According to Tanabe and Buschmann (1999), pain is one of “the most common complaints in the emergency department.” The reasons for patients coming to the emergency department are very atypical, the goal no matter what the complaint is, is to be help as quickly as possible and to decrease the amount of discomfort as soon as possible. Recent publications have shown that 70% of patients with acute painful conditions do not receive any pain medications in the emergency department (Tanabe & Buschmann, 1999). These are disappointing results and are important in terms of patient suffering and quality of life. It is obvious that pain management is less than optimal, indicating that there remains significant room for improvement.
In an article published in the Annuals of Emergency Medicine, researchers Rupp and Delaney (2004) found that a review of emergency department pain management practices “demonstrates pain treatment inconsistency and inadequacy that extends across all demographic groups.” The inconsistency and inadequacy comes from a abundance of potential barriers that include; inadequate pain education in assessment and management, lack of communication among providers, attitudes about pain and pain medication, the subjectiveness of pain and a lack of pain management awareness.
In the book Pain: Causes and Management, the author’s state that “pain is a universal experience that can span an enormous spectrum of intensity from mild discomfort to excruciating agony.” Pain can represent a variation of feelings and emotions and is considered a physical sense associated with some kind of tissue damage or disease. It is self-determining and distinctive to each individual. It is important for emergency room providers to remember that ...
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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
Tadić, A., Wagner, S., Hoch, J., Başkaya, Ö., von Cube, R., Skaletz, C., ... & Dahmen, N. (2009).
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.
Zhang, Y. B., Harwood, J., Williams, A., Ylänne-McEwen, V., Wadleigh, P. M., & Thimm, C.
Nurses assess patients’ perineal swelling, lacerations, and monitor signs of infection. In conjunction, nurses also assess patient’s pain levels from perineal trauma and can provide pharmacologic and non-pharmacologic pain relief (Steen et al., 2007). Based on the centrality of their role, it is important that nurses have access to evidence based best practices on perineal pain management. Yet, nursing does not exist in a vacuum and there are many factors that may influence the translation of research evidence into a clinical setting. As stated by the Canadian Nursing Association, “Decision-making in nursing practice is influenced by evidence and also by individual values, client choice, theories, clinical judgment, ethics, legislation, regulation, health-care resources and practice environments” (CAN, 2010, p. 3). With this at the forefront, I will explore some of the organizational challenges to implementing Steen et al.,(2007) findings, such as, cost effectiveness, practice environment, standardization and time constraints. I will then explore the application of the evidence to my clinical example by addressing how Steen et al., (2007) evidence might have changed the care I provided to my
on Pain Care will evaluate the adequacy of pain assessment, treatment, and management; identify and
In the medical profession, personnel are asked to make judgments or draw conclusions based on measureable results. Physical assessments, vitals, CT scan, MRI, biopsy are all activities engaged in to prove abnormalities and make decisions as to the way forward. So having hunches are not considered reliable and rightly so. To decide to give a particular medication because of a mere hunch can lead to serious errors. However, pain which is now considered a part of the vital signs is based on the patients’ philosophy or view point and we (nurses) are told not to ignore but respond. This is highly subjective. It’s viewed how the patient sees it and not as tangible or measurable as the other ways of proving when something is abnormal. The situation to be presented will disclose a patient’s ordeal due to a nurse’s approach to or understanding of pain management. It will also assess whether the nurse responded in accordance to protocol.
Tackett, J. L., Lahey, B. B., van Hulle, C., Waldman, I., Krueger, R. F., & Rathouz, P. J. (2013).
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...
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.
The major concepts deduced from the hypothesis fall under three categories: (1) multimodal intervention, (2) attentive care, and (3) patient participation. Multimodal intervention includes the concepts of potent pain medication, pharmacological adjuvants, and non-pharmacological adjuvants. Attentive care relates to the assessment of pain and side effects and intervention along with reassessments. Patient participation includes goal setting and patient education. The resulting outcome of these three categories working together is the balance between analgesia and side effects.
and nurses have a moral obligation to advocate on behalf of the patient when prescribed medication is insufficiently managing pain
Tamborini, Ron ; Eastin, Matthew S. ; Skalski, Paul ; Lachlan, Kenneth ; Fediuk, Thomas A. ;
Barker, V., Giles, H., Hajek, C., Ota, H., Noels, K., Lim, T-S., & Somera, L. (2008).