barriers could lead to errors thus causing patients to experience postoperative pain.
One of the latest problems facing health personnel is that of severe and long-lasting pain which mostly affects the elderly in the developed nations across the world. These problems faced by medical professionals are quite specific and generally involve taking care of patients who are difficult to treat due to intense suffering from pain. Pain necessitating treatment ranges in cause from cancer, multiple-sclerosis, neuropathic, pancreatitis, pain from previous injury and many others. In most cases, these conditions are only mildly mitigated by conventional treatments that include opiates, non-opioid pain relievers, and antidepressants. External pain management (such as TENS units, ice, and heat) also fail to provide adequate relief. America
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
The purpose of this study was to “identify barriers to optimal pain management in LTC from a nursing perspective” (Egan & Cornally, 2013, p. 26). This study focused on caregiver, patient, and organisational-related barriers. Patient related barriers had the highest overall mean score, with the highest of 56% of respondents reporting that ‘difficulty assessing pain in older people due to problems with cognition (delirium, dementia)’ occurred ‘frequently’ ‘very frequently’ or ‘always’ interfering with pain management (Egan & Cornally, 2013). Another interesting fact taken from this article is that ‘antipsychotics are considered before pain medications in agitated patients’ was the variable that is perceived as interfering most often (Egan & Cornally, 2013) under ‘caregiver-related barriers.’ Additionally, it was noticed that pain management education significantly affects the way nurses’ perceive patient-related barriers. Nurses, who have education on pain management, have a higher perception of patient-related barriers (Egan & Cornally, 2013). Identifying and eliminating barriers to pain management in long-term care would allow healthcare workers to better address and relieve patient’s pain. If nurses were able to quickly identify pain, the major physical and psychosocial consequences of unresolved pain would be reduced, leading to an increase in quality of