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Migraine pathophysiology essay
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Living with Migraines: A Phenomenological Study of Women’s Experience
Migraines plague countless people each day, but yet there is not much in the way of understanding the experience. This study gives you a glimpse of what migraine sufferers experience daily, from frustration to relief. They feel that healthcare professionals do not take them nor their experience seriously.
Abstract
The study that I have chosen discusses the link between holistic nursing care, listening to your patients, and migraine sufferers. The study states that approximately 18.2% of American women suffer from migraines, so the purpose of this study is to find out how these headaches affect these women and how we can help them as nurses.
Applying the Nursing Process
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Migraines may be felt specifically on one side of the head, produce moderate to severe pain, and may be aggravated by physical activity. The patients may experience auras, nausea, vomiting, and sensitivity to light. This was a major precedent when selecting patients for the study.
The study was guided using both phenomenological inquiries and story theory. Phenomenology is described as the understanding of a person’s everyday experiences affect them and then having that person explain it to someone else. Story theory involves the gathering of first hand stories from the patients as described in an interview process, these stories included first migraine experiences and well as interactions with healthcare providers.
The study was geared to women over the age of 18. Those who reported headaches that were not considered migraines or did not speak English were excluded. Each person was interviewed for about 45 (forty-five) minutes to an hour. Among the participants, the stories became repetitive by the time they interviewed the eighth
In the healthcare system many times patients are just patients and appointments are just appointments. The outlook on the patients and appointments all depends on the area of practice and the health professional themselves. Working in the emergency department, the nurses and doctors there typically do not see the same patient more than once and if they do the chance of them remembering them is slim to none just for the simple fact of the pace of the department. When it comes down to Physicians in the hospital setting, the care is not just quick and done. Great patient to healthcare professional relationships are formed and for some it may feel as if they are taking a “journey”(209) with their patients as they receive their medical care. This essay will be based off the book Medicine in Translation: Journeys with My Patients by Danielle Ofri, in which Ofri herself gives us the stories of the journeys she went on with several of her patients. Patients are more than just an appointment to some people, and when it comes to Ofri she tends to treat her patients as if they are her own family.
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
Women." Journal Of The American Academy Of Nurse Practitioners 24.12 (2012): 726-734. Academic Search Premier. Web. 29 Mar. 2014.
Keep in mind that the migraine sufferer does not have to have any of these conditions to take them to prevent their migraines.
Morace, Robert A. “Interpreter of Maladies: Stories.” Magill’s Literary Annual 2000 1999: 198. Literary Reference Center. Web. 6 Apr. 2010. .
Our patient Ms. Blum is a 28-year-old white female who presents with symptoms of a migraine, such as waking up by a severe headache that she states is often made worse when she turns on the light. In addition, Ms. Blum presents with several factors that can trigger her migraines including her lack of sleep, her stressful life as concluded by her statement that this has been a difficult period in her life and her approaching deadline to turn in her dissertation, her weekend alcohol consumption, her menstrual cycle since she notices that a couple of days before her period starts she experiences these headaches, also she states that food doesn’t seem to appeal to her and it takes her effort to eat a meal, and her diagnosis of major depressive disorder.
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.
When someone hears holistic nursing their mind may immediately jump to a form of hippie nursing with little to none scientific background or accuracy in the quality of care. This belief however is extremely inaccurate as to what holistic nursing really is. Holistic care can be defined as to when the nurse honors the patient’s wishes and takes into consideration the social, physical, emotional, and spiritual aspects of the patient’s life (American Holistic Nurses Association, n.d.). Holistic nursing is growing in popularity amongst patients because of its open communication between nurse and patient, its unique approach to health and healing, as well as the comprehensive care it can provide.
Nursing Problems is the current class in session, which includes an analysis of modern nursing issues and the impact nurses make when resolving any problems concerning patient care. Although there have been many different issues in the past, healthcare is in constant change and there are frequent issues that arise. Therefore, there are two or more sides to every issue. Using statistics and research, “The Great Debaters” movie presented different ways to endorse our opinion when discussing a problem.
The authors found that the patients who underwent the actual surgery showed a greater improvement in comparison to patients who were used as a control in the sham surgery. In the actual surgery, 57.1% of the patients reported complete elimination of their migraine, while only 3.8% reported the same for the placebo surgery. In terms of improvement, 83.7% of patients reported they were feeling significantly better, while in the sham surgery group approximately 57.7% significant
He sees this with the adjustments he makes on each of us. This is making sense to me know after reading this study. I did this exactly: I would get headaches as a child and decided it would be better for me not to participate in P.E. at school because I felt it would cause headaches. It became my way of life. When in reality, if I had been more physically active and developed that habit early on, the regular exercise would’ve helped me possibly have fewer headaches overall. These types of things are considered “modifiable” risks and also include things as obesity, stressful life events, caffeine overuse, and snoring/sleep apnea. All these things can be addressed and altered in the migraine sufferer’s life. These studies also marked how there is a direct impact to migraine sufferers, their families, productivity at work, and extra cost for health services. I feel that society’s and doctor’s attitudes need to change in regard to migraines. From these studies, I feel there is evidence to support that if there were better treatment combinations for migraine patients, involving both behavior therapy and medication, those of us with migraines could be better contributors to our families and society instead of
I have suffered from migraines since I was four.Just a little child at the time who couldn’t understand or express the screaming going on in my head. Pounding, pulsing, pressure as if something was trying to claw its way out. Lights dancing before my eyes and nasua rolling in my stomach. Today I have those words but even though I can express them few people understand.
1. The types of specialists that can help with a migraine diagnosis are doctors who focus on treating people with migraines. These doctors can be internal medicine doctors, family practice doctors, neurologists, or other specialists who see many patients with headache disorders. Most migraine & headache specialists have completed additional training and have additional certification in treating headaches. They may also work in a clinic dedicated to treating headaches. In addition, a neurologist is a doctor trained in diagnosing and treating disorders and diseases of the brain, spinal cord, nerves and muscles. Neurologists examine and treat the nerves in the head and neck as well as diagnose problems with memory, balance, speech, thinking and
What is a migraine? A migraine is extreme pain in your head that can cause you to see different things. Usually migraines happen on one side of the head. Headaches are different for every person. The pain in migraines are extremely painful. All though every person that gets migraines has different experiences with pain. People that have migraines often may experience different symptoms every time they get a migraine. Migraines have been a life changing thing to many people. They are more common in women than men because of hormones.