Nothing in life worth doing is easy. In America, an average eighteen year old has been in school for twelve years. Twelve long years of being forced to sit in a desk in a dimly lit room for seven hours a day. Some students take their chances and quit immediately after high school. Entering an unforgiving world and making their own luck. Some students go to a four year university. They spend four years in challenging academic environment, learning an advanced set of skills for their chosen profession. And still, some students go beyond that. Entering a masters, PhD, or medical program. Medical school is often spoken of reverently, or cursed. It’s a symbol of pride for those that survive the grueling four years. Or a great regret for those whose …show more content…
Adams noticed, “approximately 80% of my patients had some type of pain issue, either acute or chronic, whether that was their chief complaint or not.” This drove Dr. Adams to treat pain in a more comprehensive way. While he had done rotations at an interventional pain management practice as well as going to an interventional pain management conference during his residency, Dr. Adams saw no way of pursuing interventional pain management as a specialty without dissolving the practice he had already established. However, during a medical conference in 2002 Dr. Adams met and talked to an interventional pain specialist who already set up multiple private successful fellowships for training interventional pain specialists. Over the next year, Dr. Adams and the pain specialist formulated a custom curriculum for a private pain management fellowship that he would be able to attend without dissolving his family practice. After a lengthy process and sever modifications the curriculum was approved by the American Board of Family Medicine and the American Board of Physical Medicine and Rehabilitation. Dr. Adams began the fellowship in Birmingham Alabama and finished one year later in August …show more content…
Adams realized that attempting to practice interventional pain management as well as working in the family practice, hospice, and nursing home was practically impossible. After six months of grueling hours Dr. Adams decided to shift his full attention to interventional pain management. In 2005 he began discussions with Jackson Neurosurgery Clinic in Mississippi. They quickly decided it would be a good fit for everyone involved and after receiving several necessary credentials from the necessary insurance providers, and helping his family practice patients find another primary care physician, Dr. Adams started his full-time interventional pain management practice in October 2005. His new practice of pain management was significantly more focused than family medicine. The volume of patients greatly decreased as well as becoming a narrow, highly specialized, treatments. “The practice is focused, organized, and we have a very motivated and helpful team that is able to give exceptional quality of care to our patients while still maintain an enjoyable, positive, work
Afterwards I had done number of pain assessments on residents to analyse the effectiveness of their ongoing pain management program.
The practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse. Some of the benefits of PCA include improved pain management, improved use of nursing resources, increased patient satisfaction, and reduced pulmonary issues (Hicks, Sikirica, Nelson, Schein & Cousins, 2008). Some of the safety issues surrounding PCA use include infusion pump programing errors, basal infusion dosing, and proxy errors when using PCA by proxy (Ladak, Chan, Easty, & Chagpar, 2007). Therefore, the purpose of this report is to examine the benefits and risks of patient-controlled analgesia and how it relates to nursing practice.
Lucy’s biological, psychological and social factors must all be individually addressed in order to manage her condition effectively and personally. By getting involved in a pain management programme with support and guidance from her primary physician and other multi-disciplinary team members, Lucy can be signposted towards other strategies that may complement the ones she is already using to manage her chronic pain. This proactive management would enable Lucy to learn to manage her own long term condition but with support, guidance and direction from her team of health care professionals, allowing her to take an active role in her pain management.
Phillips, C. (2009). The Cost and Burden of Chronic Pain. British Journal of Pain, 3(1),
Winfield, H., Katsikitis, M., Hart, L. and Rounsefell, B. (1989). Postoperative pain experiences: Relevant patient and staff attitudes. [online] 34(5): pp.543-552. Available at: http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T8V-45WYV7R-7G&_user=10&_coverDate=12%2F31%2F1990&_rdoc=1&_fmt=high&_orig=gateway&_origin=gateway&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=35e6b5e8c8f803b487b35d4ae3b06cef&searchtype=a[ [accessed 8/5/2013]
on Pain Care will evaluate the adequacy of pain assessment, treatment, and management; identify and
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
I know that I possess the background, ability, and motivation to make a significant contribution to oncology and advanced pain management. I look forward to building a substantial educational foundation which I hope to constantly improve upon by staying abreast of any advances in the field of TCM. I believe that Bastyr University will provide me the academic community and rigor to more develop my aptitude for advance research. I hope you will make a favorable decision regarding my admission to the Doctoral program and I look forward to joining Bastyr University.
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...
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
doctor in this article believes that if you change one's attitude towards pain it can decrease the
My perseverance has prepared me for a career in medicine. The path towards becoming a physician can be long and challenging, necessitating the ability to endure. My ability to bounce back from setbacks and mistakes has solidified throughout my journey. One of the cornerstone experiences of my personal development occurred during high school. My determination led to me my graduating as valedictorian of my class, while balancing three varsity sports and several extracurricular activities. In addition, I worked on weekends to help support my family financially. This persistence resulted in scholarship awards that made higher education a possibility.
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
Jackson, M.A. & Simpson, K. H. (2006). Chronic Back Pain. Continuing Education in Anaethesia, Critical Care and Pain, 6(4), 152-155. http://dx.doi: 10.1093/bjaceaccp/mkl029
The National Health and Medical Research Council (NHMRC) 1999, Acute Pain Management: Scientific Evidence, viewed 14th April 2011,