Nursing Ethical Issues

Psychological 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,

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

Provision one, a provision in the American Nurses Association Code of Ethics for Nurses, entails that nurses should pursue their nursing career with empathy and respect towards all patients. In other words, patients should be viewed as separate individuals with separate values and beliefs. Nurses and other healthcare professionals should respect their individual decisions, whether they agree with them or not. This code of ethics provision relates to the ethical dilemma of a patient refusing medical treatment. Although nurses are trained to do all that they are capable of doing to save patients’ lives, sometimes nurses reach a dilemma that puts a strain on their practice. At times, patients’ refuse medical treatment, even if the treatment will

Amidst a whirlwind of change, nurses continue their roles as competent, honorable professionals. A relatively new issue, cultural integrity, correlates with the Code regarding “treatment of the human response.” The American Nurses Association’s “Code of Ethics for Nurses with Interpretive Statements”, also called the Code, highlights nurses’ consensus on professional principles. Nursing ethics guide how practitioners treat their patients and peers. Sensitivity to individual societal, familial and cultural background plays an important role in organizational integrity. By observing the following six practices, nursing professionals make life choices that promote individual and societal wellbeing.

This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse.

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.

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.

For several considerable years, Joint Commission accreditation standards have emphasised patients’ right to have their pain properly assessed and managed. Healthcare providers have responded with an intensified focus on pain management, using pain medications. However, as the difficulty of analgesic therapies rises, establishment of priorities of care must be created in order to avert or diminish adverse events from occurring and to ensure that high quality and safe care is followed through. Opioid analgesia, in particular, remains to be the main primary pharmacologic intervention for managing pain in hospitalised patients. Among them are the common drugs fentanyl and morphine.

According to a recent study by the Center for Disease Control and Prevention (2016), approximately one individual out of five patients established with a pain-related conditions, is recommended to use opioids for their pain. This practice has continued with time increasing the levels of opioid use among different patients. Medical practitioners have contributed largely to the increase of opioid usage because they are the ones who prescribe these drugs mostly to the patients. However, they have established a major challenge facing them on the prescription of these drugs, as there is a confluence of pain control versus the danger of misuse of such prescriptions. These facts have increased the need to curb this situation before it becomes impossible to deal

“Pain” by Diane Ackerman is a story about pain. The author describes how people can withstand pain, and how difficult it is to define pain “which may be sharp, dull, shooting, throbbing, imaginary” (301). Culture and tradition are very important on people lives. Therefore, many of them do incredible things, in Istanbul for example “teenage boys dressed in shiny silk fezzes and silk suits decorated with glitter” (300), or in Bali people “go into trances and pick up red-hot cannonballs from an open fire, than carry them down the road” (298). This is just couple examples of controlling our body.

Supporters claim that physical pain should be an individual right. They believe that there should be no law that prohibits someone to suffer (Hook, 1989 p. 245). Olvera supports the idea expressing that PAS should be a legal alternative when there is no other form of pain relief (Olvera, 2015). However, Wagner states that there is anther alternative to stop pain and suffering such as training doctors to give more pain relief and anesthesia to patients. Even though some people may fear becoming addicts to theses medications (Wagner, 1998 p. 246).

In the article “Brief Research Report Defining Chronic Pain Ethics” it discusses the current issues in the diagnosis and treatments of chronic pain. A program called The Pain Action Initiative: A National Strategy (PAINS) conducted several focus groups in five cities in the US, including;Seattle, Tampa, Boston, Chicago, and San Diego . These groups consisted of people with pain, providers, insurance and pharmaceutical industry representatives, law enforcement agents, and advocacy groups who came up with various issues dealing with chronic pain. The goal was to identify current issues dealing with chronic pain. The groups came up with six main subjects which included: disparities, quality care, trained professionals, opioids use and addiction,

Wei Peluso Professor Beamen English Comp 102 10/24/2015 Pain Medication Abuse With today’s medical development, lots of illness can be treated and healed by surgery or advanced modern medication, and afterward the patient can live in a healthy and comfortable life, but due to some severe injuries and other medical issues, some patients have to deal with chronic pain every day, and there are no more treatments can reduce their pain, then pain management doctor is their next step. Pain management has become one of the significant parts of medical field nowadays, and there are more and more pain management clinics have opened. There are two types of treatments patient will receive in the clinic: drug free treatment and pain

We 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

Disparity in Pain Management among Patients with Substance Use Disorder Fatimat Odeyemi University of Maryland School of Nursing   Disparity in Pain Management among Patients with Substance Use Disorder Description of the Problem If pain according to Ignatavicius and Workman (2010) is what the patient says it is and it exist when and where the patient says it does, why does research studies show disparity in treatment with patients suspected of substance abuse or those diagnosed with substance abuse disorder? Studies by Morley, Briggs and Chumbley (2015), Morgan (2014) and Paschkis and Potter (2015) all supported the hypothesis that nurses provide inadequate pain relief to their patients because of the perception that constant request