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Pain perception
Pain perception
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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 …show more content…
This type of pain is classified as nociceptive pain or the normal pain process. It involves four processes that occur continuously: transduction, transmission, perception, and modulation. Neuropathic pain is not as easily understood because it involves damage and dysfunction of nerve cells in the peripheral nervous system (PNS) and/or the central nervous system (CNS) (Ignatavicius & Workman, 2016). Most patients describe neuropathic type pain as burning, stabbing, shooting, and/or a feeling pins and needles (Ignatavicius & Workman, 2016). This type of pain is hard to treat because of the subjective nature of pain and not all the causes of neuropathic pain are understood. This paper is a review of pharmacological and non-pharmacological management of neuropathic pain management. Three articles were found on this subject and summarized to inform its readers on recent research conducted within the last five years. The first article reviewed was a research study to determine strategies patient’s implemented in order to cope with …show more content…
A feasibility study.” The purpose of this small controlled study was to evaluate the effectiveness of acupuncture at decreasing neuropathic pain and improving health-related quality of life. The author 's hypothesis was that acupuncture would significantly reduce pain in these types of patients. This study involved only twelve participants from a podiatry clinic dedicated to teaching students. All participants had to be over 18 years old, diagnosed with diabetes and have a history of diabetes-related neuropathic pain for at least 3 months. Participants in this study completed assessment surveys before and after they were given acupuncture. Acupuncture was given five times during a four-week period. The surveys assessed the participants’ belief in the effectiveness of acupuncture, their quality of life, and current pain level. This study concluded that acupuncture did help reduce neuropathic pain in all the participants but it was not statistically significant. The self-reported belief in acupuncture survey showed a statistical difference in belief of the effects of acupuncture before and after a course of the intervention. This might be because most of the participants in this study reported The quality of life survey assessed six domains and all showed improvement. Although the
A. Chronic pain signifies a developing public health issue of huge magnitudes, mainly in view of aging populations in developed countries (Russo).
The results of these actions can be relieved pain. “A National Institutes of Health trial has found that acupuncture decreases pain associated with osteoarthritis of the knee, when combined with standard medical treatment” (“Acupuncture”). While these results show that some of the pain can be relieved, other studies reveal that the received advantages are nearly nonexistent. Disease therefore cannot be cured. “The benefits of acupuncture are likely nonexistent, or at best are too small to be of any clinical significance.” ( “Why acupuncture is giving sceptists the needle”, David Debyshire) This is a statement made by pharmacologist David Colquhoun and neurologist Steven
Public Health Reports (Interagency Team at NIMH and NIDA Studies How Acupuncture Works.) (1974-) , Vol. 95, No. 5 (Sep. - Oct., 1980), pp. 503-504
Since the first report on the success of acupuncture anesthesia in 1970s, much attention has been attracted to the effectiveness of acupuncture therapy worldwide. Analgesia is one of the most important effects of acupuncture. Generally, mechanisms of acupuncture analgesia contain mechanisms of acupuncture anesthesia, but the latter does not represent the entirety of acupuncture analgesia. This is because acupuncture not only treats acute or transient pain, but also chronic or persistent pain resulted from inflammations or other causes. Clinically, the pain usually occurs prior to acupuncture, either needling or moxibustion can be used for treatment. For acupuncture anesthesia, an induction period of acupuncture is required prior to the surgery and only needling or acupressure may be applied. In addition, the surgical pain pertains to the category of acute pain. However, most modern studies on mechanisms of acupuncture analgesia are conducted focusing on the mechanisms of acupuncture anesthesia. In the following discussion, we will first outlook those studies on acupuncture anesthesia, then provide a complementary explanation on mechanisms of clinical acupuncture analgesia, and finally analyze their implications in improving results of clinical analgesia. Primarily, mechanisms of acupuncture anesthesia or analgesia include two closely associated aspects: neural and humoral mechanisms [27].
Acupuncture, like massage, is widely used but the evidence in the form of clinical trials warrants further investigation to overcome the methodological shortcomings of the existing evidence.
Mendelson G, Selwood TS, Kranz H, Loh TS, Kidson MA, Scott Ds. (1983). Acupuncture treatment of chronic back pain. A double-blind placebo-controlled trial. Journal of Medicine, 741), 49-55.
...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.
It gives an equivalent effect of tranquilizers in cases of insomnia, depression, worry, and nervous disorders, and its action is swift and lasting. Studies analyze that acupuncture manipulates the production of and distribution of a great many neurotransmitters and neuromodulators and that in turn, alters the perception of pain. Most patients of acupuncture will need several sessions, may be once a week. Patients feel the effect within 2-3 sessions. If the condition is acute, it is typically resolved within 4 to 8 sessions; otherwise, if the condition is chronic, it may take longer. While acupuncture certainly isn't a cure-all therapy, but gathering evidence suggests that it can be beneficial to a degree. The World Health Organization (WHO) recognizes acupuncture treatments for a wide range of medical problems. A study, sponsored by the National Institutes of Health, finds that a 7-week course of acupuncture helped many patients to ease chronic lower back pain. For lower back pain, the American College of Physicians and the American Pain Society, in a joint statement, recommended acupuncture as one nondrug option when standard treatments don't
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.
While pain has always been present in humans' lives, Loeser and Melzack (1999) report that it is in only the past 30 years that pain research has made advances in both the treatment and the understanding of pain. There are three basic categories of pain: transient, acute, and chronic.
Complementary and alternative therapies are relatively new and essential options in health care, they help to increase the quality of life of patients and provide them with numerous possibilities to ensure growth of their health, beyond current medicine. Recently, these therapies, such as massage therapy and acupuncture, have become more prevalent in research. Consequently, their substitution with standard medicine in the healthcare system has been supported by the literature. The literature that supports these methods has explored why complementary therapies are needed, the different and distinct features of each therapy, and they also examine the education and knowledge those implementing the services must have. To accurately analyze if complementary and alternative therapies are valuable to the health care system, this paper will aim to learn why they are becoming predominant and why nurses should use these therapies’ to assist in improving the health of individuals. To determine the main attributes of these therapies, a variety of resources that extensively discuss complementary and alternative therapies will be examined and the paper will also examine the benefits and weaknesses they have on improving health. Lastly, this paper will aim to determine if these services should be implemented by nurses as alternative options for their patients, as nurses should have substantial knowledge pertaining to implementing these therapies.
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. ...
Pain is subjective, acknowledging the level of the pain as reported by the patient is important. (Pellico p. 1242)
Acupuncture doesn’t allow people to get ahead of themselves like Victor did; the way of thinking brought about is that of a natural sense. The techniques of the alternative medicine allow people to remember how magnificent and sacred the human body is and realize that it cannot be created through lab work or perfected through medicine. With Western medicine, patients can take up to four or five medications before finding one that suits their needs and most can have many life threatening side effects. With acupuncture, it is one procedure and one attempt to heal a patient with NO major side effects. Acupuncture is a unique ancient art that is backed by thousands of years of Chinese thought and research and has been proven affective for many people and their illnesses.