Article Critique Pain Management in Pediatrics Essay

Qualitative Research is using the characteristic of something such as colour, shape, texture, etc. Qualitative research is commonly used to research the quality of a product for example the red T-shirt is soft and fits well.

Children presenting to the emergency department are often subjected to painful and anxiety-producing procedures, both for diagnostic purposes and for treatment of symptoms. Historically, pediatric patients have not been afforded the same level of care as adults with regard to the management of procedural pain. Pain in the young child age group (1-7 years) has often been under-treated,

Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework. This can be one of the selected articles from your previous literature review or a new peer-reviewed article.

JCAHO (2011) also stated that patients and their families needed to be educated about pain and how the patients’ pain is going to be managed. Every patient perceives and exhibits pain in a different manner and if nurses do not assess the patient thoroughly they can miss it. For instance, Engebretson et al. (2006) acknowledged that, patients manifest pain in different ways and this resulted in nurses performing an inadequate assessment of their patients’ pain. Also, Engebretson et al. recognized that patients often conceal their pain because they do not want to be viewed by staff as complainers or addicts, and if patients decide to speak up the nurses frequently view their patients’ statements from their own cultural, moral and ethical belief system and not their patients which leaves the patients’ pain untreated.

“Pain is a complex, multidimensional experience that can cause suffering. [While] pain is inevitable, suffering is optional” (Kinder, 2014, p. 114). The control of pain is, as Kinder puts it very complex, without appropriate measures it can be easily side stepped especially in the elderly. To ensure patient center care it is important that all aspect of one’s quality of life is address, this is emphasizing by pain being a component of vital signs. Being a vulnerable population the elderly is often under assessed as they minimized their problems so as not to be a burden in addition to the fact that they may believe that their pain is a normal part of aging.

Provision of pain relief is a shared responsibility of the interdisciplinary health care team. For example it may initially form part of the oncologist’s remit to determine the most effective pain management plan for the patient. After treatment has been initiated, oncology nurses may then adopt responsibility for ensuring that pain relief is adequate via regular assessment and action (NICE, 2004, p.80).

Qualitative research uses data obtained through methods such face- to- face interviews, observations, and focus groups. Data is analyzed by looking for trends and patterns. Quantitative research use numerical and statics to process the answer specific questions. Statistics used to support assessment of research. Analysis techniques are used to report are affected by the questions addressed and type of information that is expected in the research discoveries (Wakoff, 2007).

Qualitative research is a broad field of inquiry that uses unstructured data collection methods, such as observations, interviews, surveys and documents, to find themes and meanings to inform our understanding of the

Multimodal intervention along with attentive care and patient participation is necessary to achieve a balance between analgesia and side effects. Assumptions to the conceptual framework must be identified to understand the specific relevance of the theory to pain

Pediatric pain management is measured subjectively because it is based off of what the patient says or how the nurse interprets the pain scale. Pain is rated using different scales, unfortunately these different scales could yield different results. Nurses are trained to use pediatric pain scales to analyze and treat pain but parents are not supplied with the tools to manage pain when the patient goes home. With 84% of all pediatric surgical procedures performed on an outpatient basis, the importance of teaching parents how to assess for and manage pain has become more important than ever (Rony, Fortier, Chorney, Perret, & Kain, 2010). According to Rony’s et al. (2010) study, it is apparent that pediatric pain is not being treated effectively. The study showed that 58.8% of children were receiving less than the daily recommended does prescribed by the pediatrician (p.1). Results of the study also showed that parents had false assessments on if their child was actually in pain. 36% of parents believed that if their child was in pain, they would cry out for the parent , 30% agreed that their child would always tell them if they are in pain, while 22% said that the child would report their pain immediately (Rony, Fortier, Chorney, Perret, & Kain, 2010, ). Children do not always verbalize when they are in pain. Sometimes the pain can be so intense that a child is unable to talk. If the child catches on to the parents negative perception of pain medications, the child may not

In emergency rooms across the United States one of the most common complaints is pain. Recently, there have been reports on the news saying that doctors have a problem with prescribing too much pain medication. That may be true for adults but the same cannot be said for pediatric patients. A study of 24,707 Emergency Department (ED) visits reported that one 44% of pediatric patients have very little pain control in spite of pain documentation (Ramira, Instone, & Clark, 2016, p. 39). Sometimes it seems as though health care professionals take the pain of an adult more serious than a child’s. In the article, Pediatric Pain Management: An Evidence-Based Approach conducted by Maria Ramira, APRN, Susan Instone, APRN, and Mary Clark, PhD RN seeks to address this issue and introducing methods that might improve pediatric pain management.

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).

Qualitative research comprises of receiving information that gives a verbal expression of the participates, providing more detail and depth than quantitative studies. It can be used to analysis people’s attitudes and emotions towards a topic encouraging them to expand on their answers to explain the reasons behind why they gave a particular response. The drawbacks to this being as it requires more time to collect the data so smaller sample sizes

Qualitative research involves the process of discovering not only what people think but also why they believe it. The object is to get people to discuss their stance, beliefs, or viewpoints to acquire an understanding of their feelings and motivation. The qualitative research utilizes in-depth small group studies to steer and assists the development of theory. The outcome of qualitative research tends to be indicative of the opinion of the researcher rather than estimated.

Qualitative research is a technique of promoting research that stresses the quality according to the user’s point of view and approaches. In depth interviews and focus groups are best examples of qualitative research. [Laura Lake, 2009]