Pain Management Nursing
McNamara, Harmon, & Saunders (2012) noted the positive effects of educational intervention and training in pain management. A study was conducted among nurses (N=59) in
Ireland. The result of the study demonstrated a significant improvement on nurses’ knowledge and attitude towards pain assessment after attending an acute pain educational program.
Consistent with the above findings, Ho, S., Ho, C., Pang Yuen, H., Lexshimi, R., & Choy, Y.
(2013) conducted a study among nurses (N=86) in Malaysia. The outcome of the study showed that nurses who have previously attended a pain course have increased their knowledge and attitude towards pain management using a modified NKASRP. It was noted in the study that pain education and nurses’ knowledge on
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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). The following sections will further explain the definition of pain, acute and chronic pain, pain theories, repercussions of untreated pain, pharmacologic and non-pharmacologic interventions to acute pain.
IMPROVING NURSES’ PAIN MANAGEMENT IN PACU 14
Definition of pain
The International Association for the Study of Pain in 1979, defines pain as “unpleasant sensory or emotional experience associated with actual or potential tissue damage”
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Taking a closer look at postoperative pain, it is important to discuss the mechanism for acute pain generation. Acute pain starts with recognition of noxious stimuli signaling from recently damaged tissue. The sensory pathways for pain caused by tissue damage transmit information from the damaged tissue to the central nervous system
(nociception). Nociceptive pain is accompanied by an inflammatory, visceral and neuropathic pain mechanism. The sensitization of peripheral and central neuronal structures amplifies the pain and sustains postoperative pain (International Association for the Study of Pain [IASP],
2011). Acute pain can cause significant physiological and psychological effects. The physiological effects of acute pain involve changes in cardiovascular, respiratory, endocrine, metabolic, gastrointestinal and hemostasis (Pain Community Center.org, 2013). The patients’ experience of acute pain can be explained by pain theories such as gate control theory (Moayedi
& Davis, 2013).
Theories of pain
There are a number of theories that have been postulated to describe the
Abigail Zuger Sometimes Pain
108 Words | 1 PagesIn 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.
ICP Project: Pain Analysis
230 Words | 1 PagesI 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).
Ethnic Disparities In Pain-Related Conditions
249 Words | 1 PagesConsiderable 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
Physician Assistants: A Case Study
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Advanced Practice Nurse Research Paper
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Affordable Pain Assessment
434 Words | 2 PagesWe 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
Opioids Persuasive Speech
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Deteriorating Patient Reflection Paper
608 Words | 3 PagesSome 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
Nurse Practitioner Model
760 Words | 4 PagesJennings, N., Clifford, S., Fox, A. R., O'Connell, J., & Gardner, G. (2015). The impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department: A systematic review. International Journal Of Nursing Studies, 52(1), 421-435. doi:10.1016/j.ijnurstu.2014.07.006
Nurse Practitioner Personal Statement
486 Words | 2 PagesA career as a Psychiatric-Mental Health Nurse Practitioner is a natural extension of my personal, educational, and research experiences. Although my path to nursing has not been a straight line, every experience that put me on this path has shaped my passion and dedication to psychiatric nursing. After losing loved ones to suicide at a young age, I made a promise to myself and to them that I would dedicate my life to helping individuals struggling with mental illness. This promise led me to study Psychology at UC Berkeley, where I fell in love with clinical research investigating the efficacy of treatments for mental illness.
Metaparadigm Philosophy Of Nursing
648 Words | 3 PagesMy personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.
The Importance Of Scope Of Practice
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Six Aims Of Quality Patient Care Essay
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Biopsychosocial Model Essay
4442 Words | 18 PagesPsychological 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,
Importance Of Knowledge In Nursing
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