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
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.
I am so happy you picked pain as your ICP project. Pain, in my eyes, has always been all encompassing. It can affect sleep, ability to move around, eating, healing, breathing, mood and relationships (Shega, Tiedt, Grant, & Dale, 2014). Personally when I am in severe pain I really do not want people around and it affects every aspect of my life. To think that persistent pain affects 80% of elderly residents in nursing homes and 50% of community dwellers, and we still do not treat this properly (Veal& Peterson, 2015).
144). He had also sustained several other injuries over the course of his life, including a blow to the face from a pickaxe, a bullet through a finger, and a burned hand - all with an indifference to pain (Westlake, 1952, p. 144). After Dr. Dearborn’s case study, various terms were used to describe these individuals, including “‘congenital universal insensitiveness to pain’ (Ford and Wilkins, 1938), ‘congenital universal indifference to pain’ (Boyd and Nie, 1949), and ‘congenital absence of pain’ (Winkelmann et al., 1962)” (Nagasako, Oaklander, & Dworkin, 2003, p. 214). From 1950-1970, two terms were used to describe Congenital Analgesia and were considered interchangeable: ‘congenital insensitivity to pain’ and ‘congenital indifference to pain’ (Nagasako et al., 2003, p. 213). Now, each of the two terms have distinct meanings and are used to distinguish between different groups of individuals.
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.
We all know that pain is usually one of the major complaint of patients with chronic problems or those recovering post operatively thereby making pain evaluation a fundamental requisite in the outcome assessment during hospital visits. Interpreting the data from a pain assessment scale is not as straightforward as it may seem since the provider must consider the intensity, related disability, duration, and affect to define the pain and its effects on the patient (Williamson & Hoggart, 2005). Pain rating scales are used in the clinical settings to measure pain and these include Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), Numerical/numeric Rating Scale (NRS) (Haefeli & Elfering, 2006). Each scale is unique on its own in terms of sensitivity and simplicity that generates data that can be statistically analyzed for audit purposes. The EHR in our hospital utilizes the three rating scales mentioned as part of the pain assessment tool to measure pain that sets the tone for the direction of the type of pain management will .be given to the
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
Pain management for postoperative patients are a major problem that may cause prolonged treatment and rehabilitation costs, however, with the proper nursing strategy, it can be managed. In order to manage the pain, the knowledge of the causing event and the symptoms are necessary for the healthcare professionals. The assessment and measurement of pain in postoperative patients through their response can assist in increasing awareness regarding the specific causes of pain. The present study
This was tested on normal volunteers, chronic pain patients, or any group that was asked to produce a submaximal or malingered effort or a malingered test profile. Out of the 328 references, only 68 were related to one of the topics above and to pain. The references were then reviewed and sorted into 12 topic areas. Each topic was then rated for scientific quality by the Agency for Health Care Policy and Research (AHCPR). It was rated for evidence presented in the reviewed study.
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.
1.Evaluate the discrepancy between the patient’s pain rating, behavioral signs of pain, and degree of participation in daily care/treatment for a patient in each scenario. 2.Explain a rationale for this discrepancy, using nursing knowledge and science. Numerous factors can affect a person pain perception and reaction to pain. It Includes person ethnic, cultural values, developmental age, environment, support, previous pain experience, and the meaning of pain. Pain Tolerance, "Is the duration or intensity of pain that person can endure," (Treas & Wilkinson, pg. 1093).
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,
Low back pain is neither a disease nor a diagnostic entity of any sort. The term refers to pain of variable duration in an area of the anatomy afflicted so often that it is has become a paradigm of responses to external and internal stimuli (Ehrlich GE 2003). Research study on low back pain has shown that it is a common problem in general population. As seen in Western industrialized countries, back pain is one of the major health problems (R Ayiesah and D Ismail 2007).