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What might effective pain management depend upon
What might effective pain management depend upon
What might effective pain management depend upon
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Per reporter: Sarah came in on 2/22/18 complaining of vaginal pain and had a rash. She tested positive for hepatitis. On 2/21/18, Sarah took a bath and went to church. While at church she stated having pain and called Patricia to get her. The next day she still was in pain. The reporter examined Sarah, and she had wet soil dirt in the external of her vagina. She had grass and strass on the internal of her vagina. She had multiple redness blisters on the inside of her vagina. Sarah did not make contact, seem shy, and uncomfortable, this could have been due to having the exam done. Sarah told the reporter that she was sitting on the couch without panties on. She said she was not touched or had intercourse with anyone. Sarah is a little slow
Anna Garcia is a thirty eight year old Hispanic women. She weighed 165 pounds and was 64 inches tall. She was married to Alex Garcia, but went through a nasty divorce. Anna has no children and one dog. A phone call came in at 9:45 AM on the hot morning of August 14th. Anna’s neighbor, Doug Greene let the police know he saw her walking her dog around 6:30AM yesterday morning, but heard her dog barking for the last two hours. Both the police and the EMT arrived at 9:56AM, and had to break the front door down. Upon entering the house, they found Anna lying face down in the entry hallway, a small pool of blood was by her head. The house was a comfortable 73 degrees fahrenheit. Around her there was evidence. There was vomit, blood spatters, blood on the table, and a pool of blood. As well as, a syringe, white pills, a cup with an unknown fingerprint on it, a muddy shoe print, and a
Prior to the beginning of the study, the doctors decided to withhold the official diagnosis from their patients. Instead, of telling the patients that they were infected with syphilis they chose to tell them they had bad blood. This was a decision made as a group, however, the provider’s individual reasoning was different. Miss Evers wanted to tell them
Pain is neither objective nor seen or felt by anybody other than the person that is experiencing it. Pain is subjective, therefore there is no way to distinguish whether or not someone is hurting and the only and best measurement of pain is that what the patient says it is. In settings such as end of life care, patients present with many different disease processes and ultimately are there because they have an average of six months to live. Along with this stage in their lives, palliative care patients can encounter a myriad of symptoms, which can result in these patients experiencing tremendous physical and psychological suffering (Creedon & O’Regan, 2010, p. [ 257]). For patients requiring palliative care, pain is the most incapacitating of symptoms and in return unrelieved pain is the primary symptom that is feared most by these patients. So why has pain management not become the top priority when it comes to end of life care, considering this area is growing at an extraordinary rate as a result of an increasingly ageing population?
Pain is not always curable but effects the life of millions of people. This essay examines the Essence of Care 2010: Benchmarks for the Prevention and Management of Pain (DH, 2010). Particularly reflecting on a practical working knowledge of its implementation and its relevance to nursing practice. It is part of the wider ranging Essence of Care policy, that includes all the latest benchmarks developed since it was first launched in 2001.
Pain is a universal element of the human experience. Everyone, at some point in their lives, experiences pain in one form or another. Pain has numerous causes, effects, and is itself a highly complex biological phenomenon. It also carries with it important emotional and social concerns. Pain cannot be entirely understood within the context of any one field of scientific inquiry. Indeed, it must be examined across a range of disciplines, and furthermore considered in relation to important non-scientific influences, such as emotional responses and social determinants. I conducted my explorations regarding pain with the following question in mind: to what degree is pain subjective? I found several avenues of inquiry to be useful in my explorations: they are (1) the expanding specialty in the medical profession of pain management; (2) pain in individuals with spinal cord injuries (SCIs) and (3) pain experiences of children. Examining these issues led to the conclusion that pain is in fact a highly subjective phenomenon.
Exploring the precision of assessing pain by using available tools in the hospitals chosen for the study by comparing them with the (COPT).
Aim. The purpose of this paper is to clarify and analyze the meaning of the concept of pain. The paper will clarify the defining attributes of pain and identify the antecedents that influence the perception of pain and list the consequences of pain. It will also state the empirical referents in reference to pain.
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
This case involved a 53 year old man who sustained a significant tear of his rotator cuff while playing baseball. He underwent surgical repair and was given a referral for physical therapy. The referral was to begin passive ROM 3 times per week for 2 weeks then initiate a supervised home program of active exercise for 2 weeks, and elastic resistance exercises for internal and external rotation every other day for a month. 2 weeks after surgery, he had his first PT visit in a sports medicine clinic that was managed by an athletic trainer (ATC).”
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
Shortly after I had learned to drive, my mother called me while I was at the store. She told me in an urgent voice that she was in a lot of pain and had to be taken to the doctor. I immediately left the store and drove my poor mother to the health center where she could be helped. After waiting for what seemed like forever, my mother was finally taken back to see the doctor. As it turned out, my mother had a condition that caused spasms of pain throughout the day. Despite the fact that she had this condition, she was given a minimal amount of Vicodin to get her through the agonizing pain. She suffered through the pain for weeks, and the medicine did little to help the spasms that shook her whole body. I watched her in despair. If it was the doctor’s job to help her, why didn’t he do anything to assuage her pain?
Freud had a preoccupation with death and suffering. He lived with great personal pain and during a time in history of war and death. From the burning of his books to the murder of his sister and dispersal of his family from their homes, Freud experienced the effects of human depravity by the efforts of Nazi ideology. His preoccupation with death and suffering was justifiable be, but he needed a rationale for why this problem of pain existed, and how men should to respond to it. Through personal struggle with pain, Freud examined his own psyche. He had a dichotomous desire for his own death. One the one hand he wished for immortality, but on the other hand he wished for an end to suffering through death. He chose to reject beliefs of heaven, hell, paradise and immortality on the basis that these ideas were only childhood fantasies. Freud found it preferable to esteem the work of thought as an end. Seeking comfort through “child-hood fantasy” was not an option, according to him. He said that he could not “face the idea of life without work. What would one do when ideas fail...,” and that it would be “impossible not to shudder at the thought.” His rejection of a real God caused his understanding of how and why the problem of pain existed to be limited to the realm of human invention. Freud theorized that guilt was at the heart of antisemitism. He wrote, “Moses and Monotheism” for this very purpose. According to his theory, Christianity was invented in order to relieve the unbearable guilt that the world experienced. Judaism, however, rejected this solution for the relief of guilt and consequently the world “repays Judaism with eternal hatred.” Despite his determined conclusions derived from thought, Freud did state t...
Results: Preoperatively, patients’ levels of pains were at an average of 8.6 out of 10. After leeching procedures, pains were significantly reduced to an average of 3.5 out of 10. Not only did the pain dramatically decrease, but there were dermatological signs of improvement.
Marion Good, PhD, RN, has focused her study, “A Middle-Range Theory of Acute pain Management: Use in Research,” on complementary medicine for pain and stress, acute pain, and stress immunity. The purpose of this theory is to put into practice guidelines for pain management. Good, 1998, noted the need for a balance between medication usage and side effects of pain medications. The theory also promoted patient education related to pain management following surgery and encouraged plan development for acceptable levels of pain management. This theory was developed through deductive reasoning. Chinn & Kramer, 2008, defined deductive reasoning as going from a general concept to a more specific concept. Good, 1998, related that there was a balance between analgesia and side effects in which two outcomes can be deduced: (1) a decrease in pain, and (2) a decrease in side effects. These outcomes can be studied further or more detailed concepts can be deduced from them.
Pain is worldwide. In every county and every city, pain is being experienced. Whether it is the pain of a stubbed toe or the pain of a massive heart attack, someone is in pain and that pain has a purpose. However, from the first experience of pain we begin to suspect that pain is no friend of ours. And as we continue to endure and be subjected to pain, we begin to loathe it. As the dislike towards pain grows, we Americans give up on bearing and conquering pain. Our medicine cabinets have become filled with pain pills and popping a pill at every miniscule ache has become routine. Yes, some pains of excruciating and chronic levels should be diminished, but pain should never be eradicated. We may wish to be invincible to pain, but pain has a purpose and it is a necessity to be felt. As humans with no natural armor, we fear pain and try to escape it; however, the rare disease of Congenital Insensitivity to pain reinforces and confirms that pain is the vital teacher essential to our survival, and above all we should all be grateful for pain.