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Effective communication needed in the health care setting
Effective communication needed in the health care setting
Cultural differences in pain
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Impaired comfort R/T Incision pain S/T Surgery AEB Anxiety, change in sleeping habit, facial mask of pain and verbalization of discomfort by patient.
1. The patient will identify discomfort and rate his pain on a scale and rate of the pain will be assessed consistently, as appropriate.
2. The patient will notify nurse or the health care provider of his discomfort before it becomes unmanageable and unbearable.
3. The patient will be able to identify the factors that increase the level of his discomfort.
4. The patient will experience comfort due to a relief from pain. 1. The patient's pain and the patient's response to pain, will be acknowledged and accepted.
2. The patient's knowledge and belief about pain and discomfort will
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Implement patient-controlled analgesia. 1. Pain is subjective, acknowledging the level of the pain as reported by the patient is important. (Pellico p. 1242)
2. Cultural practices and individual have ways of dealing with pain and different tolerance levels. Knowing how much or how well a patient responds to pain is important to implement during non-pharmacological pain management (Pellico p. 1242)
3. Assessing the factors or activities that causes the patient discomfort should be documented. (Pellico p. 1242)
4. Cultural practices and individual have ways of dealing with pain and different tolerance levels. Knowing how much or how well a patient responds to pain is important to implement during non-pharmacological pain management (Pellico p. 1242)
5. Analgesic agents are prescribed during acute phase to control and relief pain. Also sedatives may be administered to control the anxiety that is often associated with cervical disk disease. (Pellico p. 1242)
6. Analgesic agents are prescribed during acute phase to control and relief pain. Also sedatives may be administered to control the anxiety that is often associated with cervical disk disease. (Pellico p. 1242) 1. Goal met: Patient always notify the nurse of his pain
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
Pain is something that several Americans suffer from on a daily basis for varying reasons.
The practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse. Some of the benefits of PCA include improved pain management, improved use of nursing resources, increased patient satisfaction, and reduced pulmonary issues (Hicks, Sikirica, Nelson, Schein & Cousins, 2008). Some of the safety issues surrounding PCA use include infusion pump programing errors, basal infusion dosing, and proxy errors when using PCA by proxy (Ladak, Chan, Easty, & Chagpar, 2007). Therefore, the purpose of this report is to examine the benefits and risks of patient-controlled analgesia and how it relates to nursing practice.
First of all, administering medication oxycodone as patient request. Oxycodone is a opioid analgesics, belong to schedule 8 drug addition. It has to be prescribed by doctors to relieve moderate
Winfield, H., Katsikitis, M., Hart, L. and Rounsefell, B. (1989). Postoperative pain experiences: Relevant patient and staff attitudes. [online] 34(5): pp.543-552. Available at: http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T8V-45WYV7R-7G&_user=10&_coverDate=12%2F31%2F1990&_rdoc=1&_fmt=high&_orig=gateway&_origin=gateway&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=35e6b5e8c8f803b487b35d4ae3b06cef&searchtype=a[ [accessed 8/5/2013]
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
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...
Injections. Using of steroid medication in conjunction with other non-surgical options will provide temporary pain relief.
The NDI has shown to be reliable and valid for patients with neck pain. Because patients with cervical radiculopathy frequently presents with neck pain and as no other outcome tools has been shown to be superior to the NDI for use with patients with cervical radiculopathy, NDI has been included as one of the health outcome assessment tools.11
Pain has been an under-researched area of medicine, but today physicians are increasingly interested in the workings and treatment of various types of pain. In particular, a growing body of research exists on the different ways in which men and women may experience pain and the implications of these differences for medical treatment. Does the sex of an individual make a difference in their pain experience? Numerous researchers believe that women are more sensitive to pain than men, while others believe that the differences between the pain experiences of men and women are not significant. Over the course of my research I found that part of the problem in trying to answer the question lies in how scientists measure the pain experience of men and women.
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 the medical profession, personnel are asked to make judgments or draw conclusions based on measureable results. Physical assessments, vitals, CT scan, MRI, biopsy are all activities engaged in to prove abnormalities and make decisions as to the way forward. So having hunches are not considered reliable and rightly so. To decide to give a particular medication because of a mere hunch can lead to serious errors. However, pain which is now considered a part of the vital signs is based on the patients’ philosophy or view point and we (nurses) are told not to ignore but respond. This is highly subjective. It’s viewed how the patient sees it and not as tangible or measurable as the other ways of proving when something is abnormal. The situation to be presented will disclose a patient’s ordeal due to a nurse’s approach to or understanding of pain management. It will also assess whether the nurse responded in accordance to protocol.
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...
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.
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. ...