Introduction
Anxiety is the most common concern for patients undergoing cardiovascular surgery everyday in the United Sates. Nurses have issues pertaining to the postoperative care of cardiac surgery patients. Nursing has a very extensive meaning, from promoting good health in society to preventing the occurrence of ill health. Also, nurses provide advice and emotional support to patient family members. Being a nurse with the post-cardiac surgery patient requires special training. There are many means of patient care. I will investigate pain management of postoperative care for cardiovascular surgery patients.
One of the most common conditions for patients undergoing cardiovascular surgery is anxiety. According to Twiss, Seaver, and McCaffrey (2006) Patients begin to experience anxiety when they decide to undergo cardiovascular surgery and may continue to be anxious for up to three months after surgery (p. 224). The patient might be concerned about having a stroke or incidence of neurological damage. The problem of being anxious is that it may affect surgical outcomes. Cardiovascular surgery mortality rates have been lowered. We need to produce proper methods to help decrease anxiety, lower the effects of external stimuli, and an environment that will help the patient heal. Patients need to rate their overall hospital experience high and write positive comments regarding pain management.
Another concern for patients undergoing cardiovascular surgery is pain. Pain is unpleasant to patients because it will make them feel low of confidence and will most likely have some possible tissue damage. Following cardiac surgery, patients start to experience pain. Pain levels are usually severe and untreated. Pain will make the patient ha...
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... According to Evans (1997) as cited by Nilsson (2009), “It has been noticed that administrative of oxytocin decreases anger, fatigue, anxiety and pain and that there is a connection between physiology (pain) and behavioral (anxiousness) interpreted as low levels of oxytocin (p.2159).
My predictions for patients who did massage therapy are that their anxiety levels decrease compared to the group that did not. “Since massage therapy helps relief tight muscle and pain, and then it will give us physical relaxation.” The main point of a massage is that it relaxes our muscle tissue. Also, massage will lower our heart rate since our body goes into the parasympathetic division, the relaxed state, while releasing our sympathetic division, the stressful state. This way it will help nourish our cells when enhancing our circulation which will help with our waste elimination.
Anesthesia, “We take it for granted that we can sleep through operations without feeling any pain. But until about 150 years ago, the operating room was a virtual torture chamber because surgeons had no way to prevent the pain caused by their healing knives.”
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]
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
Coronary artery bypass graft surgery is a procedure that can be life-saving for patients with heart disease, but it also carries risks after the procedure that can impact patient outcomes negatively. Because over 395,000 Americans have CABG surgery each year, and the risk-adjusted mortality rate for patients is 2%, according to Centers for Disease Control (CDC) statistics, health care professionals must find ways of reducing risks and complications to improve the outcomes for many patients (Ferguson, 2012). Heart disease is often comorbid with other conditions, like lung disease, peripheral arterial disease, hypertension, and diabetes, which can raise the risk of complications (Ferguson, 2012; Nejati-Namin, Ataie-Jafari, Amirkalali, Hosseini, Sheik Hathollahi, & Najafi, 2013). Complications that can arise following surgery include atrial fibrillation, prolonged inflammatory reactions, a build up of fluid near the heart, accelerated atherosclerosis, and nearby vein or artery blockage (Gokalp, Ilhan, Gurbuz, Cetin, Kocaman, Erdogan, & … Satiroglu, 2013; Ferguson, 2012; Scheiber-Camoretti, Mehrotra, Ling, Raman, Beshai, & Bowman, 2013; Sicaja, Starcevic, Sebetic, Raguz, & Vuksanovic, 2013). These complications can lead to increased lengths of stay, increased readmission rates, risk of further complications, failure of the bypass graft, cognitive dysfunction and memory loss, patient suffering, and even death (Ferguson, 2012; Gokalp et al., 2013; Sicaja et al., 2013). In turn, nurses, other care providers, and institutions may face negative consequences themselves, including a risk of lawsuits, increased employee workload, higher per-patient costs, reduced or withheld private insurance, Medicaid, and Medicare reimbursements, auditing...
Touch is as essential to a healthy and happy life as eating right, getting proper sleep, and exercising. With the world growing more technological, the need for healthy human contact is more important than ever. Massage and body therapies are an age old healing refuge for us in this fast-paced, stressed-out world. The practice of massage therapy is rapidly growing in the United States. It has so much to offer and is becoming more widely accepted by doctors and the general public. Massage is touching another person by such movements as rubbing, kneading, pressing, rolling, slapping, and tapping. This type of therapy provides circulation of the blood and lymph, relaxation of muscles, relief from pain, restoration of metabolic balance, and many other benefits both physical and mental. There is much historical evidence to indicate that massage is one of the earliest remedies for pain relief and for the restoration of a healthy body. It is said to be the most natural and instinctive means of relieving pain and discomfort. Massage has proven to be an effective method for treating many conditions for thousands of years and it will continue to be used for thousands of years to come. Massage therapy is a great treatment for the body and soul.
Although the comorbidities and type of surgery dictate certain decisions in managing patient care, anesthesiologists maintain various modalities for the perioperative period. These consist of anything from local to regional anesthesia, including neuraxial techniques and peripheral nerve blocks, as well as monitored anesthesia care with sedation to general anesthesia. Overlapping of different anesthetic types and combinations of regional analgesics to supplement general anesthesia occur frequently.
Preoperative concerns are primarily focused around the specific medical conditions of each patient. As anesthesia is intricately tailored to patient specific requirements, it is of central importance that all factors are taken into consideration before surgery. This is especially true for the obese, who are likely to suffer from comorbidities (having more than one disease). Metabolic syndrome, a collective set of ...
Anesthesia has been used throughout medical history; the purpose of anesthesia is to prevent pain during surgery or any other medical procedure. Claudia M. Caruana (2010) mentions that anesthesia works by blocking nerve signals from going to the brain to allow the body to respond to and try to stop the pain (p. 8). Anesthesia has many different uses for many different types of surgeries from using very powerful sedatives for intensive surgeries to using very light sedatives like nitrous oxide to relieve the pain. All of the drugs in the anesthesiologist’s arsenal have different uses for different occasions which can be a benefit and can also be a defect.
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
Lindley, P., Pestano, C. R., & Gargiulo, K. (2009). Comparison of postoperative pain management using two patient-controlled analgesia methods: Nursing perspective. Journal of Advanced Nursing, 65(7), 1370-1380. doi: 10.1111/j.1365-2648.2009.04991.x
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
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.
...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.
On the day of surgery previous education should be reinforced and more education should be given. The patient will need to be education on the procedure and phases of surgery, the roles of the patient, skill training, expectations, anaesthesia recovery and post-operative care; making sure the patient fully understands the entire procedure and what to expect therefore lowering their anxiety. (Gaikwad, 2013)