According to Steen and Marchant (2007), 60-70% of women will require sutures after vaginal delivery. A common morbidity of lacerations in the perineum is acute pain (Steen et al., 2007). Indeed, many women who have had birth related lacerations have decreased mobility, difficulty sitting comfortably, or fear of defecation due to pain (Steen et al. 2007). Furthermore, this pain may impede a mother from breastfeeding, focusing on newborn care and can lead to increasing irritability (Steen et al., 2007).
Nurses have the opportunity to play a pivotal role in addressing perineal pain by assessing lacerations, assessing pain levels and providing pharmacological and non-pharmacological pain relief methods. The most common non-pharmacological interventions are localized cooling (ice packs, gel pads) and heat based interventions (dry heat, Sitz baths) (Steen et al., 2007). Despite the prevalence of these methods there is little evidence to support their effectiveness and safety in a practice environment (Steen et al., 2007). Rather, many of these interventions are based on ritual, rule of thumb and past clinical experience (Steen et al., 2007). In an attempt to investigate this knowledge to practice gap I will focus on one specific intervention, cryotherapy (ice therapy). First I will describe a clinical example of a woman who used cryotherapy for perineal pain. Second, I will present current evidence on this intervention. Last, I will explore how this evidence would have informed my actions in my clinical example as well as, some of the challenges to implementing this evidence in a practice setting.
Part One: Presentation of Patient
My patient was a healthy 28 year-old primiparous woman who had vaginally delivered a health ...
... middle of paper ...
...vidence based non-pharmacological pain relief methods such as localized cooling methods.
In conclusion, perineal pain is a common experience among women who have had a vaginal birth (Steen et al., 2007). Research by Steen and Marchant (2007) affirmed that cryotherapy is a safe and effective nursing intervention for treating perineal pain in women. When applying this evidence to practice there are a number of challenges of implementation, such as, the cost of the treatment, practice envrionment and lack of standardization. Moreover, the application of this evidence to a clinical setting should not supplant the clinical judgment of the nurse or the preference of the patient. Finally, before developing best practice guidelines in perineal pain care more exhaustive research needs to be conducted that addresses application time and use for women who have had epidurals.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- There are various strategies used within schools to tackle child abuse. In order to discuss the strategies fully there is a need to define what exactly is meant by child abuse. It is also necessary to be aware of what advice and guidance there is offered through Government documentation and circulars to schools on their role in preventing child abuse. Having put child abuse and the school's role into context, then the strategies used by the school as a whole and by the teacher within the classroom can be discussed.... [tags: School's Role in Preventing Child Abuse]
1747 words (5 pages)
- Since life is too complex to be classified into a single category, then why should a play imitating life be confined to a single genre. In the classic tale of two "star cross'd lovers", Romeo and Juliet, Shakespeare dabbles with both the comic and tragic genres (Prologue, Line 6). The play starts in the traditional comic form but undergoes a transformation in Act III, Scene I. In this scene, the death of Mercutio, and consequential death of Tybalt, transform the play into a tragedy. With each death comes a change that alters the course of the rest of the play.... [tags: European Literature]
1000 words (2.9 pages)
- Everyday, stepping into the world of literature we are constantly being manipulated to believe, feel and think differently. Our views being shaped in a the way composers wants us to view it. You don’t believe me. Well I believe that all representations of people and politics are acts of manipulation, it can be seen within the second tetralogy of the Shakespearean text “King Henry IV Part 1” and the RSC’s play within a play production. The very first scene of the play, the audience is introduced to King Henry speaking about how his son is rebellious and no good as the heir.... [tags: William Shakespeare, Henry V]
1622 words (4.6 pages)
- The “Drug War” along the border of Mexico and the United States is one of the longest coordinated engagements of law enforcement (who have accepted the aid of the Mexican military) in both countries’ history (Winslow, 2015). The history of this unofficial war is extraordinarily complicated; rife with both political and criminal players, violence, corruption, bad policy, and controversy. Its importance to America and Mexico cannot be underestimated, especially in its role in legislation, law enforcement techniques, and public opinion.... [tags: America's war on drugs]
2433 words (7 pages)
- Michaela (Mica) Martinez EDUC 165 Essay 2 On Discrimination in Schools and its Threat to Minority Students The social structures that are K-12 institutions play a pivotal role in the development of young people in America. Young students who are obligated to attend school arguably attain most of their understanding of the world within this system due to the influence of both their educators and their peers. Unfortunately, this influence has proven to be as bad as it has been good in many cases.... [tags: Education, School, Education in the United States]
1099 words (3.1 pages)
- As we know, gender is a classification acquire at birth. Then gender comes with a role in society, but some stereotypes are attributed to each gender. As for women, they still have to fight for themselves to occupy those “so called men positions”. One of these areas of struggle is politics. In the US, they had to fight for equal treatment in politics by winning the right to vote and seat and talk politics with men, but genders stereotypes about women running for politics still exist around the world.... [tags: Gender, Gender role, Transgender, Woman]
1163 words (3.3 pages)
- Play is a child’s work and play is important for the child’s development and for children to bond with their parents and caretakers. Playing with your child offers an opportunity to get to bond and create a strong relationship. As a parent, guardian or caretaker you have taken the role of being the child’s first teacher with much of the teaching happening through play. While playing with the child it teaches them rules and what is expected out of him or her. As they grow, play teaches the child how they are expected to act in society and at home.... [tags: Play, Learning, Play, Child]
1816 words (5.2 pages)
- RQ: Does the presence of gendered role-play during make-believe play predict career goals that match in expected gendered role. Participants: • The two groups would consist of about 30 boys and 30 girls ages 3-6, it would be preferred that the groups would be a mix of different ethnicities. • The purpose of this study is to find out if gender-role-play during make-believe play can help predict the future career goals of that particular gender within children. These different groups are important because it is important to see if there is a difference within sexes, ages, and ethnicities.... [tags: Gender, Gender role, Transgender, Gender identity]
915 words (2.6 pages)
- ... Likewise, the night before the 15th of March Calpurnia had a bad dream and lightning and thunder could be heard, which exemplifies a bad omen and many Romans believed this. Her dream was that the statue of Caesar had 100 sword holes in him and the Romans had come to bathe in the blood flowing from it. “She dreamt tonight she saw my status,/ Like a fountain with an hundred spouts,/ Did run pure blood; and lusty Romans/ Came smiling, and bathe their hands in it” (II.ii.76-79) Caesar told this to Decius when he came to pick up Caesar to go to the senate house on the 15th.... [tags: Shakespeare's plays, play analysis]
1131 words (3.2 pages)
- The Equal Employment Opportunity Commission (EEOC), under Title VII of the Civil Rights Act of 1964, defines sexual harassment as a behavior of a sexual nature that affects an individual’s terms of employment or creates a hostile and intimidating work environment. According to the EEOC, it is “unlawful to harass a person, an applicant, or employee because of that person’s sex.” (Sexual Harassment) The term “sexual harassment” can be a bit misleading as other forms of work related harassment can take place that have nothing to do with ‘sex’ but do however, fall under the same umbrella.... [tags: Equal Employment Opportunity Commission]
1477 words (4.2 pages)
- Vaccines Should Not Be Mandatory Vaccinations
- Saving Our Environment One Person At A Time
- Identifying The Problems Of Teaching Complex Literature
- Why Socrates Is Not Guilty Of Treason
- Assistive Technology And Eportfolios Can Create Opportunities For Students With Disabilities
- Plato 's Justifications For The Existence Of Forms