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Recommended: Pain Concept
Pain management is recognized as an essential aspect of patient care by The Joint Commission and the World Health Organization along with other national professional organizations and health agencies.
The International Association for the Study of Pain (IASP) has the best known and accepted pain definition: Pain is an unpleasant sensory and emotional/affective and cognitive experience that is associated with actual or potential tissue damage or is described in terms of such damage [1]. Pain is always a personal, subjective, unique [2], and multidimensional experience and is affected by the patient’s gender [3], age, culture, previous pain experiences, and emotional factors, such as joy, grief, fear, excitement, and the patient’s beliefs and
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When patients are admitted to the hospital, shift assessments are completed by the nurse. These assessments include a patient’s complaint of pain. The patient is asked to rate their pain on a scale of 0-10 (0 = no pain and 10 = extreme pain). If the patient has a pain scale of 3-5, the nurse is to offer a PRN PO medication and then follow up within an hour to reassess the patient’s perception of the pain. If the patient has a pain scale of 6-10, the nurse is to offer IV PRN pain medications, and again to reassess pain within the hour (pain reassessments often get missed). Nurses then administer the medication as ordered, record the time administered and write the next time due on the dry erase board in the patient’s room. A standard IV PRN order for patients admitted to the hospital is Morphine 2-4 mg IVP q 4hrs. PRN pain, or Dilaudid 0.5-1 mg IVP q 4hrs PRN pain. The standard practice is to start with the lowest dose which may be repeated in 30 minutes if the patient continues to have a pain scale of 6-10. If the max. dose is reached, nurses are to report this to the doctor. The doctor will either increase the dose or increase the frequency, occasionally they will do both. With …show more content…
Use of the PCA pump is commonly seen in post-operative patients and patients in later stages of cancer. Patients have been found to prefer PCA because it allows them to self-administer their analgesia (Chumbley 2010). However, there are not very many articles written about patients admitted with abdominal pain, cellulitis or chronic pain issues such as chronic back pain, which seems to be of the most common complaints from inpatients. In the article, Efficacy of Patient-controlled Analgesia for Patients with Acute Abdominal Pain in the Emergency Department: A Randomized Trial, assesses the efficacy of PCAs for patients with acute abdominal pain verses patients dosed by a physician and then administered per the nurse. The study does not find any significant difference in pain relief or patient satisfaction, however it does state that the study does provide support for the use in the Emergency Department and there are need for further
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. ...
Pain is something that several Americans suffer from on a daily basis for varying reasons.
The range of medications from anti-inflammatory to opioids is extreme, and have different effects on the human body. Medical professionals have to make the decision whether to give a patient a lower grade pain management drug or a higher grade drug, and they are the ones who have to determine how much pain the patient truly is in when most of a patient 's pain in unseen to the physical eye. “Pain as a presenting complaint accounts for up to 70% of emergency department visits, making it the most common reason to seek health care. Often, it is the only reason patients seek care,” and with this knowledge health care professional need to treat each patient equally in the sense that they are the emergency room or a physician 's office for a reason, and that reason is to relieve the pain they are in (American College of Emergency Physicians Online). The article from the American College of Emergency Physicians continues on to say that, “it is the duty of health care providers to relieve pain and suffering. Therefore, all physicians must overcome their personal barriers to proper analgesic administration,” this is in regards to medical professional who are bias toward specific patients, such as “frequent flyers” or even patients of certain class standing; no matter what their patient may look like or be like they must be treated equally and
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.
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
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...
The student states to the nurse educator, “Outcomes for this patient will be pain control as evidenced by report of pain relief, blood pressure decrease, and comfort and positioning techniques that will alleviate pain.”
on Pain Care will evaluate the adequacy of pain assessment, treatment, and management; identify and
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...
Pain, which is defined in its widest sense as an emotion which is the opposite of pleasure (White, 2004, p.455), is one of the major symptoms of cancer, affecting a majority of sufferers at some point during their condition (De Conno & Caraceni, 1996, p.8). The World Health Organization (WHO, 2009, online) suggests that relief from pain may be achieved in more than 90 percent of patients; however, Fitzgibbon and Loeser (2010, p.190) stress that pain may often be undertreated, even in the UK. Foley and Abernathy (2008, p.2759) identify numerous barriers to effective pain management, among which are professional barriers such as inadequate knowledge of pain mechanisms, assessment and management strategies.
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.
According to the given information, John is suffering from significant ongoing pain for years and the pain is suddenly increasing. By undertaking pain assessment, the nurse could know the detail about John’s pain as in its intensity, location, onset, duration, variation and quality (Tollefson, 2012). Australian Centre for Evidence Based Aged Care (2012) suggests that untreated pain may cause by the health professional’s inadequate knowledge and lack of effective pain assessment. However, the possible consequence of untreated pain includes physical and psychosocial dysfunction (ACEBAC, 2012). 'Assessment is the first stage in the nursing process and must be the first stage in pain management (Mitchell, 2011, para.13) '. Therefore, a comprehensive pain assessment is critical for the nurse to identify the severity of John’s
...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.
Pain is a deep feeling of sorrow. Physical pain, for example, is not the deeper, more insightful view of pain, emotional is.
Pain. Pain means physical suffering or discomfort caused by illness or injury. A word that can describe many, pain holds dark memories to those who felt it. Can people feel others pain? Can they describe what they are feeling? The world is different and more developed than 100 years ago, but the suffering remains in most places. Pain is everywhere, but many don’t notice what's happening around the world, and some just shrug it off as if it doesn’t matter. The news shows people suffering and everybody sees their pleading eyes asking for help but nobody blinks an eye at it. Every day thousands of lives are in the pit of despair, and they lack the courage to run away. Their hopes and dreams become shattered every second. They want to give up because