This research problem is also relevant to the actual practice of nursing due to the fact that inflammatory bowel disease (IBD) patients are seeking care for their constant pain. Nurses are facing difficulty in providing pain management while also managing with the epidemic of drug abuse for those individuals who are in constant pain. This is an issues that continue to evolve and will get worse if we don’t find a solution for it.
This research study is qualitative. Qualitative study is more subjective as it allows the patient/participant to elaborate more about their unique experience with pain. The researchers taped recorded the interview and selectively focus on the experience with pain in the hospital. (Bernhofer et al., 2015) The researcher also analyzed five patterns that occur with the interviews such the patient feeling misunderstood, and frustration with the constant pain. (Bernhofer et al., 2015)
The underlying purpose of this study is to identify the feeling that each patients experience when admitted to the hospital with pain. Furthermore, the study also described the hospital experience related to the quality of care given, and how the healthcare providers made them feel. The research purpose corresponds to EBP focus of meaning because it explores the significance of their
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These healthcare providers should provide the patient with a judge-free environment. I would say that this research is most relevant for all health care providers as each unit may encounter patient with pain. In addition, the patient’s pain shouldn’t be disregard because it leads to poor quality of care and bad experience for the patients. By showing the patient that you care about his concern or even acknowledge it, it makes the patient feel safe and well understood. I would use this study and apply it to my clinical work by understanding and properly assessing my patient’s
Monsivais, D. B., & Engerbretson, J. C. (2011). Cultural cues: Review of patient- centered care in patient with nonmalignant chronic pain. [Magazine ]. Rehabilitation Nursing, 36(4), 166-71. Retrieved from http://search.proquest.com.library.capella.edu/docview/876578026?accountid=27965
Nurses assess patients’ perineal swelling, lacerations, and monitor signs of infection. In conjunction, nurses also assess patient’s pain levels from perineal trauma and can provide pharmacologic and non-pharmacologic pain relief (Steen et al., 2007). Based on the centrality of their role, it is important that nurses have access to evidence based best practices on perineal pain management. Yet, nursing does not exist in a vacuum and there are many factors that may influence the translation of research evidence into a clinical setting. As stated by the Canadian Nursing Association, “Decision-making in nursing practice is influenced by evidence and also by individual values, client choice, theories, clinical judgment, ethics, legislation, regulation, health-care resources and practice environments” (CAN, 2010, p. 3). With this at the forefront, I will explore some of the organizational challenges to implementing Steen et al.,(2007) findings, such as, cost effectiveness, practice environment, standardization and time constraints. I will then explore the application of the evidence to my clinical example by addressing how Steen et al., (2007) evidence might have changed the care I provided to my
Thematic analysis is espoused to be the foundational approach to qualitative analysis and methods (Saunders et al., 2016 as stated in Braun and Clarke, 2006: 78) and it is a useful method used to identify and analyse the order and patterns of qualitative data (Attride-Stirling, 2001). Qualitative research method depicts the correlation that exists between data and events, creating the pictorial representation of what one thinks a given data says (Saunders et al., 2016). They also opined that, qualitative data analysis is cogent, interactive and iterative. Also, Joana and Jill (2011) and Saunders et al (2016) postulate that, qualitative research brings meanings from words and images as opposed to numbers. However, despite its robustness and rigour of its application, it is skewed more to the interpretivist ideologies since researchers draw conclusion from participants and the hypothesis being forecasted (Joana and Jill, 2011; Saunders et al., 2016).
At some point of life, virtually everyone experiences some types of pain. Despite the availability of standardized pain management methods such as using analgesics and opioids, patients might inadequately managed for pain if pain assessments are done inefficiently. Nurses are in a unique position to assess pain as they have the most contact with the child and their family in hospital. Getting a thorough pain assessment occasionally hard for nurses with the patients whom cannot collaborate. For example, pain in infants and children can be difficult to assess.
on Pain Care will evaluate the adequacy of pain assessment, treatment, and management; identify and
Conclusions. An adequate and clear understanding of the concept of pain and implementing interventions of pain treatment and management is essential in the clinical settings. Understanding the concept of pain is necessary for its relationships with other concepts that are related and similar to the pain experience for theory building. The in the end, understanding the concept of pain will ultimately benefit the patient and lead to better and approp...
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.
The change which is outlined in this paper relates to how early referral of terminally ill patients into a hospice program results in better patient outcomes, in particular, with regard to pain management. PICO format question will be used , along with a supportive body of evidence regarding the fact that early onset into a hospice program is helpful with providing end of life pain control. Hospice programs available, and options associated with them will be discussed as well as common concerns associated with early admission to hospice. The methods used for payment of hospice, and how one qualifies for entrance into a hospice program will be explored. A literature search will be performed and its results detailed within the body of this paper. Recent publications on the subject matter and associated issues such as moral and ethical questions as well as the change question will be discussed. Planning, implementing and evaluation of the change proposed will be explored within this paper.
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
The term methodology refers to the way in which we approach problems and try to find answers and in social science, it applies to how research is conducted, our assumptions, interest and purposes shape which methodology we choose (Steven, 2016:3).Qualitative research is understanding people from their own perspectives, their viewpoint and experiencing reality as they experience it. Qualitative research has many approaches or methods of collecting data and one of them is an interview which I have chosen to explain further based on it as a method of collecting data. The interview is the most common method of data gathering used in qualitative research and it is used in deferent ways by every main theoretical and methodological approach.
Conclusion is the fifth stage of Gibbs (1988) cycle which acknowledges the learning and achievement of my goal of accurate pain assessment. I am now able to achieve my competency of collaborative and therapeutic practice and comprehensive assessment(Unit 5, 9, 10) as outlined in National Competency Standards for the Registered Nurse. I feel confident enough to assess the pain in non-verbal and dementia residents accurately and validly as the pain assessment done by me was counter assessed by NUM. She found it valid assessment. Moreover I was assessed by my assessor on my findings of pain assessment on three
The major concepts deduced from the hypothesis fall under three categories: (1) multimodal intervention, (2) attentive care, and (3) patient participation. Multimodal intervention includes the concepts of potent pain medication, pharmacological adjuvants, and non-pharmacological adjuvants. Attentive care relates to the assessment of pain and side effects and intervention along with reassessments. Patient participation includes goal setting and patient education. The resulting outcome of these three categories working together is the balance between analgesia and side effects.
In a pain assessment, the pain is always subjective, in a verbal patient; pain is what the patient says that it is. Nurses must be able to recognize non verbal signs of pain such as elevated pulse, elevated blood pressure, grimacing, rocking, guarding, all of which are signs of pain (Jensen, 2011). A patient’s ethnicity may have a major influence on their meaning of pain and how it is evaluated and responded to behaviorally as well as emotionally (Campbell, & Edwards 2012). A patient may not feel that their pain is acceptable and they do not want to show that they are in pain. For some people, showing pain indicates that they are weak. Other patients will hide their pain as they do not want to be seen as a bother or be seen as a difficult patient.
The researchers compared the delivery of analgesia within 30 minutes and time from being seen to analgesia of intervention group with standard group. I would say that the results of the study maybe be applied in the field of my speciality as a general if I am going to compare it to the study that was conducted in emergency department. I work in a peritonectomy, liver and lower gastro-surgical ward that caters most of the post-operative patients. Although, the study was conducted in Australia and there can be a similarity with our patients' pain assessment tool, but the setting of the study is different from our ward as we are an in an acute service area and we do not have nurse practitioners. Furthermore, the majority of our patients are coming from intensive care unit or ICU and recovery that had gastrectomy, hemicolectomy, peritonectomy and other gastric surgeries where they have a patient controlled analgesia or PCA pump connected to them, whereas in the study the patients that were mostly treated were from the classification of International Classification of Diseases 10th Revision, Australian Modification or ICD-10AM, such as open wounds in upper extremities, strain or sprain of the ankle, fracture foot and
Discuss the social psychological approach in psychology and identify the kinds of questions that social psychologists attempt to answer.