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. The journal article Practice Guidelines for Acute Pain Management in the Perioperative Setting published …show more content…
It is also important for the nurse to use evidence-based research, which this guideline does. Another nursing role would be to educate the patient about these techniques and its benefits. It would also be the responsibility of the nurse to document results in the patient chart. It is important for nurses to follow these things because it is part of the nursing process. The nursing process is important because it provides a framework for patient care and helps develop critical thinking and problem-solving skills. This process allows nurses to identify potential problems, develop solutions and evaluate results. Consequences, such as disciplinary action, could arise from not following the nursing process. This is expected from a professional nurse. “Pain affects more Americans than diabetes, heart disease and cancer combined” (NIH, 2013). Studies have shown that by using multimodal techniques for pain management, a patient can have better pain management. This guideline was made to try and assure better patient outcomes when it comes to acute pain management. A nurse plays an important role in using this guideline by using the nursing process to assure best patient outcomes for the management of acute pain. By implementing this guideline and best practice acute pain can be better managed with less opioid use and can create better pain
In the article, “Sometimes Pain Is a Puzzle That Can’t Be Solved”, Abigail Zuger, the author, describes her own experiences with pain along with some examples and generalizations about the feeling. She claims that she is “ruled by (her) elbow” and “it is (her) constant companion, whimpering, and tugging at (her) sleeve.” She goes on to say that many people have the same problems, especially when drugs, “like naproxen and ibuprofen” are unhelpful and “might as well be cornflakes.” Finally, she explains how far we have advanced in the medical field, but “ none of (the) knowledge has translated into new treatments,” to help people such as herself.
During this process it will be prudent to emphasize the important role continued professional development will play in the future of pain management. The revamping of standards is in line with other professions who are mandating increased performance evaluation of their health care professionals. In addressing the new standards for recertification of physician assistant’s the National Commission On Certification Of Physician Assistants (2014) state “These new requirements transition life-long learning from episodic learning to more of a continuous professional development approach where PA’s can seek and apply knowledge relevant to their practice. This will lead to improved patient care” (p. 1). Unlike the NBCRNA CPC process the American Academy
Informed consent is the process by which the treating health care provider discloses appropriate information to a competent patient so that the patient may make a voluntary choice to accept or refuse treatment. (Appelbaum, 2007)1 It originates from the legal and ethical right the patient has to direct what happens to her body and from the ethical duty of the physician to involve the patient in her health care. In order for the consent to be valid, the patient must be competent to take the particular decision; have received sufficient information to make a decision; and not be acting under stress.2,3 This may be an issue if consent is obtained upon the day of surgery. Most patients will have firmly decided to proceed for surgery. However,
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 present research tries to understand and explore postoperative pain management, impact, and implications it has on nursing practices. Introduction Ministry of Health and Social Welfare (2008) explains
While the women in the study often spoke about overcoming their situation, some of their behaviors did not show attributes of the concept. Brush, Kirk, Gultekin, and Baiardi (2011) went on to declare that by defining antecedents, attributes, and consequences of concepts, nurses are able to design interventions that promote physical, psychological, and environmental health outcomes. In other words, nurses need to clarify the concept they are studying (in this case, overcoming) in order to design effective interventions. Pain management is an important nursing skill that requires a proactive approach. The video presented a very humorous version of the variability in which each respective patient experiences pain and focuses on the concept of pain assessment in the Emergency Room (Lesalad, 2007).
Providers may have limited time so they rely on the nurses to recognize the requirements for different pain medication and recommend what medications have worked for the patients in the past. Additionally, becoming comfortable with SBAR will help build confidence when communicating with other medical staff members. Communicating with other medical staff members is very important, but recognizing pain in a patient is of more importance. Early identification of pain in a post-surgical patient is important in overall pain management.
Ultimately, it will be important and a must for the nurse to act as a patient advocate at all times. This week’s lecture also states "to ensure capacity, which is necessary for a safe patient care environment, the professional nurse must be informed and advocate functioning at full capacity (Chamberlain College of Nursing, 2014, week 7). Included in my professional role as a nurse is to be as up to date and informed on the patient or patients history and plan of care as I possibly can. I do so by following through with doctors’ orders, and asking doctors questions about the patient and their plan of care. I refer to and read through my assigned patients’ chart including their history and physical to gather the data necessary as well as changes and updates in the plan of care to provide the best quality care possible to improve patient outcomes.
Multimodal Pain Management and the Future of a Personalized Medicine Approach to Pain Pain management has been researched for years to find the most efficient way to relieve a patient’s pain. There have even been times where doctors have prescribed multiple medications to relieve pain, especially post-operative. However, there is a new research study that examines multimodal analgesia and complementary therapies to be one of the top selections.
Throughout this course and semester, I have learned a lot about pain. Specifically, this course has enhanced my knowledge of the functional role and mechanisms of pain, the psychological aspect of pain and the pain management modalities and their effectiveness in managing pain. This course was taught effectively in a sense that it included a variety of ways to express the information and data to the students. One of the learning outcomes that I believe that was definitely met was being able to explain the pathophysiology of acute and chronic pain states.
Although it may seem easier to the family to push the analgesia for the patient, they must be reminded that the patient is the only one who can truly determine the type and feeling of pain they are experiencing and then have the authority to decide if they need additional medication or
While pain is a subjective experience, pain assessments need to be as objective and unbiased as possible; this should be an ongoing goal among all health care providers. Based on current evidence, quality PCPM is often linked back to the health care provider and his/her ability to listen, communicate and advocate for the patient, therefore quality PCPM is possible and achievable with a change in our daily practice. Effective communication with patients may enhance their understanding of pain scores, reveal questions and concerns, and strengthen the trust between patients and staff – all important factors in customizing
Measurement of self-reported pain intensity in children and adolescents Summary: In "measurement of self-reported pain intensity in children and adolescents"; the authors describe the different methods used to assess pediatric pain intensity and review the commonly used, self reported measurements of pain. The authors compiled the results of several systemic reviews to determine which pain assessment technique would deem most appropriate and accurate.
Dr. Justin: Is that the man who came in two days ago with a stab wound from his wife? Patricia: Yes, that’s the man. Dr. Justin: We have too many patients leaving here hooked on pain killers.
Pain is a subjective and unique experience that varies from person to person. It also varies according to cause and circumstance. Pain can stem from damage to skin, muscles, organs and bones; it can have emotional and psychological triggers. It is reasonable to anticipate that because pain can have a wide array of origins and interpretations, the treatment of pain needs to be as distinct as the experience of the patient. This is especially significant during end of life care.