In order to minimize the pain, the patients are administered opioids and analgesics, which are accompanied with general side effects such as nausea, sedation, respiratory recession etc. (Brennan, 2011). Pain management requires more than simple treatment of the tissue injury. The management strategy for pain costs and burdens the postoperative care, as there is a lack of knowledge and resources for treating pain (Harsoor, 2011). It has known to be associated with poor wound healing and demoralization of the patient, leading to slow recovery and increased care costs (Woldehaimanot, Eshetie, & Kerie, 2014).
Psychological Assessment and Management of Chronic pain Evaluating a chronic pain condition from a biological perspective is limiting, and often fails to fully explain the patient’s symptoms. In contrast to the biomedical model, which explains pain purely in terms of pathophysiology, the biopsychosocial model views pain, suffering and disability, as the result of dynamic interactions among biological, psychological, behavioral, social, cultural and environmental factors. Consequently, assessment requires not only the examination of the biological dimension, but of the psychological and social dimensions as well. A patient’s experience of pain and response to any treatment for pain are affected not only by biologically determined nociceptive (nervous system transmission) processes, but also by psychological factors such as mood (for example, depression, anxiety) and appraisals (thoughts and beliefs about the pain), as well as by psychosocial factors such as the responses of others (for example, family, friends,
Acute pain can be described as being mild to severe and can last for weeks and up to six months. This type of pain stops when the actual cause of the pain has been treated properly or alleviated. According to the National Center for Health Statistics (2006) “approximately 76.2 million, one in every four Americans, have suffered from pain that lasts longer than twenty-four hours and millions more suffer from acute pain.” An important aspect of patient care is pain control which can be accomplished by a multimodal approach. This narrative will review the best practice and guideline of multimodal techniques for the management of acute pain.
Some patients prefer not to take pain medication because they fear addiction or may have a history of substance abuse. Educating the patients on their right to be free of pain and having their pain managed aggressively is a priority in the recovery phase. The goals that I hope to achieve during this clinical practicum
Physical pain according to Elaine Scarry is an “absolute slip between one’s sense of one’s reality and the reality of other people.” (4 Scarry) One of the things that I learned this semester after taking the Body in Pain class and having the opportunity of attending House of Loreto Nursing Home is how physical pain can be as painful as mental pain. In many cases, physical pain has no voice. As the audience, we are incapable of feeling and understanding how much pain they are experiencing. In the essay “Body In pain”, Scarry writes about the difficulty of expressing pain and how “Physical pain has no voice but when it finds a voice, it begins to tell a story.” (3 Scarry) After visiting my resident and learning about her constant battle between
Psychology truly is everywhere. “The Pain Medication Conundrum” is a news story that was published on August 13, 2015 in the New York Times written by Danielle Ofri. The news story discusses the confusing and difficult problem that the prescribing of pain medication has caused. In summary, the news story explains a situation where an old man, in his mid-60s, entered his primary doctor’s office asking for a prescription of oxycodone for pain because the clinic where he used to get it from closed. In the six months that the doctor had been seeing him, he was unaware that his patient was taking narcotic pain medication. His patient claimed that oxycodone had been the only thing that worked consistently for him and that physical therapy was unsuccessful.
Sam Quinones’ Dreamland is a commentary about the opioid problem in America. Quinones draws attention to how in the twentieth century opioids were seen as addictive: “[D]octers treating the terminally ill faced attitudes that seemed medieval when it came to opiates” (184). In the 1970s, Purdue Pharma stated that opioids such as morphine were not addictive substances. After this study was released, many doctors began to view opioids as a viable option for pain relief. Throughout the rest of the book, Quinones explains the shift from doctors never prescribing opiates to prescription opiates being used to treat any sort of pain: chronic back pain, arthritis, severe headaches, etc.
“Pain” by Diane Ackerman is a story about pain. The author describes how people can withstand pain, and how difficult it is to define pain “which may be sharp, dull, shooting, throbbing, imaginary” (301). Culture and tradition are very important on people lives. Therefore, many of them do incredible things, in Istanbul for example “teenage boys dressed in shiny silk fezzes and silk suits decorated with glitter” (300), or in Bali people “go into trances and pick up red-hot cannonballs from an open fire, than carry them down the road” (298). This is just couple examples of controlling our body.
In this crosspost, the author will elaborate on the original threaded discussion by Ellerbee Mburu, Vail, and Barlow and add additional information on pain assessment and management. Healthcare providers are the major group of healthcare professional who perform crucial functions in delivering and providing nursing care to inpatient and outpatients. As mentioned in the threaded discussion by Ellerbee, Mburu, Vail, and Barlow, undertreated pain causes unnecessary distress and negatively affects the quality of life. In additional to the original threaded discussion, pain is a factor that is thought of differently by many. It has been added as the fifth vital sign and is considered to be subjective.
The purpose of my paper is to discuss the history of Congenital Analgesia and its presence in the human body. Congenital Analgesia, also referred to as Congenital Insensitivity to Pain or CIP, is a rare neurological disorder of the nervous system that prevents a person from being able to feel pain. Congenital Analgesia results from the “lack of ion channels that transport sodium across sensory nerves. Without these channels, nerve cells are unable to communicate pain” (Hamzelou, 2015, p. 1). While the body does not respond to extreme changes in temperature or bodily harm and damage, those with Congenital Analgesia can still process normal sensations such as body-to-body contact or joint movement.
Supporters claim that physical pain should be an individual right. They believe that there should be no law that prohibits someone to suffer (Hook, 1989 p. 245). Olvera supports the idea expressing that PAS should be a legal alternative when there is no other form of pain relief (Olvera, 2015). However, Wagner states that there is anther alternative to stop pain and suffering such as training doctors to give more pain relief and anesthesia to patients. Even though some people may fear becoming addicts to theses medications (Wagner, 1998 p. 246).
Considerable evidence demonstrates substantial ethnic disparities in the prevalence treatment progression and outcome of pain-related conditions. Elucidation of the mechanism underlying these group differences is of crucial importance in reducing and eliminating disparities in these pain experience. Over recent years, accumulating evidence has identified a variety of processes, from neurophysiological factors to structural elements of Healthcare system. That may contribute to shaping individual difference in pain. For example, the experience of pain differentially activate stress- related physiological response across various ethnic groups appear to use differing coping strategies in managing pain complaints treatment decision vary as a function
I have always heard the phrase that as one journey ends another one begins, but I never truly understood how accurate this phrase could be for me. The efforts to discover what was causing my pain was an ironically distressing journey of confusion, bafflement, and disappointment up until this appointment. I will forever remember WellSpan Orthopedics because it provided a reason for my hip pain that was just dismissed by others, but opened up a whole new realm of discovery about my health. On December 11, 2015, as I entered the doctor’s office, I was a ball of nerves.
His New York psychiatric office treats hundreds of patients each year, each suffering from some type of chronic pain. Even though thousands of patients have suffered with chronic pain for generations, and the medical community has legitimized the illness as real, a stigma remains. There are some who feel that the pain is merely in their minds, that they are making it up or imagining. Medical science disputes that claim, however, that type of backward thinking causes more grief for the sufferers. It is because of this that many chronic pain sufferers are hesitant to seek pain management help from a psychiatric