Patient-controlled analgesia Essays

knowledgeable in the subject, and responsible to self and others” (Pottery & Perry, 2015, P. 3). Professionalism in the workplace, to me as the nurse, means that someone can think critically, provide safe quality care, communicate therapeutically with the patient, and has standards of accountability and punctuality. Critical thinking is “the active, purposeful, organized, cognitive process used to carefully examine one’s thinking and the thinking of other individuals” (Pottery & Perry, 2015, P. 1178). If the

the patient. Diagnostic radiographers interact with people at the time in their lives when they are most likely to feel vulnerable, feel uncertain about their future or anxious about results. Therefore, person centred care can be achieved through good communication skills such as verbal and nonverbal which can aid the relationship between the radiographer and the patient to promote person-centred care. Also, it is good practice to involve patient into decision-making as it empowers patients and helps

Effective pain management is a vital component to quality patient care. Nurses play an essential role in implementing pain management. Empowered nurses equipped with the latest evidenced based knowledge, skills and information are able to provide safe and compassionate care during the most vulnerable time in the life of critical care patients. Evidenced- based pain management information is crucial to provide the nurse with unbiased skills that could form the basis of their knowledge and attitudes

clinical guide line in assessing pain for demented patient, this drive me to know more about assessing pain for this special group of demented patient. In Tan Tock Seng hospital, both general ward and geriatric ward are not using this pain assessment in advanced dementia scale for assessing pain for demented patient. In Tan Tock Seng hospital, both general ward and geriatric ward nurses are using Wong baker pain assessment scale for those patient unable to describe or verbalize

Sedation and analgesia can be administered by an anesthesiologist or non-anesthesiologist as intermittent boluses or continuous infusion throughout the procedure. Moreover, patient controlled sedation and target controlled infusion are alternative modes of drug delivery. Anesthesiologist versus non-anesthesiologist debate Debate exists on whether the staff administering sedation should be an anesthesiologist, a gastroenterologist or a non-anesthesiologist (70, lit). Although, reports suggesting

tried along with local anaesthetic for prolongation postoperative analgesia. (1) And better postoperative analgesia will improve mother child interaction and improved breastfeeding and infant well-being. Regional anaesthesia for LSCS has distinct advantages over General anaesthesia via avoidance of pulmonary aspiration and difficult in ventilation and intubation due to physiological changes of pregnancy and better postoperative analgesia, less neonatal exposure to drugs. Bupivacaine is being more preferred

The Importance of the Six Aims of Quality Patient Care (STEEEP) Since the addition of Crossing the Quality Chasm six aims of quality patient care was created by the Institute of Medicine (IOM), there has been a significant change in the effectiveness and condition of patient care. Before this report came out in 2001, health care providers did not realize that they were not providing proper care to patients in addition to disorganization and complexity of standards of care. The IOM was able to determine

agent that reduces sympathetic tone, decreasing systemic vascular resistance, heart rate, and blood pressure. In anesthesia, clonidine is used as an adjunct for epidural, caudal, and peripheral nerve block anesthesia and analgesia. It is often used in the management of patients with chronic neuropathic pain to increase the efficacy of epidural opioid infusions. When given epidurally, the analgesic effect of clonidine is segmental, being localized to the level at which it is injected or infused. When

. . Hofbeck, M. (2015). Nurse-driven pediatric analgesia and sedation protocol reduces withdrawal symptoms in critically ill medical pediatric patients. Pediatric Anesthesia, 25(8), 786-794. doi:10.1111/pan.12649 New York-Presbyterian Hospital. (n.d.). New York Presbyterian Morgan Stanley Children’s Hospital. Retrieved from http://www.nyp.org/morganstanley

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

the patient need his or her consent; otherwise the patient could claim to have been assaulted. Patients usually give consent either by implication, for example when a patient agrees to receive a drug. However, some procedures are so dangerous, or the choices for the patient so complex, that it is necessary to record the act of consent. Most anaesthetic and surgical procedures fall into this category. The role of the practitioners is to ensure that the surgeon, anaesthetist

pre-existing cardiopulmonary diseases may worsen due to the superimposed effects of physiological changes related to pregnancy (1). Management of these patients is a challenge for the anaesthesiologists, because there are no controlled studies or guidelines pointing out the best type of anaesthetic technique in these patients (2). CASE A 38 years old, pregnant patient with a history of rheumatic

Thiopentone and benzodiazepines are potent anticonvulsants1, 7. Reports about the effects of propofol on ECoG are conflicting. In epileptic patients low doses of propofol activated electrocorticogram and high dose produce burst suppression8. There has been a report of activation of epileptogenic foci after administering a bolus of propofol (2mg/kg, IV), in patients having history of intractable temporal lobe epilepsy which lasted for upto 7 minutes7. Numerous studies have shown that propofol is safe

Complementary and alternative medicine (CAM) is a group of diverse medical and healthcare systems, practices and products considered not part of conventional medicine (Department of Veterans Affair, 2007,pg.197). In recent years, patients suffering from chronic rheumatic arthritis have been adopting complementary/alternative medicine to aid managing their painful condition. Rheumatoid arthritis is a disease where the body’s immune system attacks its own healthy tissues. The attack is most common

adverse effects of sedatives and analgesic drugs on airway patency, respiratory function, and hemodynamic balance as the cornerstone for a safe sedation. Complications during procedural sedation may be prevented by the appropriate pre-evaluation of the patient, intraprocedural monitoring of physiologic functions, and early intervention when adverse effects are recognized. This review will present the most recent review of the literature on drugs used for procedural sedation, new methods for delivering sedation

relief. It also has fewer side effects and can be more budget-friendly. Acupuncture therapy for chronic headaches typically involves 30-minute sessions. Patients can begin getting relief after just five or six treatments. One of the barriers to wider adoption of acupuncture as a treatment method is lack of patient understanding. Many patients assume that because needles are used, acupuncture is painful. They also often imagine needles similar to the common American sewing needle. Nothing could

a drug free pain and stress relief option. Two major branches in the veterinary holistic care are acupuncture and massage. These, like other aspects of medicine worldwide, are approached differently based on the species, age, and function of the patient as well as the learnings of the therapist and doctor following the procedures. As this is not new technology but is becoming more commonly seen, this is an important aspect to understand in the veterinary medicine world. Many analgesics

was between one of my coworker, a staff member and a surgeon. The staff member arrived for the night shift and took report from the day shift nurse, who had a rough day at work. She noticed that the patient had a bowel surgery four days ago and is still on patient controlled analgesia (PCA). The patient was found very much dependent on PCA, reluctant to ambulate and his bowels were still inactive, above all, the order was not been renewed as per the policy

discharge in patients with cancer recovering from abdominal surgery (Massey, 2010, p. 60). To help determine the effectiveness of rocking chair motion both genders were used. A randomized control trial sample was used to conduct this study at The University of Texas M.D. Anderson Cancer Center between July 2005 and February 2007. The inclusion criteria consisted of the following: patients 21 years and older, abdominal surgery for gastrointestinal cancers, receive patient controlled epidural or IV

Comparative Study of Lorazepam and Alprazolam as Premedication For Patient Posted For Orthopaedic Surgery. Introduction The main aim of premedication is to allay anxiety, block autonomic reflexes, produce amnesia, facilitate induction of anaesthesia, reduce stress response to anaesthesia and provide analgesia, if necessary. Anxiety of surgery is associated with various neuroendocrine changes1 like elevation of cortisol, epinephrine, growth hormone, and adrenocorticotropic hormone in serum. For anxiolysis