The Importance Of Inadequate Pain Assessment
Inadequate pain assessment is one of the most difficult barriers to achieving good pain management. Insufficient education of pain from both nurses and patients, poor pain assessment tools, and patients’ fear of complications associated with analgesic drugs are some of the factors that contribute to inadequate pain assessment. Some of the barriers to effective pain management resulting from nurses’ lack of training and inexperience of pain evaluation are nurses’ inattentiveness to patient signs of pain, nurses’ differing interpretations of pain, and nurses’ delayed response to assess pain. Moreover, nurses’ deficiency of understanding patients’ attitudes, beliefs, and previous pain experience, nurses’ lack of knowledge in selecting appropriate …show more content…
For instance, both medical and surgical patients who recalled pain and other traumatic situations while in the ICU had a higher incidence of chronic pain (38%) and PTSD symptoms (27%), and a lower health-related quality of life (21%) (Barr, Fraser, Puntillo, et al. 2013). Inadequate pain assessment can cause longer ICU stays or hospital readmissions. Longer ICU stays are linked to the development of chronic pain. In fact, chronic pain becomes the disease, and impairs quality of life as significant comorbidities in post-ICU patients (Puntilo & Naidu 2016). Poor pain control can result in increased morbidity or mortality. Additionally, pain can also evoke stress response, suppress natural killer cell activity, increase circulating catecholamines, cause catabolic hypermetabolism, catabolic stimulation, and hypoxemia. Unrelieved pain reduces patient mobility, resulting in complications such as deep vein thrombosis, pulmonary, embolus, and pneumonia (Wells, Pasero, & McCaffery, 2008). These are all problems that can interfere with quality of life. One significant issue that was appointed out by Puntilo and Naidu (2016) was that “ICU patients receiving continuous infusions of opioids can become tolerant to, and dependent on, opioids and are at risk for ICU-acquired opioid withdrawal, especially if opioids are down-titrated too
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.
Opioid Medications: A Case Study
977 Words | 4 PagesHydrocodone and hydrocodone combination medications were rescheduled from Schedule III controlled substance to Schedule II controlled substances on October 6, 2014. This shift brought about several changes in prescribing practices and has produced several issues for patients who require pain control. Hydrocodone and hydrocodone combinations products should be reclassified as Schedule III controlled substances because patients who truly need this type of pain medication are being denied adequate pain control, in some states mid-level practitioners are no longer able to prescribe these medications, and emergency room physicians often avoid prescribing them even to those who present with obviously painful injuries or conditions. There are many patients who have become addicted to hydrocodone, due to it being an opioid medication and these addiction problem are what ultimately brought about the decision to change its classification, however those who take their medication properly are suffering as well. Hydrocodone, is a form of medication used to treat many types of pain.
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
Miami Rescue Mission Clinic Case Study
409 Words | 2 PagesIn addition, Vilmont (2011) states, “At the recent American Psychiatric Association (APA) meeting, pain specialists said that treating patients in pain who are dependent on opioids involves a delicate balance between managing pain relief and risk of drug abuse (Vilmont, 2011).” However, Jones, et al. (2012) reported that “The use of prescription drugs for nonmedical purpose by Americans in 2009 exceeded the use of cocaine, heroin, hallucinogens, and inhalants combined.” Jones, et al. added, “Visits to hospital emergency departments (ED) involving the nonmedical use of prescription analgesics rose 111%, more than doubling the number of visits between 2004 and 2008…top three medications were oxycodone, hydrocodone, and methadone products.”
Patients Informed Consent
515 Words | 3 PagesInformed consent is the process by which the treating health care provider discloses appropriate information to a competent patient so that the patient may make a voluntary choice to accept or refuse treatment. (Appelbaum, 2007)1 It originates from the legal and ethical right the patient has to direct what happens to her body and from the ethical duty of the physician to involve the patient in her health care. In order for the consent to be valid, the patient must be competent to take the particular decision; have received sufficient information to make a decision; and not be acting under stress.2,3 This may be an issue if consent is obtained upon the day of surgery. Most patients will have firmly decided to proceed for surgery. However,
Opioids Satire
678 Words | 3 PagesI think that doctors should give patients more information when prescribing opioids to patients. Many people that just had a painful surgery take opioids to stop their pain and then shortly get addicted after from taking the pills, I believe people would not get as tempted, and feel like it is ok to take opioids, if they knew they were highly addictive. Allen, a recovering addict, had to research her symptom to find out why she was having this temptation to take these pain killing pills when she was not even in pain. Allen’s doctor never told her about the danger of these “painkillers” but once Allen found out, she was concerned about herself, and knew she was addicted and in
Opioid Prescription Drugs
687 Words | 3 PagesAccording 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
Assisted Suicide Ethical Essay
435 Words | 2 PagesAssisted suicide is “suicide with help from another person (such as a doctor) to end suffering from severe physical illness” (Merriam-Webster).This is a controversial topic because it can both benefit and harm. Psychologist must “Respect for People’s Rights and Dignity” Principle E of the APA Code of Ethics states that “Psychologists respect the dignity and worth of all people, and the rights of individuals to privacy, confidentiality, and self-determination”(APA Code of Ethics). Some patients a psychologist may work with might wish to use assisted suicide as an option to end their life. There is a dilemma between how a psychologist is ethically required to act professionally and what their patients may want or need. Psychologists have to consider other factors.
Opioid Overdose Research Paper
596 Words | 3 PagesDependence on prescription opioids can stem from treatment of chronic pain and in recent years is the cause of the increased number of opioid overdoses. Opioids are very addictive substances, having serious life threatening consequences in case of intentional or accidental overdose. The euphoria attracts recreational use, and frequent,
Patient Opioid Education Summary
651 Words | 3 PagesThe journal “Patient Opioid Education” explains how opioid abuse is better if researched health care providers can better educate their patients on the issue. According to Ms. Costello, research is being done to further educate patients about the drugs they are taking. In fact “a quasi-experimental pretest posttest design was used to evaluate nurses’ knowledge of opioids,” (309). Although, the research reveals that patients have a lack of knowledge about safe opioid use this is because nurses lack the understanding of the addiction. Accordingly, all health care providers should have education on opioid dependence to avoid such addictions.
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
Persuasive Speech On Opioids
701 Words | 3 PagesI. Scope In the past seventeen years, the United States witnessed an acute crisis with a notorious classification of medication: opioids. Opioids are prescription painkillers where the medication attaches to opioid receptors in various parts of the human body, such as the brain; the binding of the drug and receptor reduces the quantity of pain by diminishing the number of pain messages to the brain. This type of medication originated in the 1970s, but it would solely take two decades for an Opioid Crisis to flourish at an exponential rate. In the 1990s, an increasing amount of physicians prescribed opioids, such as Fentanyl and Oxycodone for chronic pain, even when the pain symptoms were substantially mild.
Six Aims Of Quality Patient Care Essay
574 Words | 3 PagesAlthough it may seem easier to the family to push the analgesia for the patient, they must be reminded that the patient is the only one who can truly determine the type and feeling of pain they are experiencing and then have the authority to decide if they need additional medication or
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,
More about The Importance Of Inadequate Pain Assessment
Abigail Zuger Sometimes Pain
108 Words | 1 PagesOpioid Medications: A Case Study
977 Words | 4 PagesICP Project: Pain Analysis
230 Words | 1 PagesEthnic Disparities In Pain-Related Conditions
249 Words | 1 PagesMiami Rescue Mission Clinic Case Study
409 Words | 2 PagesPatients Informed Consent
515 Words | 3 PagesOpioids Satire
678 Words | 3 PagesOpioid Prescription Drugs
687 Words | 3 PagesAssisted Suicide Ethical Essay
435 Words | 2 PagesOpioid Overdose Research Paper
596 Words | 3 PagesPatient Opioid Education Summary
651 Words | 3 PagesDeteriorating Patient Reflection Paper
608 Words | 3 PagesPersuasive Speech On Opioids
701 Words | 3 PagesSix Aims Of Quality Patient Care Essay
574 Words | 3 PagesBiopsychosocial Model Essay
4442 Words | 18 Pages