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Theory management of pain
Pain management in palliative care essay
Pain management in palliative care essay
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Introduction
Pain is a serious issue, one that can limit a person’s ability to function in all facets of life. The purpose of treating pain is to eliminate needless suffering and maintain the highest level of function despite the pain experienced by an individual (Herr, 2010). Pain can be under-recognized and underrated among end-of-life patients. This can be because these patients sometimes have difficulty communicating their pain to their nurses. In some cases, nurses do not have the necessary pain assessment skills needed to effectively manage those population pain. Strategic goals of the organization where the DNP Project was implemented.
The target organization is Manor Health Care Services, which is a long- term care facility. The company strategic goal is to provide the highest quality in health care services. One of their long-term goals is to conduct
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Head, et al. (2010) identified an improvement in the patient’s quality of life, enhanced perception of care by the patient and their family, improved communication between the physician, patient, and palliative care team, decreased workload of the healthcare provider, and decreased healthcare costs due to decreased hospitalizations and length of hospital stays. In addition, effective pain management will help to prevent falls that sometimes arise from unmanaged pain.
Conclusion
The DNP candidate anticipated that the commitment to improved pain management would be reflected by the facility incorporating the PAINAD scale as a tool for nurses to use when assessing pain/discomfort for nonverbal and end of life patients. The final expected outcome was for the facility to implement an annual nursing in-service on pain assessment and analgesic regimens, particularly for opioid use in pain management.
Mission and vision statements communicate strategic goals. “To provide superior patient-centered care using appropriate and innovative evidence-based practices” is a mission better aligned with Amedisys new direction. Additionally, “Drive growth by delivering a full range of holistic health care services, while cultivating a culture of compassion” is a vision that could be used to inspire employees to achieve Amedisys’ purpose.
Determined healthcare systems routinely examine their environments internally and externally to locate significant trends and forces in the present and for the future which will have an effect on their performance goals and mission efforts. These healthcare systems understand who their stakeholders are, their needs and how best to meet those expectations and needs. These systems give attention to specific efforts on accomplishing goals that acquire opportunities in the whole environment while they continue to adjust their internal structures and functions. Precise aims are dealt with by uninterrupted sequences for performance improvements. Strategic directions for systems originate from the mission and directives. Strategic directions are identified by observing key stakeholders, addressing their interests and being proactive about responding to current, as well as, future shifts and trends in the systems’ entire environment (Skinner, 2001).
In my opinion cancer patients can alternative pain management and higher dose of pain medicine so that they can have some comfort during their stage of dying.
Honor Health is a hospital and physician provider system located in phoenix Arizona. Honor health is relatively new hospital chain, more specifically it is the result of a merger of Scottsdale hospital and the John C. Lincoln Health Network (Alltucker, 2013). Honor Health’s mission statement is relatively short, comprising only a single sentence. Their mission and vision statements are, “To improve the health and well-being of those we serve” and, “To be the partner of choice as we transform healthcare for our communities” (Honor Health, 2015). While their vision and mission statements impart a direction and goal for their organization, the vagueness of both statements may cause problems in guiding targeted strategic initiatives. This essay
Palliative care is medical or comfort care that reduces the severity of a disease or slows its progress, but does not provide a cure (Dreeben, 2007). Different people have different needs when life is ending. Working with the incurable may sound depressing but death is a certainty and what we do each day for these patients as physical therapist assistants, matters. Providing care effectively and appropriately has a huge impact on the patient, therefore acquiring the ability to comfort and care for a patient at such a critical stage in life, is an amazin...
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
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.
Effective treatment of cancer pain is essential for ensuring the best outcomes for cancer patients, in terms of physical, psychological and social aspects. Although there are no NICE guidelines for management of cancer pain, WHO guidance should be used to inform clinical practice. Careful assessment is a critical element of the process to ensure that patients are offered the treatment which is likely to offer the best outcomes, yet without providing a greater than necessary risk of complications such as tolerance and addiction to opioids. The main outcome that this paper highlights is that “Pain is what the patient says it is and exists when he says it does” (McCaffery 1983
...c regimen, prolonged hospitalization, cost, workload on medical team, mortality rate. Moreover, unproductive assessment tool existence leads us to look for other evaluation criteria for pain. This study will aid in adding original information about the presented pain assessment tools and will demonstrate their effectiveness and ability to assess the level of pain in non-communicative patients comparing to The Critical-Care Pain Observation Tool (CPOT)
Pain is universal and personal to those who are experiencing it. It is subjectively measured on a scale of 0-10 with zero being no pain and 10 being the worst pain ever. This can be problematic for patients and doctors because this score can be understated or overstated. Doctors will make quick decisions based on this score. Patients might feel not believed because only they can feel the pain. However, untreated pain symptoms may be associated with impaired activities of daily life and decreased quality of life. Pain is defined in our textbook, “as an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Ignatavicius & Workman, 2016, p 25). Actual pain is understood by most because there is an
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
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 considered a highly subjective assessment that should be managed promptly and appropriately. Pain assessment and management can be quite challenging. It is extremely important for nurses to develop a good rapport with the patient initially to gain their trust that he or she will respond to the needs of their pain. It is also important that the nurse believe that the patients who report pain as well as those who deny it or can not verbal express that they are in pain. A nurse that suspects pain should explore the suspected pain such as painful procedures or disorders.
With regard to the healthcare organization, it is essential to develop a strategic plan and a clear vision so that the patient focused care will be at par with the organizational process that is conducted operationally and on a daily basis. SSM Health Care has its call letters for meetings standardized at all their sites as part of its protocol. Its values and missions are attached to its call letter for meetings as constant reminders for their staff. Indirectly, this approach helps in translating our vision on how people should behave at SSM Health Care.