The most common reason that people seek medical care is pain, and pain is the leading cause of disability (Peterson & Bredow, 2013, p. 51; National Institute of Health, 2010). Pain is such an important topic in healthcare that the United States congress “identified 2000 to 2010 as the Decade of Pain Control and Research” (Brunner L. S., et al., 2010, p. 231). Unfortunatelly, patients are reporting a small increase in satisfaction with the pain management while in the hospital (Bernhofer, 2011). Pain assessment and treatment can be complex since nurses do not have a tool to quantify it. Pain is considered the fifth vital sign, however, we do not have numbers to guide our interventions. Pain is a subjective experience that cannot be shared easily. …show more content…
Pain can be classified according to duration, etiology, and anatomical area. Also, pain can be classified as physiological and psychological. The physiological definition is the one nurses are more familiar with. Physiological pain is the one that travels using nociceptors and nerves to the brain (Brunner, et al., 2010). However, psychological pain is “a wide range of subjective experiences characterized as an awareness of negative changes in the self and in its functions accompanied by negative feelings” (Meerwijk & Weiss, 2011). This definition is very similar to all that we discuss before because pain has always been associated with unpleasantness. However, the main difference is that the aching is from the psyche or mind (Meerwijk & Weiss, 2011). Psychological pain has gained prominence recently because it is the most cited reason for suicide (Meerwijk & Weiss, …show more content…
Pain definitions across disciplines associate pain with unpleasantness. Physiology link pain with unpleasantness to make humans aware of imbalances in the body. Biology connects pain and unpleasantness as an evolutionary tool. Humans avoid unpleasantness/pain and, that makes them survive. Psychology associate pain with unpleasantness of the mind. Pain is described by all disciples as a subjective experience, which can only be explained by those experiencing it. Pain is linked to illness of the “body”, from a physiologist’s point of view, or the “mind” from a psychologist’s point of
Each person will respond differently to the pain experience. Therefore, the individual’s attitudes, personal experiences and knowledge are also antecedents to the concept of pain. For instance, a person that has been exposed to severe pain knows the
End of life pain management is an important function of hospice organizations. Families and patients alike are comforted by the fact that, at the end, there are resources which allow for a comfortable death. Much of the quality of hospice care is determined by patient family members. In 2005, the Brown Medical school conducted research with regard to t...
What exactly is pain? According to Webster's dictionary, pain is "physical suffering typically from injury or illness; a distressing sensation in a part of the body; severe mental or emotional distress". Most everyone reading this paper has experienced some form of physical pain at some point during their lives; most everyone has even experienced the common daily pains such as stubbing our toe as we walk through the living room, accidentally biting our tongue as we chew, and having the afternoon headache after a long day of work. No matter the fact that it is unpleasant, pain has a very important role in telling the body that something is not right and leading to behavior that will remove the body from a source of potential injury. Imagine if we could not experience pain. We would not be able to change our behavior in any way when touching the burning hot dish in the oven, resulting in potentially serious burns. We could not recognize that perhaps we twisted an ankle when walking down the stairs, thus continued walking on that foot would exacerbate the injury to the point of not being able to walk at all. Indeed, pain is not pleasant, but in many cases it is an important way for our nervous system to learn from and react to the environment.
There is a general consensus of what physical pain is amongst society. Pain is never good. It is something that hurts and no one ever wants to actually be in pain. In infants and toddlers, pain is associated with cries, tears, and the word “ouch!” As they grow into adults, pain and all of its expressions follow and branch out with them. Its dimensions multiply and what used to hurt as toddlers, no longer does. At the same time, they begin to experience new physical pains – pains, which create such an unimaginable physical suffering. Today, pain remains as an unpleasant feeling that causes physical suffering; however, it can be seen and interpreted from many different vantage points. One perspective is the personal standpoint, where many people have trouble describing the feeling of enduring pain or the physicality of it. Another viewpoint is the neurobiological viewpoint, where neurologists have readily created three separate types of pain and explications for each.
" Chronic Pain (CP) statistics astounding according to The Institute of medicine approximately 100 million adults suffer from chronic pain which is more than heart disease, diabetes, and cancer combined."(IOM Relieving Pain in America 2011, p. 1)
“The greatest evil is physical pain.” Saint Augustine understood that experiencing pain is horrific, and most would agree. However, it is perhaps emotional pain, rather than physical, that causes the most damage. Whether physical or emotional, painful experiences are upsetting at best, and in severe cases, they can be life-changing. Pain is a feeling of distress that is often an underlying problem or symptom of an illness.
It is difficult for a medical professional to physically see a patient 's pain unless the source is on the exterior of their bodies. According to the American College of Emergency Physicians, “Some health personnel mistakenly believe that appearance, vital signs, and the ability to sleep correlate with the presence or absence of pain. Appearance, nonetheless, is a poor predictor of pain intensity, particularly in those with chronic pain.” Doctor’s and nurses alike must put aside their bias’, predisposed beliefs, along with judgements to treat a patient experiencing pain fairly. It is a medical professional 's duty to assess and treat each patient to their fullest ability in addition to prescribing the correct medication free from bias and stereotypes. If Medical professionals have difficulty in assessing pain along with fairly prescribing medication on a case-by-case basis, then there needs to be a movement in the medical world for better teaching on this
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
Pain, which is defined in its widest sense as an emotion which is the opposite of pleasure (White, 2004, p.455), is one of the major symptoms of cancer, affecting a majority of sufferers at some point during their condition (De Conno & Caraceni, 1996, p.8). The World Health Organization (WHO, 2009, online) suggests that relief from pain may be achieved in more than 90 percent of patients; however, Fitzgibbon and Loeser (2010, p.190) stress that pain may often be undertreated, even in the UK. Foley and Abernathy (2008, p.2759) identify numerous barriers to effective pain management, among which are professional barriers such as inadequate knowledge of pain mechanisms, assessment and management strategies.
messages through the brain. When we feel pain, we avoid whatever is causing us pain. The
The nurse should educate the patient of the importance of pain control and how controlling pain is essential to a patient’s wellbeing and recovery. It needs to be a balance of what the patient says and what the nurse observes and interprets while always respecting the wishes of the patient. Nurses have a variety of assessment tools available to assess pain in their patients. One dimensional pain scales such as visual analog scale, verbal descriptor scale, numeric pain intensity scale and the combined thermometer scale all measure the intensity of the pain (Jensen, 2011). Other pain scales such as McGill pain questionnaire, brief pain inventory, and brief pain impact questionnaire take into account aspects beyond intensity (Jensen 2011). There are additional pain assessments specialized for children, older adults, patients who are unable to respond, and patients with opioid tolerance (Jensen, 2011). The nurse should be familiar with these methods of pain assessment and know the appropriate use of each. Incorrect medication and treatment choices due to inaccurate or poor pain assessment cause patient suffering (Jensen,
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.
How is someone supposed to convey a normal state of mind when pain is encompassing his or her being? Experiences of pain are very common in the healthcare system, yet there are still gaps in distinguishing between the different types of pain that people experience. In addition, pain is physical, emotional, spiritual, and in some instances a combination of them all. Throughout literature, pain is represented and treated in various ways by conveying a patient’s experience and interpreting the meaning of pain and how it can shape an individual. Pain is subjective and each person experiences pain in unique ways. Representations of pain can take place in many forms; pain is personified, pain is self-perpetuating, and pain is selfish. In the
Pain, a word that is always associated with getting hurt. The real question now is how it hurt. In life people experience many types of pain. There are two different kinds of pain; physical and mental. The physical part of pain is like falling from something, cutting your arm, or stubbing your toe. The mental part of pain is like hurting someone’s feeling from saying something harsh or doing something to them emotionally, which hurts inside. The causes and effects of physical and mental pain are very different but can be both equally devastating and even more dramatic with emotionally disturbed people.
People can wear pain on the outside like a mask, hiding them from the world, but it also can hide deep within them waiting to be freed by some emotional circumstance. Oddly enough, pain is one on the most feared apprehensions in the mind of humans, yet in some situations, is the most rejoiced. In this paper I will take a close look at pain, from it's true meaning to real life occurrences in which pain is a reality.We all know what pain feels like, for everyone has experienced it at one time in their lives. There are two dimensions of pain; the physical and the emotional pain. Physical pain is a sensation of pure discomfort. For example, when you are walking through your house and stump your toe on a table leg, you don't just stand there and say, "That hurt." You yell loudly to the world (either nice or naughty) that you stumped your toe.