Introduction
Madam L is a 67 years old female married lady living in a HDB flat with her husband and children. The caregivers are her family members, who take turns in caring for her needs as all of them are working. She had a mild stroke attack 2 months ago resulting in left-sided weakness, and she was admitted for five days in Tan Tock Seng Hospital (TTSH). However, she complained about the pain she had been having for sometimes. Madam L’s family was unaware of her pain issues and upon her discharged she was not given any analgesic except for her other comorbidities.
In relation to Madam L’s case on her episode of stroke previously, she has been going through chronic pain and unable to perform her activities of daily living (ADL) like before. It became a major concern for her as she is taking care of her
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As stated by (6), persistent chronic pain can suppress the immune system by activating the pituitary-adrenal axis. It can cause various negative effects on the patient such as cardiovascular, renal systems and gastrointestinal. As a result, the pain can affect the elderly ADL (7).
According to (8), pain should be promptly addressed and managed to avoid unnecessary risk of legal action. Undertreatment of pain is a widespread problem and every 1 of 2 elderly experienced pain and are poorly managed as mentioned by (9). Another reason that contributes to pain, could be the misconception of the aging process, the stigma of the patient admitted for pain, difficulty in communicating pain and believing pain is part of the normal aging process (10). Some older people have the fear of the effects of medication for pain such as addiction, constipation or sedation, as a result, this group of older people do not convey their pain and suffer in silence
Dana Wong is a seventy-year old female who had an ischemic stroke, and is entering our care facility after a seven-day stay at Mercy North Medical Center. The stroke has left her in a wheel chair with decreased mobility on the left side, slurred speech, and relaxed features. The referral came from Dr. Parker on September 12, 2015, which was four days after her admission in the hospital, and request that Mrs. Wong undergo two months of physical, occupational, and speech therapy before she returns to her home at Green Meadows, an assisted care living facility. Dr. Parker noted that Mrs. Wong can benefit from our services, and believes that she can make an adequate recovery, because she is determined to maintain her independent lifestyle. Mrs. Wong has full coverage from Blue Cross Blue Shield, who has agreed to pay for her stay at the facility for a maximum of two months.
The pain that patients report is out of proportion to the severity of the injury. The pain gets worse, rather than better, over time. Eventually the joints become
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.
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).
I had the privilege to talk to Lia Lee. Lee is a 67 years olds Hmong woman. She is a mother to 5 children, 31 grandchildren, and 15 great-grandchildren. Lee and husband Va Toua Xiong with her 4 children were sponsored by a church in St. Paul. They arrived in St. Paul, Minnesota in November 1980.
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
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.
At today’s visit, she is accompanied by her husband. She is awake, alert and pleasantly confused. She denies pain, shortness of breath and chest pain. The husband reports that the patient memory has worsened. He states that she forgets how to perform her ADLS, now he has to assist her with her ADLS.
On Bills admission to the unit after suffering an acute ischaemic stroke, a comprehensive care plan was devised using the Nursing Process to accommodate his various issues associated with the stroke. This framework, involving the assessment, diagnosis, planning, implementation and evaluation of nursing interventions guided practice on the two issues focused on in this essay. Issue 1 - Thrombolysis A stroke, is the “rapidly developing signs of focal (or global) disturbance of cerebral function with symptoms lasting 24 hours or longer” (World Health Organisation,1998). In the event of a stroke blood supply to the brain is occluded by a thrombus or an embolus from the heart (Fitzpatrick and Birns,2004).
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
Introduction: Occupational therapy is for mentally, physically or cognitively disordered people whose daily living is assessed in order to improve their lifestyles and ease of living. Chronic pains are responsible for the derailment of several individuals and families because the affected person becomes disabled to carry out his or her own tasks and hence the dependability wastes time and money of the caregivers. The real problem in the case of chronic pains is that the affected people lose control over their activities but through occupational therapy, this control can be increased or even restored (AOTA, 2016). However, occupational therapy can only help the patient get accustomed to and adjust with the pain in everyday life and cannot cure the pain completely. Occupational therapy for pain rehabilitation has certain aspects.
Pain can affect an individual both behaviorally and cognitively. Chronic pain is a type of pain that can last for a long period of time (Gurung, 2013, p 272). Everyone experiences pain at one point or another, however, women have a harder time coping with pain. Men generally feel less pain and respond better to treatments (Gurung, 2013, p 274). Pain, however, is generally difficult to measure because of the different types people feel due to different types of physical or mental pains.
This writer understands the value of the concept of pain as it is a tool to improve the quality of life. The nurse can manage pain and treat the patient holistically by understanding the concept of pain. This student will continue to provide pain relief by assessing and using nursing knowledge from evidenced based practices in managing
A comprehensive pain history is important in understanding the patient’s problem situation and planning management, The important elements of pain history