Analysis Of Pain : It's A Never-Ending Prescription

“Playing with Pain,” by Michelle Crouch in December, 2016, teaches us that focusing too much on one sport is not very good. Studies show that specializing in one sport actually has the opposite effect of what people think or say about it. Crouch write in the article about the experiences of Kellen Sillanpaa, a young athlete. The central idea is that if a person specializes in only one sport, there could be consequences. Some of the consequences are having pains, not being able to play a sport or do normal activities, and having a lower chance of success later in life.

What is the point in measuring something that is unique to every individual? In “The Pain Scale,” the author, Eula Biss, attempts to convey her pain to the reader. She tells the reader how she has tried to describe and measure her pain. There is a system set up for doing so, but it leaves much up to individual interpretation. The arbitrary process by which we are supposed to evaluate the level of pain we are experiencing doesn’t seem to accomplish much. Throughout the essay, Biss uses unique ways of comparing the suggested levels of pain to other “scales.” This raises the question, why can the scale, itself, doesn’t do adequate job of helping people understand pain.

Measuring Pain 1. 1. Sensory - intensity, duration, threshold, tolerance, location, etc 2. 2. Neurophysiological - brainwave activity, heart rate, etc 3. 3. Emotional and motivational - anxiety, anger, depression, resentment, etc 4. 4.

Conceptual analysis is integral in understanding nursing theory. According to Walker and Avant (1995), concept analysis allows nursing scholars to examine the attributes or characteristics of a concept. It can be used to evaluate a nursing theory and allows for examination of concepts for relevance and fit within the theory. The phenomena of pain will be discussed in this paper and how it relates to the comfort theory.

No evidence exists to suggest that older individuals perceive pain to a lesser degree or that sensitivity is diminished. Although pain is a common experience among individuals 65 years of age and older, it is not a normal process of aging. Pain indicates pathology or injury. Pain should never be considered something to tolerate or accept in one's later years.

This paper will examine the the nurses and pain assessment in the hospitalized patient. The paper will focus on pain and pain management and the need to assess pain. How much percentage of the population in the U.S. are experienced pain, and how much of the population abuse the pain medications. There are many barriers which hinder nurses from perform accurate pain assessment. These barriers are nurses experience, competence, perception and manipulation. Pain is subjective, but pain assessment tools and nurses’ perception may contraindicate with what the patients stated. Thus, the paper will try to find solution to accurate pain assessment during hospitalization, especially with abuse of opioid.

People with advanced dementia are unable to communicate pain levels and the Pain assessment in Advanced Dementia (PAINAD) scale can assist in determining pain levels in individuals with cognitive impairment.

If the nurse was able to quantify non-verbal cues of pain, the assessment and management of pain would be more effective. The purpose of this concept analysis is to quantify pain identification in the sedated patient by critical care nurses. Failure to appropriately treat pain will increase dissatisfaction among patients and their families. The concept analysis will focus on the “three defining attributes of pain management: pain relief, pain modulation, and self-efficacy.” (Davis, 1992).

In an article entitled Pain Assessment Using Self-reported, Nurse-reported, and Observational Pain Assessment Tools among Older Individuals with Cognitive Impairment

‘Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage’ (International association for the study of pain 2014). Pain can be made up of complex and subjective experiences. The experience of pain is highly personal and private, and can not be directly observed or measured from one person to the next (Mac Lellan 2006). According to the agency for health care policy and research 1992, an individuals self-report of pain is the most reliable indicator of its presence. This is also supported by Mc Caffery’s definition in 1972, when he said ‘Pain is whatever the experiencing patient says it is, existing whenever he says it does’.

Pain is an adaptive mechanism which helps us learn to avoid dangers, it used to be believed that pain was an emotional state caused by intense stimuli and for 300 years people operated on Descartes single wire theory, that pain is a disturbance passed along nerve fibres to the brain, however, recent research into pain has come up with a more complex theory of nociception and pain. Nociception is a sensory process that provides the signals that trigger pain, whereas pain is the feeling of something unpleasant or an unbearable sensation arising from a part of the body. it is possible to have pain without nociception and nociception without pain, for example, back pain with no tissue damage is pain with no nociception and finding

Analgesic medications have long been the backbone of pain management, although now may be the time to seek some alternatives. Pain management is more than just treating the current source of pain. We need to treat our patient in a broad, wholistic way to give them the best outcome. We can seek to do this by recognizing that pain comes from many sources and for many reasons. “Practitioners of complementary and alternative medicine recognize that pain may arise from many inter-related factors and seek to identify and address the contributing factors associated with a patient’s pain” (Schulenburg, 2015, p 323). We need to acquire as many alternative pain management strategies as we can because we realize that a patient may experience pain physically,

The most common reason that people seek medical care is pain, and pain is the leading cause of disability (Peterson & Bredow, 2013, p. 51; National Institute of Health, 2010). Pain is such an important topic in healthcare that the United States congress “identified 2000 to 2010 as the Decade of Pain Control and Research” (Brunner L. S., et al., 2010, p. 231). Unfortunatelly, patients are reporting a small increase in satisfaction with the pain management while in the hospital (Bernhofer, 2011). Pain assessment and treatment can be complex since nurses do not have a tool to quantify it. Pain is considered the fifth vital sign, however, we do not have numbers to guide our interventions. Pain is a subjective expirience that cannot be shared easily. Since nurses spend more time with patients in pain than any other healthcare provider, nurses must have a clear understanding of the concept of pain (Brunner, et al., 2010). Concept analysis’ main objective is to clarify ideas, to enhance critical thinking, and to promote communication (Rodgers & Knafl, 2000). This paper will examine the concept of pain using Wilson’s Steps of Concept Analysis (Rodgers & Knafl, 2000).

The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (1979). Pain is actually the culprit behind warranting a visit to a physician office for many people (Besson, 1999). Notoriously unpleasant, pain could also pose a threat as both a psychological and economic burden (Phillips, 2006). Sometimes pain does happen without any damage of tissue or any likely diseased state. The reasons for such pain are poorly understood and the term used to describe such type of pain is “psychogenic pain”. Also, the loss of productivity and daily activity due to pain is also significant. Pain engulfs a trillion dollars of GDP for lost work time and disability payments (Melnikova, 2010). Untreated pain not only impacts a person suffering from pain but also impacts their whole family. A person’s quality of life is negatively impacted by pain and it diminishes their ability to concentrate, work, exercise, socialize, perform daily routines, and sleep. All of these negative impacts ultimately lead to much more severe behavioral effects such as depression, aggression, mood alterations, isolation, and loss of self-esteem, which pose a great threat to human society.

In this discussion, I will be looking at the different forms of pain and how this pain is caused within the body. The number of different types of drugs used to treat pain is forever expanding but I will examine the main types of painkiller, how they were discovered and how they work to relieve the symptoms of pain.