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Psychology and Pain Perception
Cultural perceptions of pain
Pain perception in native culture
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Recommended: Psychology and Pain Perception
Definition:
Significant pain, with no physical cause, that disrupts the client’s life leaving them depressed and anxious which contributes to a cycle worsening the pain.
Possible Causes/Risk Factors:
Hx of physical/sexual abuse
Anxiety
Development stage
Culture and ethnicity
Sex
Personality type
Family influence
Signs and Symptoms:
Chronic pain
Anxiety about pain
Pain that cannot be linked to a physical cause or an illness (CA, trauma)
Stress R/T pain
distress/impairment in social environments
depression
Treatment Modalities:
Cognitive Behavioral Therapy (CBT)
Medication (both prescription and OTC pain medications are ineffective)
Antidepressants
SSRIs
Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
SNRIs
Venlafaxine (Effexor) Desvenlafaxine (Pristiq) Duloxetine (Cymbalta) Tricyclic antidepressants Goals of Treatment: break the cycle of anxiety/depression and pain CBT Learn triggers that increase the pain and how to deal with them successfully Learn how the deal with the pain itself Medication Antidepressants: treat depression; breaking a link in the cycle Nursing Interventions: Distraction. Rationale: help client not to focus on pain Hot and cold packs. Rationale: help relax muscles and relieve pain Assist with physical therapy. Rationale: being active can help reduce depression and improving one’s psyche Teach stress management techniques. Rationale: reducing stress promotes relaxation Encourage client to do activities that previously brought them joy. Rationale: this can significantly affect their psyche and bring them back to a time before the chronic pain and depression Monitor for S/S of GI complications. Rationale: clients with somatoform disorders often have GI problems Collect sample (urine or blood) for pregancy test. Rationale: certain antidepressants (Prozac) are contraindicated in pregnant women Do not administer Prozac with a MAOI. Rationale: can cause a fatal reaction Goals for Patient: Relief of chronic pain; able to continue their lives without any hindrance from pain; improved mood, no depression or anxiety
Pain is something that several Americans suffer from on a daily basis for varying reasons.
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.
see what kind of pain mental illnesses causes to the victim, maybe they would start
Pain is “an unpleasant sensory and emotional experience associated with the actual or potential tissue damage” (“Pain Management Nursing Role”). Pain is categorized into acute and chronic and its management is an integral part of all areas of health care. Pain management is alleviating and reducing pain to a level that is acceptable to the client. Pain is managed with analgesics, or pain killers. One specific When admitted the nurse needs to properly document the patient’s report of pain or oligoanalgesia, or the under treatment of pain could occur. Pseudoaddiction is when a client being undertreated for pain becomes demanding for more medication and seems like he is inappropriately seeking drugs.
As well as, carefully documented decision-making plan (i.e., the last three steps of the model), with complete record history of the patient, treatment plan, and record all consultations, this would have answered any clinical, and risk management concerns regarding boundary crossing without compromising clinical integrity. This decision-making process regarding, limits in the analysis, concerns with the clients could have brought around autonomy, the principle of “do no harm and nonmaleficence, involving the action of not intentionally inflicting pain on others and refraining from actions that risk harm to other; beneficence prevent harm and being proactive in trying to benefit the patient, and the therapist’s responsibility to contribute to the welfare of the patient with justice the principle of providing equal treatment for all clients, and fidelity honoring commitments and regarding the client’s trust and the therapeutic relationship (p. 69). With the intention Husted should have reflected by to section 3.05 (1) (2) (3) as followed:
Kate Chopin is very well known for her extremely unique writing. Not only are her works striking of feminism, but the way she approached topics were not easily tolerated at that time especially for her gender. Many of her stories tie into marriage and the unhappiness that it brings. In Desiree’s Baby Chopin says, “And the very spirit of Satan seemed suddenly to take hold of him…” Comparing the woman’s husband to that of Satan shows the intensity of disgust between the two in the relationship. Strong statements such as these are often seen in “The Storm” and “The Story of an Hour.” In Chopin’s life she was married, and her stories lead me to believe that she viewed her marriage as a trap and suffered from lack of privacy and control. Despite how provoking Chopin’s works were she was long ignored by readers and critics until her stories hit the surface in the 1960’s and became more popular. The women in her stories are constantly seeking freedom, lust, and attention.
In 1931, the French medical missionary Dr. Albert Schweitzer wrote, "Pain is a more terrible lord of mankind than even death itself." Today, pain has become the universal disorder, a serious and costly public health issue, and a challenge for family, friends, and health care providers who must give support to the individual suffering from the physical as well as the emotional consequences of pain (1).
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
Definition of the condition: " Chronic pain is described as a long-lasting pain that people experience beyond a normal healing time (Hasenbring, Rusu & Turk, 2012). This time is usually up to three or six months prior to an incident (Hasenbring, Rusu & Turk, 2012). Chronic back pain can include a common diagnosis of muscle spasms, back strain, or myofascial syndrome (Weiner & Nordin, 2010). There are three different types of chronic back pain: simple musculoskeletal back pain, spinal nerve root pain and serious spinal pathology (Jackson & Simpson, 2006). Hasenbring, 2012.
Management of pain is very important when it comes to palliative care patients, considering that 55-95% of this patient population requires analgesia for pain relief (Creedon & O’Regan, 2010, p. [ 257]). But what is considered pain management? And why does pain continue to be inadequately treated? According to the article on chronic non-cancer pain in older people: evidence for prescribing, in the past few decades significant improvements have been made to the management of pain in palliative care. However, it is universally acknowledged that pain on a global scale remains inadequately treated because of cultural, attitudinal, educational, legal, and systemic reasons (Creedon & O’Regan, 2010, p. ...
There are many ways to categorize illness and disease; one of the most common is chronic illness. Many chronic illnesses have been related to altered health maintenance hypertension and cardiovascular diseases are associated with diet and stress, deficient in exercise, tobacco use, and obesity (Craven 2009). Some researchers define the chronic illness as diseases which have long duration and generally slow development (WHO 2013); it usually takes 6 month or longer than 6 month, and often for the person's life. It has a sluggish onset and eras of reduction for vanishing the symptoms and exacerbation for reappear the symptoms. Some of chronic illness can be directly life-threatening. Others remain over time and need intensive management, such as diabetes, so chronic illness affects physical, emotional, logical, occupational, social, or spiritual functioning. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, all of these diseases are the cause of mortality in the world, representing 63% of all deaths. So a chronic illness can be stressful and may change the way a person l...
the care experienced by patients, family members, and the general public; in addition to, the
...actually needs help. However, I have to respect his decision, in order to provide client-centred care. “Respect for life means that human life is precious and needs to be respected, protected and treated with consideration” (College of Nurses of Ontario, 2009c, p. 8). Sometimes offering medication may not necessary be the first and best solution for the situation. We as a registered nurse, have the responsibility to offer the client health teaching such as pain control instead of giving him medication right away. This prevents the client developing a certain medication addiction and helps to establish a therapeutic nurse-client relationship by providing supports and cares without the use of medication. Therefore, this experience from mental health clinical practicum had helped me to improve nursing practice of delivering high quality health care to my clients.
when the client has little or no memory of the past trauma. Secondly, since workers are
"There is much pain that is quite noiseless; and that make human agonies are often a mere whisper in the of hurrying existence. There are glances of hatred that stab and raise no cry of murder; robberies that leave man of woman for ever beggared of peace and joy, yet kept secret by the sufferer-committed to no sound except that of low moans in the night, seen in no writing except that made on the face by the slow months of suppressed anguish and early morning tears. Many an inherited sorrow that has marred a life has been breathed into no human ear." George Eliot (1819-80), English novelist,editor. Felis Holt, the Radical, Introduction (1866).What is pain? In the American Heritage Dictionary, pain is referred to as "an unpleasant sensation occurring in varying degrees of severity as a consequence of injury, disease, or emotional disorder." The word is rooted in Middle English, from an Old French piene, from Latin poena, meaning "penalty or pain", and from Greek pointe, meaning "penalty." Pain is a very realistic problem that many individuals face daily.