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Poor pain management
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Pain is a complicated phenomenon that is challenging for healthcare personal to measure because it is an experience that can only be judged by the person going through it. Pain is experienced at all ages of life, but the occurrence of pain more than doubles once an individual is over the age of 60 (Hanks-Bell, Halvey, & Paice, 2004). Pain is often overlooked and undertreated in the aging population living in long term care (LTC). It is estimated that 45% to 83% of older adults living in long term care facilities are faced with undertreated pain (Hanks-Bell et al., 2004). Pain that is unrelieved has significant consequences on a person’s sleep, functional, cognitive, emotional, and social status (Hanks-Bell et al., 2004). When a person is in …show more content…
The purpose of this study was to “identify barriers to optimal pain management in LTC from a nursing perspective” (Egan & Cornally, 2013, p. 26). This study focused on caregiver, patient, and organisational-related barriers. Patient related barriers had the highest overall mean score, with the highest of 56% of respondents reporting that ‘difficulty assessing pain in older people due to problems with cognition (delirium, dementia)’ occurred ‘frequently’ ‘very frequently’ or ‘always’ interfering with pain management (Egan & Cornally, 2013). Another interesting fact taken from this article is that ‘antipsychotics are considered before pain medications in agitated patients’ was the variable that is perceived as interfering most often (Egan & Cornally, 2013) under ‘caregiver-related barriers.’ Additionally, it was noticed that pain management education significantly affects the way nurses’ perceive patient-related barriers. Nurses, who have education on pain management, have a higher perception of patient-related barriers (Egan & Cornally, 2013). Identifying and eliminating barriers to pain management in long-term care would allow healthcare workers to better address and relieve patient’s pain. If nurses were able to quickly identify pain, the major physical and psychosocial consequences of unresolved pain would be reduced, leading to an increase in quality of
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
A. Chronic pain signifies a developing public health issue of huge magnitudes, mainly in view of aging populations in developed countries (Russo).
Ladak, S. J., Chan, V. W., Easty, T., & Chagpar, A. (2007). Right medication, right dose, right patient, right time, and right route: How do we select the right patient-controlled analgesia (pca) device?. Pain Management Nursing, 8(4), 140-145. doi: 10.1016/j.pmn.2007.08.001
A long term condition not only brings the physical symptom of pain, but a number of psychological and social effects too. In 2014 the Department of Health recognised that the impact of having a long term condition can contribute to mental health problems like depression and anxiety (Department of Health, 2014). As well as finding ways to manage their physical symptoms, patients are encouraged to adopt acknowledge and address all of their health and wellbeing needs, in particular self-management at home and incorporating and educating the patient’s family and close friends as a support system (Kraaimaat and Evers, 2003). The suffering that a person with chronic pain endures not only impacts on their life, but also affects their family, time lost from employment and uses up precious healthcare resources.
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.
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
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...
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.
Under-treatment is common because of the misguided perceptions many healthcare providers have for older adult patients. In Dr. Erdman Palmore’s Ageism Survey (2001) of community-dwelling older adults ages 60 to 93, 43% of respondents reported that “a doctor or nurse assumed my ailments were caused by my age,” and 9% said they were “denied medical treatment because of age.”(cite) Situations like these are detrimental because if the symptoms are because of a legitimate problem that is overlooked due to old age, a patient’s health can worsen and a small problem can grow into something fatal. Furthermore, a patient who is told that a symptom is because of their old age can internalize those negative feelings that the physician expresses, and can then become depressed due to believing that they are helpless. Negative attitudes affect people’s physical and mental health. A few opinions that healthcare providers have about older patients that cause under-treatment are evident in a current cross-sectional survey, the Expectations Regarding Aging Scale, which assessed perceptions of aging. The majority of providers surveyed were primary care providers (PCP). PCP’s include nurse practitioners, physician assistants, and physicians. Over 60% of PCPs agreed with the statements “Having more aches and pains is an accepted part of aging” and “The human body is like a car: when it gets old, it gets worn out” (61%). Another 52% agreed that one should expect to become more forgetful with age, and 17% agreed “mental slowness” is “impossible to escape,” (cite). An example of under-treatment of a symptom in an older adult is back pain. Pain is commonly under-treated among older adults. While patients may already have ageist expectations about the
INTRODUCTION There are many things that affect a student’s enrolment as a nurse the student must be competent in the many registration standards that the Nursing Midwifery Board of Australia have set. The stigmas attached to students with Impairments and or Criminal histories and the ineligibility to register. Nursing is defined by the International Council of Nursing (2014) as collaborative care of individual’s any age health or ill of all communities, groups, in all situations. Health promotion, illness prevention and the care of unwell, disabled and dying people are included in the nursing practice. Encouraging a safe environment, research, contributing to shape health policies and health systems management, and education are also key nursing
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.
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. ...
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
There are many different theories on why pain becomes more prevalent with age. Pain is unique to each patient. As a nurse it is important to assess and understand each patients personal pain experience. There are many consequences and complications related to unrelieved pain. It is essential for the nurse to provide effective pain management. For example, if it is painful for a patient to move they will avoid movement. When they avoid movement they are at an increased risk of developing skin breakdown. To avoid situations like this, it is important for the nurse to provide accurate pain