Pain is a multidimensional phenomenon and it is the nurse’s task to identify the factors that may influence the patient’s way of experiencing and expressing pain. Pain management has to be prioritized and visible in the plan of care patients with pain (Abdul-Monim, 2014). It is possible to suffer from different kinds of pain and; every type of pain needs specific measures for assessment and treatments. It is especially important to adequately address pain in patients that will undergo an invasive procedure. Evaluation of acute pain should be done frequently in order to know if the current pain treatment strategy is adequate (Nichols et al., 2011)
Using elements of exposure therapy, Narrative Reconstruction (NR) aims to “create a cohesive and chronological narrative of the trauma while simultaneously addressing the personal significance of the trauma and integrating it in the patient’s autobiographical memories” (Peri and Gofman, 2014). The patients are often encouraged to recall and write about the trauma in an organized manner to identify the thoughts they relate to the event (Vitelli, 2014 pg. 203) and confront the negativity by consolidating every detail of the trauma to fully comprehend the situation. PTSD patients suffer from difficulty in recalling coherent images of the trauma due to: “Confused temporal order, unfinished thoughts, and inability to recall important details,
Coping with chronic illness cam have great ramifications on self-care demands and as illustrated in the theory of self-care deficit, patients enter moments of fluctuating states of health and illness which correspond to various levels of self-care deficit and agency. The APN (Advanced Practice Nurse) is specially prepared to assist patients with end stage renal disease not only recover, but also maintain self-care agency. In the setting of Mr. M, diagnosed with dementia and end stage renal disease, the advanced practice nurse can provide excellent guidance that addresses self-assessment by the patient, adhering to medication and diet regimens, imparting disease maintenance knowledge, social support and utilization of resources. The advanced practice nurse is well equipped with great communication skills, that enable building of therapeutic relationships with the patients. They can also elicit a patient’s expectations, perspectives, goals and values, all while providing patients with self-care information that enables them to participate
Literature Review Draft Patient’s face multiple challenges on a daily basis. Patient’s must avoid harm from medication error and adhere to strict medication regimes to improve their health and quality of life. This can be a challenge to patient’s as they are not always educated properly on how to appropriately take medications, the side effects of medications, or who to go to with questions. These issues can be alleviated through improved communication between health care providers and pharmacists and through pharmacist-led medication therapy. While physicians prescribe medications to treat medical conditions, pharmacists have a vast knowledge of the therapeutic effects, adverse reactions, and are able to advise the patients on the appropriate way to take each medication.
This is very critical as it helps in the diagnosis and also helps me to get to know the patient’s history [Doctor 1]. However, one challenge with regard to patient active participation in the encounter process is the lack of role clarity. Both doctors and patients shared this view.
Common physical symptoms include pain, fatigue, loss of appetite, nausea, vomiting, shortness of breath, and insomnia. Many of these can be relieved with medicines or by using other methods, such as nutrition therapy, physical therapy, or deep breathing techniques. Also, chemotherapy, radiation therapy, or surgery may be used to shrink tumors that are causing pain and other problems. •Emotional and coping. Palliative care specialists can provide resources to help patients and families deal with the emotions that come with a cancer diagnosis and cancer treatment.
Aim. This review is a report of a concept analysis of anticipatory grief in the nursing discipline. Background. One of the main emotional challenges among patients and family caregivers is anticipatory grief. Commonly used terms, anticipatory grief and pre-death grief, were inconsistently defined and interchangeably used in literature.
This step involves the patient to participate in various exercises and movements of the body in order to put them at ease of fear or anxiety and successively unlearn the phobia. Systematic desensitization aims to teach patients to cope with their phobias. With the patient in a state of relaxation this will allow them to be exposed to each item from the hierarchy without them conveying any sense of fear. E.g. a person with a phobia of needles would be presented with various associations to needles such as an image of a needle, placing a needle close to the patient and imaging they went to visit someone in hospital. The previously learned relaxation techniques would be requested to be put into practice while being presented with the associations to
Background The ability to recognize, understand and treat symptoms related to illnesses, along with crafting the right questions in order to promote optimal care is considered a fine art in the field of healthcare. However, sensitive and time-critical conditions can pose questions that could challenge the status quo in relation to healthcare policy and decision making. Challenging circumstances often call for drastic measures that make difficult to decide right vs wrong. An ethical dilemma defines this decision-making process.
I have used these assessments daily as a rehabilitation/geriatric nurse. These assessments are valuable to use for patients who might have compromise circulatory problems. This includes orthopaedic patients, medical history of PVD and DVT, and non-healing wounds. Peripheral pulses are hard to find in patients who are sick and dehydrated. I use the Doppler to find the pulses in the foot or ankles because they can be difficult sometimes in patients with circulatory problems.
“Ow! My knee! I think I need to go see a physical therapist.” This is an example of one of the many reasons people go to see a certified physical therapist. “Physical Therapists, sometimes called PTs, help injured or ill people improve their movement and manage their pain” (Bureau 1).