Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Palliative care pain management essay
Principles of palliative care
Chapter 16 pain management
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Palliative care pain management essay
With life comes death. It is a well-known biological fact that the human body, no matter the individual or the amount of time, will one day begin to wear out and shut down its physiological processes. When that time comes, one hopes that the dying process is quick and painless. It is hard to know whether one’s death will be quick, but with the use of pain management and palliative care, one can rest assured that a painless death is achievable. Leming and Dickinson (2016) highlight palliative care, or controlling pain, as “care [that] seeks to satisfy the needs of patients and their families in several domains including the physical, psychological, social, and spiritual” (p 213). For patients, patients’ families, and healthcare professionals …show more content…
The idea of palliative care is to relieve pain, so one might be led to believe that there are only positive aspects of it, but what happens when a patient does not get the proper pain management? How does this affect the patient and the patient’s family? Additionally, pain management during palliative care can impact the role of the nurse in ways such as providing proper assessments and healthcare. Of course there are beneficial outcomes to pain management during palliative care, but there are negative aspects and questions that must be answered as well. The following will discuss in totality how pain management during palliative care can impact the patient, the patient’s family, and healthcare professionals such as the …show more content…
Pain management during palliative care can impact patients, patients’ families, and healthcare professionals such as nurses. Through pain management, patients are enabled to progress through the dying process in a pain-free manner, and yet sometimes experience adverse symptoms associated with some pain control measures, such as the use of opioid analgesics. Additionally, family members can sometimes experience the difficulties of watching their loved one suffer through pain and can positively benefit from the use of pain management when their loved ones are made more comfortable and enabled to die painlessly. Lastly, healthcare professionals, such as nurses, are impacted by pain management during palliative care in ways that require accurate assessment skills and comprehensive pain relieving strategies. This is by no means an extensive list of how pain management during palliative care can impact the individuals involved throughout the dying process, but it certainly highlights the importance of pain management and the role it plays in
The boundaries of right to die with dignity are hard to determine. Keeping the terminal patient comfortable is the purpose of comfort care, however there could be a very thin line between what we consider terminal sedation and euthanasia. In theory, comfort care is quite different from euthanasia. Keeping the patient comfortable and letting the nature take its course is at the core of comfort measures (Gamliel, 2012). Yet, the line between keeping comfortable and facilitating death is often blurry. Euthanasia refers to the practice of intentionally ending a life in order to relieve pain and suffering (Gamliel, 2012). The purpose of this paper is to highlight the ethical issue of keeping comfortable vs. hastening death, and the ethical principles involved. Facilitating or hastening death is considered unethical or even illegal.
An ethical dilemma that is currently happening in the medical field regards pain management. Doctors and other medical professionals are faced with this ethical decision on whether to prescribe strong pain medication to patients who claim to be experiencing pain, or to not in skepticism that the patient is lying to get opioids and other strong medications. “Opioids are drugs that act on the nervous system to relieve pain. Continued use and abuse can lead to physical dependence and withdrawal symptoms,” (Drug Free World Online). Opioids are often prescribed to patients experiencing excruciating pain, but doctors are faced with prescribing these drugs as an ethical issue because only a patient can measure the pain they are in, it is simply impossible
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...
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
Terminally ill patients deserve the right to have a dignified death. These patients should not be forced to suffer and be in agony their lasting days. The terminally ill should have this choice, because it is the only way to end their excruciating pain. These patients don’t have
Palliative care is an essential to the creation of a health and wellbeing continuum for Australians living with a chronic illness. It is an approach of care that seeks to improve the life of patients and family experiencing the effects of chronic illness. Palliative care centres on the relief of the symptoms and effects of disease and incorporate the physical, psychological and social dimensions of a person at the end of life. A recent focus for the delivery of palliative care by nurses to Indigenous communities is the consideration that culture can create barriers to the provision of appropriate and beneficial care for the dying or deceased person. This essay explores the palliative nurse caring for Indigenous communities and the need to consider
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.
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
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...
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 and suffering is one reason people support euthanasia. “Pain-relief treatment could or even would shorten life”. (32) Yet, it is justified if the purpose is to comfort and relieve pain. Providing adequate amount of pain-relief treatment is also a way to extend life. It lessens the patient’s distress psychologically and physically. (Somerville) Going beyond the limit by overdosing the patient will poison the body and hastens death. In this case, it is unacceptable because its intention is to kill a person’s life and not to comfort.
One key agency involved with patients suffering from a terminal illness is Macmillan Nurses, who provide specialist care for those suffering from a terminal illness both directly and indirectly, their role varies from administration of specific medicines which can help improve a patient’s wellbeing in their last few days to providing advice and support to the patient and their significant others (Skilbeck et al. 2002a). However, the role of Macmillan Nurses has been called into questions due to constant changes in policies relating to palliative care and improved access to palliative care services, it has been argued that they are not keeping up to date with changes and further training is needed to improve their skills and clarify their scope of practice in the community (Skilbeck et al. 2002b). Along with Macmillan Nurses there is also the role of a Hospice in some terminally ill patients care. A Hospice usually provides residential care for those requiring advanced and ongoing medical treatment, they can provide nursing care, medications and psychological and emotional to support to patients as well as supporting the patient’s significant others (Macmillan
Teaching my patient how to maintain her pain would aid in improving her comfort level. Impaired comfort related to acute pain would be my top priority nursing diagnosis in teaching my patient. Improving her comfort level will also improve her rest patterns, as well as her appetite. Comfort can have a lot to do with other factors dealing with health. Along with her pharmalogical pain management, relieving her impaired comfort will promote improved pain management by means of nonpharmacological management of pain (Nurse’s Pocket Guide, 2013, p.212).
Pain Management – Pain can be the cause of a lot of misery for persons with a terminal illness and at the end of their life. Sometimes pain can become so unbearable that a patient would prefer to pass away. Pain management can allow a person to live a comfortable life in their last days. They will be able to spend more time friends and family doing things that they enjoy.
Pain scores are an important tool in assessing pain but are subjective due individual perception and interpretation (Wikström et al. 2014, p. 53). Pain in one patient compared to another of the same individualities, same surgery, same method, same medications can have completely different pain scores; this can be due to anxiety, pain tolerance levels, opioid tolerance and biological differentiations (Tharakan & Faber 2015, p. 181). The outlined evidence demonstrates the importance of listening to the patient and systematically assessing their pain perception, to determine the best treatment in consultation with the patient and other healthcare professionals (Cyna & Tan 2013, pp. 785-6). Others commonly involved in patient care are family members and significant others. This is due to research that shows these relationships can assist in a faster recovery for patients, due to positive influences, improving overall well-being and health outcomes (Clay & Parsh 2016). In special circumstances, patients family members or significant others may be permitted to enter recovery to sit beside the patient; at this point, the role of the nurse should be to build a therapeutic and professional relationship to support the family member and reassure them not to worry (Wicker 2015, p.