Making a decision to use the restrains is not straightforward or easy for nurses. It is need daily legal and ethical decision making. Sometimes, using restrains has so many advantages and disadvantages that put the health care providers to decide what is right and what is wrong. In respect to the restrains dilemma, using restrains can be effective in controlling the patient’s behavior and violent. According to the ethical theories, using restrains is acceptable
Dependent variable is care of critically ill patient while indipended variables are knowledge, practice of nurses and challenges of nurses on care critically ill patient in the ward. But here the researcher can base more on looking on knowledge and practice of nurses , if nurses is competent on assess by using ABCDE ie assess patient air way, breathing and circulation, and identify problem and able to intervene so these is help on maintain patient safety and lead quality care of critically ill patients. Also if nurses have knowledge of interpreting vital signs these can help nurses to identify patient who is deteriorating and intervene earlier, literatures show that nurses not only know to measure vital signs but also must interpret vital signs and act on
This is very normal and if your baby refuses milk or food then don’t panic. You need to give the baby some time to recover from the pain and discomfort. The baby would also be waking up in the middle of the night and crying. The inflamed gums cause pain which at times becomes too hard to bear. If your baby is having high fever, diarrhea or vomiting, just don’t blame teething.
Colic, which is a painful gas that takes an infant a long period of time to eliminate can be treated by preforming certain massage strokes on your baby’s abdomen. Congestion and sinuses are always affecting us and can become a hassle especially in babies. Within infant massage a Swedish massage technique is used to break up that tough congestion of mucous in the chest of your baby. Facial massage practices aid in clearing out some of the excess mucous as well, and clearing the nasal passages. When the dreaded process of teething starts there are many ways to help aid and sooth your baby.
The main idea of this study is to bring out some of the experiences patients with sickle cell disorder. Patients need more comprehensive assessment of pain from nurses that understand the impact of the pain on their patients. Sickle cell pain is found to be challenging to the patient 's life as the pain is not predictable when to be intense and when to strike next. (Ballas, 2010; wilkeite al., 2010) The pain is also perceived from both Nociceptive (tissue damage pain) and Neuropathic (pain from the damaged peripheral nervous system). This paper will cover the painful sickle cell crises and day to day pain management finally the attitude of nurses towards their patients.
Due to overload, nurses and practitioner experience reoccurring errors, which place patients and healthcare workers’ life, at risk. As a result, the healthcare system and practitioners become aware of the need to review patient care. Some countries have seen the need for a change but focus on external factors rather than caring. However, Watson implies, that the state of been different is to focus on competent, compassionate, knowledgeable, and caring nurses and health practitioners. (Watson.p.471).
Meanwhile, healthcare providers should listen and respond immediately to patient’s report of pain and manage pain appropriately. A part of it, all hospital staff should be continually educated and aware about pain assessment and management. Thus, standardizes pain assessment tools must be applied consistently with accurate documentation in vital sign charting and carried out nursing intervention effectively. Consequently, the improvement of implementation pain 5th vital sign shows that nursing actions depending on the pain score. Hence, these standards required nurses to refer Pain Flow Chart in order to response pain score assessment as documented in Pain Free Hospital
CHAPTER 2 THE RESEARCH QUESTIONS 2.1 Review of the Literature Pain Pain is subjective unpleasant sensory and emotional experience associated with actual or potential tissue damage (Merskey & Bogduk, 1994) while Young (2005) suggests that individuals learn pain from their experiences. Craig’s Social Communication Model of Pain (2009), individuals have numerous elements that interact and create their own perception of pain such as biological, psychological and social factors. In the hospital settings, children often experience unpredictable and severe procedure-related pain that may accompany negative emotional and psychological effects (Cummings, Reid, Finley, McGrath, & Ritchie, 1996; Kazak &Kunin-Batson, 2001)McMurtry (2013) stated that needle pain in children is common. Blount et al., 2009; Inal & Kelleci, 2012b; Leahy et al., 2008; Uman, Chambers, McGrath, & Kisely 2006, the common and significant sources of pain is applying needle in medical procedures such as venipuncture and immunization. Cumming (1996) noted that children’s pain primary source is intravenous catheter insertion but Young (2005) states that placement of intravenous line is second and disease related is the most common source of pain.
This will enable patients to talk about health issues including emotional, social, mental problems that disturb them. In healthcare, certain factors affect good nurse-patient communication which are time, language, environment, shortage of nursing staff, assumptions etc. These factors lead to error in medication, misdiagnosis and even death. So, the need for good nurse-patient communication should be emphasized in nursing practice. 3.3 Application in current job I really do know and understand the benefits of a good nurse-patient communication.
Nurses are continually faced with the challenges of the treating pain. To ensure the best quality of care for patients, nurses need effective knowledge, skills, and attitudes to address pain issues (Stanley & Pollard, 2013). Despite the findings and recommendation of substantial past research, nurses continue to demonstrate inadequate knowledge of pain assessment and pain management interventions (Wells et al., 2008). From reports in the literature, knowledge about pain management and attitudes which underpin nurses’ pain management decisions are problematic. Nurses’ knowledge of the mechanism of pain, pain assessment and pharmacological and non-pharmacological management are essential components in promoting positive patient outcomes (Al Shaer et al., 2011).