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
The events that happen prior to concept taking place are known as antecedents (Walker & Avant, 1995). In the concept of pain, three main actions happen for pain to occur. First, an internal or external noxious stimuli is received. This stimuli travels to the brain through the peripheral nerve system (Brunner, et al., 2010, p. 234). Second, the individual must become aware of the stimuli. Lastly, the stimuli must be perceived as painful.
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.
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
It is difficult for a medical professional to physically see a patient 's pain unless the source is on the exterior of their bodies. According to the American College of Emergency Physicians, “Some health personnel mistakenly believe that appearance, vital signs, and the ability to sleep correlate with the presence or absence of pain. Appearance, nonetheless, is a poor predictor of pain intensity, particularly in those with chronic pain.” Doctor’s and nurses alike must put aside their bias’, predisposed beliefs, along with judgements to treat a patient experiencing pain fairly. It is a medical professional 's duty to assess and treat each patient to their fullest ability in addition to prescribing the correct medication free from bias and stereotypes. If Medical professionals have difficulty in assessing pain along with fairly prescribing medication on a case-by-case basis, then there needs to be a movement in the medical world for better teaching on this
Mr. McDonald has started to treat with a Chiropractor. He reports that has helped with his low back pain. He said the Chiropractor doesn’t want him to start working with a personal trainer until he has finished with his physical therapy and acupuncture. The acupuncture has just started and he reports feeling relief just after one session. It took several calls to Dr. Shah’s office to obtain all of the orders he wanted for Mr. McDonald to have.
Pain is considered a highly subjective assessment that should be managed promptly and appropriately. Pain assessment and management can be quite challenging. It is extremely important for nurses to develop a good rapport with the patient initially to gain their trust that he or she will respond to the needs of their pain. It is also important that the nurse believe that the patients who report pain as well as those who deny it or can not verbal express that they are in pain. A nurse that suspects pain should explore the suspected pain such as painful procedures or disorders.
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
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.
Stomberg, M., Sjöström, B., & Haljamäe, H. (2003). The Role of the Nurse Anesthetist in the Planning of Postoperative Pain Management. AANA Journal, 71(3), 197.
doctor in this article believes that if you change one's attitude towards pain it can decrease the
The unique and underlying traits of every patient provides a gateway to potential treatment options and disease identification. Understanding every aspect of someone you are treating goes beyond the illness or injury, it involves the mind, body, and spirit. In osteopathic medicine, this principle is not only upheld, but implemented to the highest standard for every patient treated. Utilizing this method, and striving to pursue primary care solidified my choice to become an osteopathic physician.
Marion Good, PhD, RN, has focused her study, “A Middle-Range Theory of Acute pain Management: Use in Research,” on complementary medicine for pain and stress, acute pain, and stress immunity. The purpose of this theory is to put into practice guidelines for pain management. Good, 1998, noted the need for a balance between medication usage and side effects of pain medications. The theory also promoted patient education related to pain management following surgery and encouraged plan development for acceptable levels of pain management. This theory was developed through deductive reasoning. Chinn & Kramer, 2008, defined deductive reasoning as going from a general concept to a more specific concept. Good, 1998, related that there was a balance between analgesia and side effects in which two outcomes can be deduced: (1) a decrease in pain, and (2) a decrease in side effects. These outcomes can be studied further or more detailed concepts can be deduced from them.
It seems as though the majority of college students these days aren’t looking to further their education because it’s what they really want, they do it to please their parents, to be accepted by society, or because there’s nothing else for them to do (Bird, 372). These expectations have led to students being unhappy and stressed, and have pushed them into a school or a job that they don’t particularly care for.
As I entered high school the pressure to succeed and live up to my parent’s expectations increased. I joined clubs that my parents approved of, I took classes that would look good on my transcript, and I studied 24/7 to keep a good GPA. Seeing the people around me happy and proud of me was a good feeling. I stayed up all night just so I could study and get good grades that would make my family and teachers proud. Junior year I never got more than four hours of sleep a night. I was a zombie just going through the motions of life. As I began to look for colleges, the pressure to be #1 grew. My parents took me on countless college tours, thirty seven to be exact, in order to find the “right school for me.” My parents drove me around the country visiting tons of top engineering schools. Occasionally we would visit schools I wanted to visit. But every visit went the same. If my parents chose the school they smiled the whole tour and spent the car ride home talking about how great it was. If it was a school I chose