The three dimensions of pain assessment instruments are also subject to misinterpretation. Healthy patients have difficulty on a line or a numerical value to meet their pain as a point of conceptualization the intensity of the pain. Difficulties in interpretation are rare when verbal rating scale is used. In addition, the use of certain words cannot be understood by patients or little interest in the individual descriptions of pain (D'Arcy, 2011). There is unlikely to support the coherence between the reported pain levels, for example, a patient may report pain as a numerical rating scale (NRS) and request analgesia.
In nurse’s perspective, the poor and inconsistent of pain assessment can lead to unrelieved pain and reduce patient mobility, resulting in complications such as deep vein thrombosis, pulmonary embolus, and pneumonia (Ed. Caltorn, 1997). Postsurgical complications related to inadequate pain management will affect the length of hospitalization; the risk of readmissions, and increase the cost care of treatment. Somehow, a poor documentation of current status pain assessment will delay the intervention and responses to the care plan (Gordon, 2005). Thus, to overcome this situation in clinical practice, The American Pain Society (2005), created the phrase “Pain: the fifth vital sign” to increased awareness of the important in pain management
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.
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).
INTRODUCTION Lower back pain (LBP) has often been described as a common, costly and debilitating condition, creating a challenge for management of this disorder. People with LBP often report an impaired ability to perform activities of daily living (Lin et al 2011). This impact that pain has on a person’s daily functionality can be conveyed as that person’s level of disability. In 1980, the World Health Organisation (WHO) defined disability as any restriction or lack of ability to perform an activity within the range considered normal for a human being. This definition has been revised in 2007 in the WHO classification of Functioning, Disability and Health (ICF), wherein disability is used as an umbrella term to cover 3 broad aspects of health:
It is against such back drop that a study of this nature is important in helping the patient, patient’s family and the care givers to understand the phenomenon in order to help control it. The significance of the study is: 1. To help patient understand their role in curbing the effect of hypertension in chronic kidney disease. 2. To help caregivers understand the importance of their role in controlling hypertension in CKD.
For example, we have a reduced sense of balancing ourselves, our response or reaction is slower, and on only that our muscles will grow weaken and our vision can be worsens also. Falls are leading cause of fatal and non-fatal injury (WHO, 2007). Some of the medical condition also can affect vision, muscles strength and flexes to cause fall as well. For example, Parkinson’s disease, osteoporosis, cataracts, glaucoma and others. As a nurse, how we can managing to prevent patients falling down?
FES has been applied to the supraspinatus and posterior deltoid muscles as these muscles affect shoulder subluxation (Somyung et al., 70). Shoulder subluxation is a very painful and serious injury as these treatments try to decrease patient pain and increase mobility of the