Study title: Post-operative Pain Assessment for Major Orthopaedic Operative Cases, a case-control study. B. Study design: case control study. Pain management for postoperative patients are a major problem that may cause prolonged treatment and rehabilitation costs, however, with the proper nursing strategy, it can be managed. In order to manage the pain, the knowledge of the causing event and the symptoms are necessary for the healthcare professionals.
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) An organized pain management strategy enhances the health care team’s ability to
Nurses can use the process, of diverse assessment, to gather information that identifies what is culturally important to the patient. Through anticipatory planning, the competent nurse can effectively work within the cultural context of an individual’s specific needs. This process can help the nurse to better understand, plan, and evaluate towards the overall health and wellness of the patient. Considerations such as lack of understanding, gaps in provisions of health insurance, lack of culturally sensitive care, and misunderstanding of cultural norms and values are all barriers that patients face routinely. Therefore, to help dissolve some of these challenges, community health promotion and maintenance programs can be researched, planned, and built to provide cultural competent care for a whole community (Andrews & Boyle,
It may also provide important information on the endocrine system which will help in that specific field of medicine. Introduction A change in homeostatic conditions will result in a long term and short term compensatory response to try and return conditions
Paradigms are put together to assist in identifying areas in which the individual or group must improve for example, to realize aspirations, to satisfy needs, and to change or cope with the environment.  Therefore, health is seen as a resource for everyday life. One paradigm that outlines an approach to achieve complete health from a holistic, ecological and salutogenic health perspective is the Red Lotus Model. It is distinct from other health promotion models in that it incorporates a system of values and principles that is applied across the phases of health promotion, including needs assessment, planning, implementation and evaluation.  This paradigm is useful as it enables practitioners to proactively and purposefully put into action a connected system of values and principles across the phases of a health promotion process.
CHAPTER ONE: INTRODUCTION Problem Statement In a groundbreaking declaration, Margo McCaffery explained pain as anything experienced by a person and the individual says it is as it can exist anywhere the experiencing individual says it is present (Arnstein, 2011). Several methods for postoperative pain management are used after a Total Knee Arthroplasty (TKA). Total Knee Arthroplasty (TKA) is used as one of the common and successful procedures, by most of the orthopedic nursing units. It is one of the common orthopedic procedures carried out on aged people for degenerative arthritis (Centers for Disease Control and P revention, 2011). The present research tries to understand and explore postoperative pain management, impact, and implications it has on nursing practices.
The way a person thinks about health, “whether that is our ‘philosophy’, our ‘worldview’, our ‘framework’ influences what we do as individuals in practice,” as well as how we deliver the health service. These elements allow us to think about healthcare in our own culturally acceptable way, this isn’t always an acceptable way of delivering the service to people with views different to our own. Cultural competence is an approach that aids in influencing the service and the education of healthcare professionals. (Taylor, K., & Guerin, P., 2010). Cultural competence is defined as a knowledge and understanding of cultures, histories and contemporary realities and awareness of protocols, combined with the proficiency to engage and work effectively in a cultural context congruent to the expectations of the people of that culture.
Following the stereotypes, one can simplify the whole picture of the world and make it more comprehensible. But very often the stereotypes appear to be too generalized or wrong. One of the crucial social issues in the United States is constant racial stereotyping of ethnic minorities, which leads to the emergence of such phenomena as racism and discrimination. Brent Staples in his essay “Just Walk on By: Black Men and Public Space” and Judith Ortiz Cofer in her work “The Myth of the Latin Woman: Just Met a Girl Named Maria” both make several important observations about the biased attitude of the whites to ethnic minorities in the United States. Although both authors present their own life experiences and reveal the harmful consequences of racial stereotyping in the society their points of view on the ways of avoiding the conflict situations based on those misunderstandings are different.
Facilitate visitation from elders or Angalkuq as part of care when possible. Be aware of any therapeutic interventions they may try to administer for treatment of illness along with herbal remedies be respectful of any praying or chanting. (Napoleon, 1996, pp 4-9). Health Care Practice and Health Care Practitioner Essentially these domains may prove to impact patient care the most. Greater understanding of health care practices and health care practitioners can bridge communication between the two worlds.
United States populations are different ethnic and cultural combined. Everyday a medical staffs will interact with a different ethnic group patient, however most patients don’t know that their cultural diversity plays an important role in their safety. Cultural diversity plays important role how doctor communication with patient, treatment method is safe for the patient, and what medication to prescribe the patient. All medical staff must learn how to interact with different ethnic group and also learn how to recognize a barrier safety problem. The Health care institute requires health care employees to use a population base data to contain information on specific ethnic group, religion, belief, values, and health treatment to help solve safety
In addition, the providers have various criteria that they must meet. Such criteria include fair an equal access through primary and preventative care, 24/7 medical advice, maintain hospital admitting privileges, and a refer or authorize service. Along with this, they are also suggesting the use of evidence-based medicine and the use of case management
There is a need to complete the implementation of EHRs as part of the meaningful use. Clinician Informaticians are needed to help this transition. Clinician Informatician is an individual, physician or a nurse who has more expertise in the field of informatics and is the person to go to with questions. They integrate their knowledge and understanding of science of their clinical specialty with their knowledge of informatics. The integration of these two disciplines Clinical and Informatics, helps informaticians to provide the best quality care by integrating people with systems, processes and information technology.
The NCQA ACO program is meant to create an alignment of the healthcare plan with the state, employer, and even the federal purchasers need to form a leverage that will be used in the promoting of organizations to make a transformation for healthcare providers (Carver & Jesie, 2011). The best thing about the ACO accreditation is that it helps making a determination of whether the various organizations have the right infrastructure for accountability. The purchasers are more concerned with whether the organization is in a better position to serve. They are also in need of assurance that they will get quality care from the organizations. Through the process of NCQA accreditation, the purchaser gets the right information (Blazej,
In a culturally diverse country like the United States, healthcare professionals such as nurses will work with people of different cultural backgrounds who have different view of health and illness. Mcgoldrick, Giordano & Preto (2006) concluded that a sense of well-being in terms of physical and mental health within a societal context is strongly affected by cultural identity. Shared values, behaviors, beliefs and ethno-cultural attitudes of a community influence life experiences and decision we make (Yolanda & Griselda, 2006). With this in mind, it is essential for the nurses recognize the importance patients’ cultural values rooted in their health seeking behaviors. Culture Merriam-Webster online dictionary defines culture as a