Chronic Pain Assessment

Peoples beliefs and culture can also have an affect on the amount of pain they are feeling. This can be from a feeling that they do not want to make a fuss. It is important that you create as many opportunities as possible for people to express their pain and create a atmosphere where people know it is acceptable to say they are in pain for example:-

“Pain is much more than a physical sensation caused by a specific stimulus. An individual's perception of pain has important affective (emotional), cognitive, behavioral, and sensory components that are shaped by past experience, culture, and situational factors. The nature of the stimulus for pain can be physical, psychological, or a combination of both.” (Potter, Perry, Stockert, Hall, & Peterson, 2014 p. 141) As stated by Potter et al, the different natures of pain are dealt with differently depending on many factors. Knowing this, treating pain can be very difficult as there is no single or clear cut way of measuring it; “Even though the assessment and treatment of pain is a universally important health care issue,

It is essential to identify if John Taylor has pain at the time of the initial interview. If so, it is necessary to promote interventions to provide relief. The initial assessment will serve as a guide to develop the plan of treatment of pain. In the initial approach it is also essential to ask to John Taylor about past painful experiences. Knowledge and use of scales to assess pain intensity, are a great value in support of the clinic.

In conclusion it can be seen that early and regular pain assessment on par with other vital parameters along with appropriate treatment by all healthcare providers will lead to improved patient outcomes and satisfaction. This can be achieved by education, use of departmental guidelines and protocols,regular audit of practice and feedback to the professional involved.

Rationale: The first step to assessing pain is to determine if the patient can report their pain. The patient was asked to rate their pain intensity or select descriptors of pain intensity using a valid and reliable self-report pain tool (McCaffery, Herr, & Pasero, 2011).

Living with constant pain can be debilitating and it can be a huge detriment in one’s life. Chronic pain can impair an individual’s ability to participate in almost every day life regimes. Research has shown that chronic pain negatively impacts an individual’s ability to maintain social connections (Lennon, Link, Marbach, & Dohrenwend, 1989), employment and ability to undertake activities of daily living (Andersson, 1999). Chronic pain is significantly related to a range of mental health difficulties, as well as reduced subjective well-being. A meta-analysis of chronic pain research suggests that there is an interaction between a patient’s symptoms of depression and the severity of their chronic pain (Tunks, Crook, & Weir, 2008), and that chronic

There are two types of pain that can be distinguished by its durations, such as pain that is short lasting and it lasts from days to few weeks, which are known as acute pain (AP) and persisting pain that lasts over three months or more, which are known as chronic pain (CP) (Kramer-Kile, Osuji, Larsen, & Lubken, 2014; Lewis et al., 2014). The CP concept was chosen because the number of people experiencing Chronic Pain (CP) is increasing causing a decrease in people’s quality of life (QOL) and co-mortalities (Paul, Day, & Williams, 2016; Kramer-Kile, et al., 2014). Human body cannot be separate for its one entity. Thus, patients (Pts) with CP may arise from experience of both the Physical Pain(PP) and Psychosocial or Social Pain (PP/SP)

Almost everyone experiences pain, and it encourages a person do to something to escape it, making it an extremely effective protective device (Brukner & Khan, 2012, p. 41). Pain alerts a person to tissue damage or a threat that there might become tissue damage, seeks attention, changes behaviour, and makes a person prioritize pain relief (Brukner & Khan, 2012, p. 41). Ultimately, the brain produces pain which motivates a person to protect their body and avoid damage, with fear or anticipation of pain being enough to prevent changes of functional movements going back to normal, showing how powerful the whole pain mechanism is (Butler & Moseley, 2013, p. 90-91). As established, pain is an extremely different experience for everyone, so therefore describing their pain can be a difficult task, but it is essential to helping the health care provider really understand what the patient is presenting with and what is happening with the patient (Sluka & International Association for the Study of Pain, 2009, p. 4). According to the Macmillan Dictionary (n.d.), some of the following words are some ways in which patients often describe their pain: achy, acute, antagonizing, bad, burning, chapped, chronic, crippling, dull, excruciating, gnawing, gripping, heavy, inflamed, irritated, itchy, painful,

While this practice change represents a good beginning, there are few limitations that can be drawn from the study. First, those nurses who resist change may not implement the practice change as outlines and second, interview score of the patients can vary as every patient’s perception of pain is different and experience in a different way. The study did follow all the programs as planned without going for overtime and the study design and methodology perfectly matched the EBP project. The clinical interventions appeared to be effective and if carried out with careful consideration, will have good positive impact on patient outcome. The identification of more effective and cost effective clinical interventions that will improve patient pain reassessment and documentation skills with safe practice protocol can be considered for in future

Here, I add points in d, and e. I can select interventions based on EBP. For example, for patient who on magnesium then we should monitor for urine output, reflex, and homan’s sign. Check for toxicity and keep them bed-rest. Patient who is on insulin drip, we should monitor their glucose and their potassium and administration potassium when the potassium is below certain level. Other intervention--If the FHR is absent to minimal then we should change the patient position, preferably to the patient left. Finally, evaluate patient progress---The rating of pain before the administration of medication such as Flexeril, Motrin, Percocet etc. and the evaluation of pain 1 hour later. We can determine the effectiveness through pain rating.

Because pain is an unpleasant, uncomfortable and distressful personal experience, the clients' own verbalizations are the most reliable pain indicators.

Pain management is exceedingly important in order to provide quality and satisfactory care in clinical practice. Hospitalizations are often stressful for patients and families, and most patients in the hospital are in pain due to their health condition because it can affect all body systems. Such stress on the body can exacerbate health conditions and delay the healing process. Pain control and management is crucial in hospital-setting because pain is associated with many other complications for a patient like decreased mobility, increased risk for falls, depression, anxiety, sleep impairment and isolation which contributes to patient safety (Gropelli, 2013). The patient population on the telemetry/oncology/pediatric floor at Resurrection Medical Center is a diverse group that is always changing and presenting with new cases, many with prescribed pain medication. Pain is subjective and many patients receive medication for their pain; but when does a patient start to abuse their pain medication and rely on it. A noticeable problem on the 4S unit is many patients who are prescribed pain medications as needed are dependent of them. Patients know precise times their pain medication is scheduled and demand it around the clock. Using nonpharmacological pain techniques can be an alternative, safe, effective method in managing patients’ pain. Maintaining a staff who understand the advantages and utilize a nonpharmacological pain management plan will benefit the

One of the most pervasive issues in the delivery of healthcare is the proper management of patient pain. In surgical settings, pain is an unavoidable consequence but one that requires handling with great care as the unnecessary suffering of patient is legally and morally inappropriate. While pain is typically a physical response to an external stimulus, such as a surgical procedure or the destructive extent of disease, the recognition of pain occurs on an individual level. The brain is the ultimate arbiter of what is painful and what is not. Due to this deeply personal context of pain, there are many factors at play in its appearance. Some factor relate to environmental concerns while others derive from societal and cultural impacts (Belfer, 2013). While pain is often an unwanted characteristic of care, it is also a strong diagnostic guideline. Physicians can rapidly detect the extent of illness and injury by following a patients’ expression of pain. Because of the importance of understanding pain, it is important that nurses be acutely aware of all of the personal and cultural influences that can affect a patient 's understanding and expression of pain. Nurses with such awareness are more likely to avoid the unfortunate situation of over or under diagnosing pain. The Joint Commission requires that all facilities adhere to guidelines that state patients shall not suffer from unnecessary pain. The Joint Commission also states that facilities must formally

A proper assessment needs to be completed upon admission, and the physician needs to be contacted to ensure proper pain management is in effect. There are several different pain scales to be used based on the patient's alertness and cognitive ability. The 0-10 Numeric Scale is the most widely used scale for patients who are alert and oriented. Wong-Baker FACES scale is used more with younger pediatric patients or mentally challenged. The FLACC scale is used for patients who can't verbally or visually report their pain level.

The purpose of this assignment is to identify a client group and discuss the current pain management strategies used to assess pain in the selected client group. This assignment will explore and discuss the pain management strategies adopted in the clinical area to meet the needs of this client group. At the same time one pain, management strategy will be chosen critically evaluated and explored in light of the available evidence.