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Essays pain management in nursing
Essays pain management in nursing
Essays pain management in nursing
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This new era of year it is necessary for most nurses to undertake a literature review at one point in their study time. It is a complex process of skills, such as learning how to find the research topics and gaining skills of literature searching and developing ability to study and blending the data. The first step in literature search is to find a review topic. I found my topic, as I was interested in studying pain management of patient with pressure ulcers. I refined my search in to more specific so that the final information will be manageable. Selecting key terms is critical for achieving successful results when searching for evidence. A good place to begin identifying key terms is the PICOT question (smidt-114). In electronic data base
An example of evidence based practice would be to find relevant studies for a specific topic area being researched. For example, to find the research paper titled ‘The efficiency of cotton cover gowns in reducing infection in nursing Neutropenic patients,’ the journal in which the article was published in this case, The International Journal of Nursing, would need to be found. Medline, an online database would be one method of finding this. A list of relevant search terms would then need to be researched by using the PICO Framework, this limits the search to only relevant items and ensures that a well built clinical question will then be formulated (Drummond,1998).
Physical pain is more easily addressed by the administration of medication or a non-pharmaceutical intervention like repositioning, or the application of heat or cold. Nursing care on a general medical unit is about patient and family centered care which is in alignment with Kolcaba’s Theory of Comfort. A large portion of the patients seen on this type of unit have multiple comorbidities and challenging social situations that require assessment of their past health history, their support system, and their current living situation. All of this is taken into consideration in multidisciplinary rounds where data that is collected is communicated to all disciplines and a plan of care developed for each patient. The unit which I currently manage assembles our multidisciplinary unit daily. Needs are identified and assigned to the team members who include social work, care management and therapies in addition to the nurses and the providers. Since the team meets daily there is an opportunity to evaluate the effectiveness of the interventions prescribed. Nursing care management is integral in this work as part of the assessment, planning, and coordination of care in the hospital
Ford, S. (2013). List of 12 Priorities for Pressure Ulcer Study Identified by UK Researchers. Retrieved from: http://www.nursingtimes.net/nursing-practice/clinical-zones/wound-care/priorities-for-pressure-ulcer-research-identified/5058364.article
A nurse is required to be responsible and accountable, updating their knowledge and skills continually by using professional development (NMC, 2008). This requires an understanding and awareness of what Evidence Based Practice (EBP) is. Nurses make decisions about their practice using EBP. Ways in which this can be utilized in the improvement of knowledge and practice is, for example; using established sources of evidence. (Marquis et al, 2012). Nursing practice uses a range of approaches to improve and develop patient care so as a nurse the skill of evaluating sources of evidence is necessary to do this effectively. Evidence is gathered through research. EBP consists of research, data collection and nursing research. When searching for evidence to improve your practice the range of information available is vast. A distinction must be made between evidence that is reliable under scrutiny and evidence which is unreliable. Fitzpatrick (2007) asserts that, to understand evidence based practice is to understand where to look and what credible sources of evidence are. Sources that are credible include information published by a government body or academic institution. Fitzpatrick (2007) recommends identifying key aspects of information of the source to ascertain its credibility, for example; who is the author and where did the research come from? Is the article true or false and how long has it been there? (Fitzpatrick, 2007). A journal article is scrutinised by peers and editors and publishers, whereas in contrast a piece of information on a general website could be published by any person and make any claim and may not pass scrutiny under a peer review. Databases like EBSCO for example have articles that are peer reviewed.
The reduction of pressure ulcer prevalence rates is a national healthcare goal (Lahmann, Halfens, & Dassen, 2010). Pressure ulcer development causes increased costs to the medical facility and delayed healing in the affected patients (Thomas, 2001). Standards and guidelines developed for pressure ulcer prevention are not always followed by nursing staff. For example, nurses are expected to complete a full assessment on new patients within 24 hours at most acute-care hospitals and nursing homes (Lahmann et al., 2010). A recent study on the causes of pressure ulcer de...
The study is clear and well organized. The research and analyses methods are adequately explained and displayed and the authors provide a thorough literature review discussing previous knowledge on the topic. The results of the study are clearly shown and discussed regarding its implications. The researchers were aware of the study’s limitations and note them in the article. Limitations such as concerns regarding validity, reliability due to using an ad hoc survey, generalizability outside of the hospital setting, and the absence of a parallel study exploring patient experiences. Though it is suggested that further research is needed to confirm the findings for other care settings, this researc...
When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most resent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement from the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.
This was a two-site level three study which determined that a systemic approach of “Personalized pain treatment and sedation” proved to “improve the patient’s comfort and raise the tolerance threshold for ICU treatment” (Woien, et al., 2012, p. 1552). This study complemented the results and design of the Mansouri, et al. study (2013), and supported the findings of a systematic, methodical, and organized approach to pain and sedation management. This method not only improves HCAHPS scores through increased patient satisfaction, but also gives healthcare providers and medical professionals better capabilities to care for their patients, as well as, use data to support the courses of treatment regarding any changes made to pain management (Woien, et al.
The writer, Mattew C. Strecher argues the terms so-called, “pure” and “mass” literature. in his article, entitled “Purely Mass or Massively Pure? The Division Between ‘Pure’ and ‘Mass’” (1996) Actually, the title, “Purely Mass or Massively Pure?” intrigues me who has interested in the related question, what the difference between popular literature and pure literature is. Yet, the writer would rather use the term “mass” than “popular”. As the title makes an allusion, it’s not easy to define the terms mass/popular and pure literature. In fact, there is no a precise definition of those terms in both Western and Japanese literary world. According to Mattew however, in Japan, it is obvious the distinction between literature for the few and literature
The field of nursing is one that requires much passion, hard work and critical thinking. It is a nurses job to promote the well being of their patients and help the return to normal function. However unfortunate events occur, resulting in patients receiving adverse health conditions as a result of being in a medical facility One of the most prevalent of these nosocomial conditions are pressure ulcers. Not only do the patients suffer from the pain of pressure ulcers but the hospitals and medical facilities are effected as well. A randomized controlled trial conducted by Pickham et al. reported that “ Pressure ulcers are insidious complications that affect approximately 2.5 million patients and account for approximately US$$ 11 billion in annual health care spending each year” (2016). Pressure ulcers not only cause the patient pain but “even contribute to disability and
The purpose of this paper is to analyze a concept on order to identify an inconsistency and area for practical research. A clinical experience will be used to illustrate a core curriculum concept. Consistency with our text will be explored. Next inconsistencies will be identified to provide the basis for a relevant research question in PICO format. The process of conducting research using the hierarchy of evidence will be discussed. A summary of research findings will be provided and used to support modifications in future nursing practice.
The steps in the nursing process relate to evidence based practice in many ways. During the diagnostic, and assessment steps of the nursing process important clinical questions are considered and the critical review of existing knowledge is completed. Evidence based practice also begins with identification of the problem and knowing the clinical problem by asking questions, in relation to the nursing process. These clinical questions are asked in a concise, accurate, and organized way which allows for clear answers. Once all the specific questions are identified, the second step is to search for evidence by an extensive research of the best information to answer the question. The third step in the nursing process is to develop a plan of care. In evidence-based nursing practice, the plan of care is established upon completion of a critical research of what is known and not known about the specific problem. Next in the traditional nursing process, the nurse implemen...
The nurse should educate the patient of the importance of pain control and how controlling pain is essential to a patient’s wellbeing and recovery. It needs to be a balance of what the patient says and what the nurse observes and interprets while always respecting the wishes of the patient. Nurses have a variety of assessment tools available to assess pain in their patients. One dimensional pain scales such as visual analog scale, verbal descriptor scale, numeric pain intensity scale and the combined thermometer scale all measure the intensity of the pain (Jensen, 2011). Other pain scales such as McGill pain questionnaire, brief pain inventory, and brief pain impact questionnaire take into account aspects beyond intensity (Jensen 2011). There are additional pain assessments specialized for children, older adults, patients who are unable to respond, and patients with opioid tolerance (Jensen, 2011). The nurse should be familiar with these methods of pain assessment and know the appropriate use of each. Incorrect medication and treatment choices due to inaccurate or poor pain assessment cause patient suffering (Jensen,
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.
The researchers compared the delivery of analgesia within 30 minutes and time from being seen to analgesia of intervention group with standard group. I would say that the results of the study maybe be applied in the field of my speciality as a general if I am going to compare it to the study that was conducted in emergency department. I work in a peritonectomy, liver and lower gastro-surgical ward that caters most of the post-operative patients. Although, the study was conducted in Australia and there can be a similarity with our patients' pain assessment tool, but the setting of the study is different from our ward as we are an in an acute service area and we do not have nurse practitioners. Furthermore, the majority of our patients are coming from intensive care unit or ICU and recovery that had gastrectomy, hemicolectomy, peritonectomy and other gastric surgeries where they have a patient controlled analgesia or PCA pump connected to them, whereas in the study the patients that were mostly treated were from the classification of International Classification of Diseases 10th Revision, Australian Modification or ICD-10AM, such as open wounds in upper extremities, strain or sprain of the ankle, fracture foot and