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,
While participating in the “Deteriorating Patient” simulation, learning to complete a Situation, Background, Assessment, and Recommendation (SBAR) report while caring for a deteriorating patient was the most challenging task to complete. After receiving report and beginning the initial interaction with the patient, my confidence level was on a steady rise. Everything seemed to flow well and initiating conversation while building a rapport with the patient was also very easy to complete. Once the patient started to deteriorate, I found myself becoming unorganized and my thoughts were racing. Though I was managing the situation very well, I called for a charge nurse because I realized I needed help. After calling for the Charge Nurse and asking for assistance, my racing thoughts slowed down some. I used this moment to notify the provider of the patient’s status and request a visit to the patient’s room. Completing the SBAR with a provider in a moment where the situation was hectic is not something I do very well. My
There are ranges of specialists who work on the rehabilitation team, each member of the team has a goal to help patient with a focus of promote QOL. The Case Managers are will be the primary contact person, with whom patient and family/caregiver can direct raise matters and ask for information. It is advised that a neuropsychologist should conduct a cognitive and behavioural/emotional assessment. Cognitive include perception and awareness, orientation, memory, though processing, problem solving, personality and decision making. Behavioural/emotional include emotional status, mood changes, adjustment difficulties, personality changes, inappropriate sexual behaviour, motivation level, substances misuse, depression, anxiety and psychosis. Nurses are involved with
The deficiency found is within the pain assessment policy of the hospital. The nurse stated that pain is assessed every four hours using the pain scale of 0-10 and that once pain medication is administered to the patient then is should be re-assessed and documented within one hour of the patient receiving the medication. In this instant, the
The interchange of emotions and feelings within one’s self is a particularly hard thing to measure. Pain is a combatant of positive and negative change. Pain is one of the most prevalent causes of human change, and is a provoker of human deterioration. Pain has always been a major factor in healthcare. 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.
Quite an interesting article. It’s interesting to note that Cleveland clinic went out of its way just to redesign hospital gowns to improve patient reviews, which in part, is influenced by federal initiatives as the Affordable Care Act’s focus on quality of care (Luthra, 2015). Bottom line is, the measure of quality care is tied in to the patient’s comfort thereby leading to a better patient experience. And the more satisfactory the patient experience is, the hospital gets guaranteed funding for Medicare payments.
Why do nurses and doctors abuse drug? Nursing is a professionalism, and it is a rewarded career. There is a shortage of nurses worldwide, so nursing is always highly demanded. Nurses have been trained to be the first to treat and the last to provide a comfort and safety high quality care for the patients. There are more female nurses in the profession, and they tend to abuse prescription drugs as females may have more stress than males naturally. Nursing job is required a lot of physical work as well as mental work, so it is very stressful. Nurses who are stress may develop chemical dependency and substance abuse. Nurses also have abused to substance disorder for a variety of reasons included professional stress, access, culture differences, and personal attitude. Truly, nurses do not think that they are substances disorders. Therefore, the impaired nurses may harm themselves as well as their patients and the colleagues.
The article Advance Care Planing - A Primer, which written by Karishma Taneja, Puneet Sayal since 2015 summer. The major theme in this article which is about pain assessment, the substitute decision making (SDM), the end of life (EOL) care, Ethics of Care and advance care plaining (ACP).
Concept analysis combined with theory development is essential in the field of nursing as it leads to the clarification of concepts. This means that the approach establishes similarities and dissimilarities between ideas. As a result, precision is achieved within nursing through clearer definitions of terms. Pain is the concept under analysis, and it is central to the practice of nursing. This concept was selected because it is an experience that is perceived subjectively and it is also hard to quantify. Despite this quality, it is also a phenomenon that nurses treat often and if untreated, could result in dire consequences for the patient or even their friends and family. The nursing theory used in this analysis is the behavioral systems theory by Dorothy Johnson. In this school of thought, emphasis is on how patients’ behavior is affected by parts of their environment like social-cultural norms (Smith & Parker, 2015). This paper has eight key sections including a definition of pain (how it is used in typical English as well as medicine), examination of literature review on pain, defining attributes or aspects that characterize pain, antecedents or the precursors to pain, consequences, empirical referents or aspects of pain that are measurable, construct cases in the form of real life cases, applications in theory, and a conclusion.
Nursing assessment is a fundamental nursing capacity which gives establishment to quality nursing consideration and intercession. It distinguishes the qualities of the patient in advancing health. The appraisal likewise recognises patient's needs, clinical issues or nursing findings and to assess reactions of the individual to health issues and intercession. A precise and intensive health assessment reflects the information and aptitudes of an expert medical caretaker. In the current medical institution, nursing professionals are meant to be known for their services in regards of their patients. It is important for nursing staff in medical institution to assess the health situation of their patients in order to understand the needs and requirements
Dementia is one of the most feared diseases and expensive to society currently. It is defined as a clinical syndrome of acquired cognitive impairment that determines decrease of intellectual enough capacity to interfere social and functional performance of the individual and their quality of life. It is a known fact that patients tend to express themselves through their behaviour and expect their carers to understand this notion. The diverse kinds of causes of different behaviours are inability to communicate, difficulty with tasks, unfamiliar surroundings, loud noises, frantic environment, and physical discomfort. Many diseases can cause dementia, some of which may be reversible. The term dementia has not been used uniformly in the historical
Effective communication is essential in the accurate assessment of pain. Health professionals should take the time to speak and to the patients, listen to them as individuals to answer and duly take into account the limitations in communication. That people may have, for example, numbness or other language barriers. While patients report pain or do not wait until it has reached a serious level because they believe that the employee is "too busy"(Gray, 2005 Mackintosh 2005) The evaluation of effective pain must identify if the patient has other conditions that can be responsible for causing pain, for example, some patient conditions may have such arthritis or rheumatoid arthritis, chronic or acute pain, which leads to more caused by surgical
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).