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Acute pain management theory
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“Each year, millions of patients suffer acute pain as a result of trauma, illness, or surgery. Pain is the most common reason for admission to the emergency department, making up forty percent of the over 100 million emergency department visits annually” (Sinatram, 2010). With pain being the deciding factor for many patients as to when they should report to the hospital, it is crucial that they receive adequate pain relief to achieve patient satisfaction and prevent costly re-admissions postoperatively. Opioids are often used to relieve pain when non-opioid analgesics fail to provide relief.
Impact of the Issue
Circumstances surrounding the issue
Drug addiction is a prevailing problem in the United States. Drug addiction has been stereotyped to dirty, unemployed people facing poverty; although, this is not always the case. Addiction can strike anyone at any time. Addictive behaviors include one or more of the following: impaired control over the drug use, compulsive use, continued use despite harm, and craving (American Pain Society, 2011). With the use of opioids to relieve acute pain, addiction is one of the possibilities one must consider when deciding if this treatment is an option.
Individual and societal impact of the issue
Many patients never receive the pain relief that they need due to fear becoming addicted or the stigma that society has put on opioid use. A survey of 250 postoperative patients revealed that seventy-two percent chose a non-opioid agent for pain management. When investigating their choices further, they all had the same reason for choosing the non-opioid: fear of addiction (Sinatram, 2010). Patients, and sometimes providers do not understand the differences between addiction, physical dependence ...
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...009). Reduction in Opipid-Related Advers Events and Improvement in Function with Parecoxib followed by Valdecoxib Treatement after Non-Cardia Surgery . Adis Data Information BV.
Macintyre, Russell , Usher , Gaughwins, & Huxtable . (2013). Pain relief and opioid requirements in the first 24 hours afer surgery in patients taking biprenorphine and methadone opioid substitution therapy. Anaesthesia and Intenstive Care , Vol, 41.
Pain Management. (2012). In P. Potter , A. Perry , P. Stockert, & A. Hall , Fundementals of Nursing (p. 971). Elsevier.
Potter , Perry, Stockert, & Hall. (2012). Fundamentals of Nursing . Elsivere .
Sinatram, R. (2010). Causes and Consequences of Inadequae Management of Acute Pain . The American Academy of Pain Medicine , 1859-1871.
Swegle , J. M., & Logemann, C. (2009, October 15). www.aafp.org. Retrieved from American Family Physician .
In medical school/pharmacology school, medical professionals are taught to treat severe pain with opioids. However, opioids should be prescribed with the possibility of future dependency in mind. Physicians often struggle with whether they should prescribe opioids or seek alternative methodologies. This ethical impasse has led may medical professionals to prescribe opioids out of sympathy, without regard for the possibility of addiction (Clarke). As previously stated, a way to address this is use alternative methods so that physicians will become more acquainted to not not treating pain by means of opioid
Meera, A. (2011). Pain and Opioid Dependence: Is it a Matter of Concern. Indian Journal Of
An ethical dilemma that is currently happening in the medical field regards pain management. Doctors and other medical professionals are faced with this ethical decision on whether to prescribe strong pain medication to patients who claim to be experiencing pain, or to not in skepticism that the patient is lying to get opioids and other strong medications. “Opioids are drugs that act on the nervous system to relieve pain. Continued use and abuse can lead to physical dependence and withdrawal symptoms,” (Drug Free World Online). Opioids are often prescribed to patients experiencing excruciating pain, but doctors are faced with prescribing these drugs as an ethical issue because only a patient can measure the pain they are in, it is simply impossible
Almost one hundred years ago, prescription drugs like morphine were available at almost any general store. Women carried bottles of very addictive potent opiate based pain killers in their purse. Many individuals like Edgar Allen Poe died from such addictions. Since that time through various federal, state and local laws, drugs like morphine are now prescription drugs; however, this has not stopped the addiction to opiate based pain killers. Today’s society combats an ever increasing number of very deadly addictive drugs from designer drugs to narcotics to the less potent but equally destructive alcohol and marijuana. With all of these new and old drugs going in and out of vogue with addicts, it appears that the increase of misuse and abuse is founded greater in the prescription opiate based painkillers.
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.
In the United States, opioid addiction rates have majorly increased . Between 2000-2015 more than half a million individuals have died from Opioid overdose, and nearly 5 million people have an opioid dependence which has become a serious problem. The Center for Disease control reports that there are 91 deaths daily due to opioid abuse. Taking opioids for long periods of time and in
Opioids are a class of drugs which have been used since ancient times to reduce pain.
on Pain Care will evaluate the adequacy of pain assessment, treatment, and management; identify and
Every year, 2.6 million people in the United States suffer from opioid abuse and of that 2.6 million, 276,000 are adolescents, and this problem is only escalating. An individual’s physical and emotional health suffers as well as their personal lives as they lose employment, friends, family, and hope. Opioid addiction begins with the addictive aspects of the drug. People easily become hooked on the relieving effects of the opioids and suffer withdrawal symptoms if they stop using the drug completely because their nerve cells become accustomed to the drug and have difficulty functioning without it; yet the addiction to the drug is only one aspect of the complex problem. The stigma about opioid addiction has wide-reaching negative effects as it discourages people with opioid abuse problems from reaching out.
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.
Lindley, P., Pestano, C. R., & Gargiulo, K. (2009). Comparison of postoperative pain management using two patient-controlled analgesia methods: Nursing perspective. Journal of Advanced Nursing, 65(7), 1370-1380. doi: 10.1111/j.1365-2648.2009.04991.x
By the year 2000 opioid medicine containing oxycodone etc., are being abused and misused and more than doubled in 10 years’ time.
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.
Physician Vol. 47.10 (2001): 2037-2042. The College of Family Physicians of Canada. Web. 30 March 2014.
Pharmacology is a vital component in the perioperative practice. Medication use is monitored closely during the perioperative period. Preoperatively, there are certain drugs that must be discontinued prior to a surgery as they increase surgical risk, including anticoagulants, tranquillisers, corticosteroids and diuretics (Laws, 2010b). In fact, these drugs can increase the risk of respiratory depression, infection, fluid and electrolyte imbalance and increased risk of bleeding (Hamlin, 2010). Open communication is important in obtaining a medication history, and in identifying the drugs taken prior to the surgery. If any of these medications has be...