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).
A full holistic approach is required. It is an important aspect in any care being provided that the patient and families are educated in chronic pain. The responsibility if health care professionals to educate their peers and advocate the appropriate pain management in children. When conducting any treatment plan it is essential for the therapist to be patient-centred and include the patient in all the decision making of their treatment. It is important to investigate the patient’s understanding of the condition.
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.
This traditional relationship has different role and responsibilities and each are directly linked to hospital administration and patient. Any disturbance by them can elevate the level of stress in doctors and nurse. Since nurse are responsible to report directly to the doctor so in this way both doctor and nurse are equally involved in solving problems. Therefore, this research study will contribute effectively in the literature related to the stress level
Chronic pain is one of the common reasons for medical consultation. It is of complex natural history, unclear etiology and poor response to treatment. It causes significant morbidity, suffering, disability and over utilization of health care systems. CPS is a poorly defined condition. Most authors consider ongoing pain lasting longer than 6 months as diagnostic, and others have used 3 months as the minimum criterion.
This will enable patients to talk about health issues including emotional, social, mental problems that disturb them. In healthcare, certain factors affect good nurse-patient communication which are time, language, environment, shortage of nursing staff, assumptions etc. These factors lead to error in medication, misdiagnosis and even death. So, the need for good nurse-patient communication should be emphasized in nursing practice. 3.3 Application in current job I really do know and understand the benefits of a good nurse-patient communication.
The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings . ( Schubert et al 2012 ) . However , Nursing clinical rounds lead nurses to interact with patients, respond to their interest , and adjust the unsatisfying conditions. regular nursing rounds provide an opportunity to recognize patient needs by progress nursing procedures. Although hospitals worker various methods of rounds for hospitalized patients, the main components of all rounds are pain preventing, bathing, changing position, and environmental comfortable .
Nursing is a strenuous job that demands physical and emotional resilience. Nurses juggle may different aspects in health care, from sick patients, worried families and stressed out doctors. The hours they log in are long, often requiring nights, weekends, holidays, with shifts lasting up to 12 hours and sometimes more. While many strive to become great healers, the fact remains, that the shortage of nurses is becoming a nightmare for hospital management and administration. Doctors, Hospitals, out-patient/ in-patient centers and even schools rely heavily on their nursing staff.
1. HEALTHCARE INFORMATICS Healthcare informatics in nursing improves decision making, it helps in detecting changes in patient’s condition which could be for the nurse to call rapid response team or to intervene through modified early warning system (MEWS) which assigns numerical value to the vital signs reading and calculates a score that indicates the severity of the sickness and tendency of escalating to critical condition. Nurse is able to locate essential equipment such as IV pumps, infusion pumps, EKG machines, portable computers with the click of a button when wireless technology and radio frequency identification (RFID) thereby improving patient care at the nursing level. The nurse could equally use RFID technology to track surgical
Dependent variable is care of critically ill patient while indipended variables are knowledge, practice of nurses and challenges of nurses on care critically ill patient in the ward. But here the researcher can base more on looking on knowledge and practice of nurses , if nurses is competent on assess by using ABCDE ie assess patient air way, breathing and circulation, and identify problem and able to intervene so these is help on maintain patient safety and lead quality care of critically ill patients. Also if nurses have knowledge of interpreting vital signs these can help nurses to identify patient who is deteriorating and intervene earlier, literatures show that nurses not only know to measure vital signs but also must interpret vital signs and act on
Micro aggressions cause people to have self-doubt, more anxiety, sadness, frustration, and confusion. Imagine if someone had to hear the same micro-aggression every single day, and day after day. Every time someone reminds them that they are different from everyone else, that they aren’t normal is a time that someone is reminding that person of their differentness. Usually, this is something that a person can’t change. According to the American Medical Association, stress is the basic cause of more than 60% of all human illnesses and diseases.
Since multiple sclerosis is one of the primary risk factors for trigeminal neuralgia, it is key for the nurse to get a thorough medical history assessment. When a patient first presents with neuropathic pain symptoms, the nurse should gather a thorough history and physical examination. To provide better patient care, nurses should be familiar with neuropathic pain clinical assessment tools.(Cite/nurse). The nurse should assess if and how often a patient experiences tingling, a burning sensation, electric shocks, numbness, or pain evoked by light touch or freezing pain. (Nurse).