Deteriorating Patient Reflection Paper

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

For this vSim assignment, I had to repeat the scenario three times before obtaining 100% on it, since I had forgotten about a few important steps when assessing my patient, and in my second try, I had forgotten to check the patient 's electronic health record even though I had already fixed my previous mistakes in the assessment. Three of the most important things I had to do differently in this scenario were to ask the patient about allergies to maintain patient safety before administering any drugs ordered, use the incentive spirometry to improve breathing and educate her about it since she had a hard time breathing due to pain, and educate the patient about wound care at the end before discharging her. Performing the procedures I missed in

Refer to be determine by medical doctor if patient has an underlying illness or condition. Intervention 3: complete pain management and substance abuse agreement Objective 3: discuss with primary care physician cautious use of medications (Perkinson, Arthur, & Bruce, 2014) Problem 3: Major depressive disorder Goal 3: refrain from any type of self-harm to self or others

The last three clinical weeks at the Long Term Care Facility have provided me with real life situations to enforce the SILC clinical skills and improve my therapeutic communication. This experience has helped shaped me as a professional by allowing me to develop essential skills that contribute to the holistic care of nursing. A significant improvement that I developed following this experience included my assessment skills during every resident interaction. During these resident encounters, I began to address the resident’s overall well-being and comfort rather than just the current problem. I started incorporating questions about pain, how the resident slept at night, their current mood, and many other questions addressing the resident’s status as a whole.

Uses a walker. • Mr. Raj Singh, a 68-year-old admitted with chest pain and scheduled to have a cardiac catheterization done today at noon. He is very anxious and rings the call bell every 15 minutes to ask whether he is going to die and if the cardiac catheterization is really necessary. • Mr. George Rivera, a 38-year-old Mexican male, admitted with high blood sugars and newly diagnosed with diabetes.

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.

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,

I had to remember that my “patient” was still alive even though my computer system was not. In this situation I learned routine assessments along with the electronic health record are the best way to monitor patient outcomes. This is one of, if not the biggest, lesson the SimChart has taught me this

Hi Noshaba, Thank you for your presentation. You have a very profound question as to the role of physical therapists in opioid addiction. It reminded me of the very inspiring words of the APTA president, Dr. Sharon Dunn (American Physical Therapy Association [APTA], 2015). I would like to quote what she said: “Physical therapists can help individuals manage pain, and greater use of physical therapy could make a real impact on the tragic levels of drug abuse in this country- abuse that often begins with a prescription for pain medication. Efforts like these are at the heart of what we mean when we talk about the transformative power of physical therapy.”

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

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.

According to a recent study by the Center for Disease Control and Prevention (2016), approximately one individual out of five patients established with a pain-related conditions, is recommended to use opioids for their pain. This practice has continued with time increasing the levels of opioid use among different patients. Medical practitioners have contributed largely to the increase of opioid usage because they are the ones who prescribe these drugs mostly to the patients. However, they have established a major challenge facing them on the prescription of these drugs, as there is a confluence of pain control versus the danger of misuse of such prescriptions. These facts have increased the need to curb this situation before it becomes impossible to deal

Availability of opioids puts more and more people at risk for addiction. A simple prescription from the doctor for a migraine or back pain can turn into an addiction. Doctors are faced daily with patients who complain of pain, acute and chronic. It has become a simple solution for them to write out a prescription for pain medication to help their patient. In turn, not helping them at all.

During these past weeks at the Archbold ER, I had the opportunity to put into practice many of the content learned in class. This included but was not limited to the proper placement of a Foley catheter using sterile techniques, insertion of an NG tube, and assessment of patients. Even though I attempted to complete some of my initial goals for this internship, I noticed that I couldn’t complete a few of them due to lack of time and lack of experience in the field. Therefore, some of my goals that I’ll need to address during the following three weeks include improve my assessment skills, have better communication with my patients, and improve my questioning to get a better understanding of the cause that brought them in.

Opioid pain medications are some of the most commonly abused prescription drugs. Between 1991 and 2010, opioid prescriptions rose from about 75.5 million to 209.5 million. Americans account for 4.6% of the world’s population but consume approximately 80% of the world’s opioid supply. According to the Centers for Disease Control and Prevention (CDC), more than 12 million people used prescription painkillers for nonmedical reasons in 2010. Opioid abuse has led to increases in emergency-department visits, hospitalizations, and admissions to substance-abuse treatment centers at a time when our healthcare system is already strained.