Concept Analysis Pain Management

Perioperative nurses play a key role in developing and following through with a plan of care that incorporates individualized pain management strategies.(Hayes & Gordon2015). Management should be started the moment a patient knows or thinks about having an operation done. There has been evidence showing that early pain management may yield to positive outcome post-operative, in the early and long term recovery stages. (Hayes&Gordon 2015).

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

Firstly, a health questionnaire will be performed, where James’s mother will be asked a range of questions outlining James’s past medical history, current medications, previous issues with anaesthetics and infections. James’s weight, blood pressure, pulse rate, respiratory rate, temperature, oxygen saturations and blood sugar level will also be recorded, in order to assess the current health status of the child. It is important that these assessment findings are correctly documented, scanned and uploaded to the patient’s files, so information can be reviewed and revisited on the day of surgery (Chand, 2014).

Nurses play a pivotal role in assessment, reassessment, and documentation of pain in ED. Pain management in children within ED will be improved by training nurses on mandatory documentation of pain and comprehensive assessment of pain and therefore, time to analgesia will further decrease (Chafe et al., 2016).

(http://fpb.case.edu/Faculty/Good.shtm http://www.nurses.info/nursing_theory_midrange_theories_good_moore.htm) Acute pain management theory pain is the usual cause for persons to look for treatment. Inadequate pain management can cause delay in healing process. It can also leads to prolonged hospital stay. The acute pain management theory describe how nurse can manage pain with minimal effects from the pharmacological interventions and use of alternative methods of pain management (Good &Moore, 1996) The main factors are in the management of pain are Pharmacological, non-pharmacological, patient participation, education and different interventions. Effective pain management involves the application of non-pharmacological interventions and usage of pain medications. (McEwen & Willis, 2014). The pain management theory deals with management of pain in daily basis. It offers the knowledge about alternate methods in pain

The Academy of Pediatrics and the American Pain Society believe that pain in children is experienced with interrelated factors such as sensory, emotional, cognitive and behavioral, combined with environmental, sociocultural and contextual elements (Stanley & Pollard, 2013). The authors find that pediatric pain often goes under treated. Pain management engages the entire nursing process, placing the nurse’s role as central to its

BODY I. Children have multiple or prolonged exposure to trauma, experience various symptoms and reactions, and long for progressive techniques to heal their pain.

How did your child do after the dental work? Did your child have less or more mouth pain after surgery? Did eating get better, worse, or the same? Was your child able to sleep better or worse after surgery? Was your child more happy or cranky?

Pediatric Anxiety Select a Concept The concept of “pediatric anxiety” emerged as a central theme in a study of pediatric patients in the Pediatric Emergency Department in order to better care for the pediatric population, determine the source of the patient’s fears, along with providing all encompassing care to pediatric patients.

Neonates were once thought to be too developmentally immature to experience pain, it has been now understood that neonates even if very premature are able to process pain sensations and respond to that pain (Boyle, 2011). Although it is now understood that neonates can sense pain, it has been found that procedures have not changed to adequately address pain in the neonate. It has been found that pain in neonates that is over a long period or multiple acute pain experiences has long term effects on how pain is perceived into childhood (Boyle, 2011). One intervention that has been found to decrease pain experienced by a neonate is sucrose. It has been found that sucrose takes about two minutes to take effect and provides an analgesic

The Effects and Perceptions of a Therapeutic Medical Play Session for Pediatric Surgical Patients It has been documented that children undergoing surgery and their families experience high levels of distress and perioperative anxiety. Stress and perioperative anxiety have the potential to cause more harm on post-surgical healing, in consideration of both physical and mental health, if not addressed promptly and properly. Child Life Specialists are pediatric healthcare professionals who are able to provide interventions to help reduce anxiety and increase developmental growth within pediatric patients, provide family centered care, and facilitating therapeutic play interventions for pediatric patients, all the while in the hospital environment (Child Life Council, 2014). Child life specialists are able to meet these values and missions to create a standard of practice that the American Pediatric Association recommends in all pediatric healthcare settings (Child Life Council, 2014). Typically, when child life specialists are working with pediatric patients undergoing anesthesia for surgical procedures they are able to participate as a part of the multidisciplinary health team to provide family centered care and increase a patient and their families understanding on the medical procedure at hand. A common intervention for pediatric patients undergoing anesthesia for surgical procedures include medical play and medical preparation sessions.

Barriers to Effective Pain Management Introduction Pain is a fundamental and inevitable form of human suffering, the experience which is unique to every individual. Nurses have a unique role in alleviating the pain experienced by their patients. With their professional knowledge and regular close contacts with patients, they are ideally placed to listen

During the intraoperative phase, identifying outcomes related to patient care during surgery is paramount due to the fact the patient is under anesthesia and completely dependent on the surgical team, and the nurse acting as their advocate. Examples of identifying outcomes prior to surgery would include; the prevention of electrical burns from cautery equipment, proper positioning during the procedure to prevent nerve or skin damage. Collaborating with other members of the surgical team regarding this information, and utilizing evidence-based nursing knowledge is necessary for the surgical plan. My responsibility as a nurse is to alleviate suffering during the intraoperative phase and as the patient’s advocate ensuring no further injury occurs.

Acute pain post-op and misuse of PCA in an elderly with hip replacement operation RELEVANCE OF CASE Pain is formally identified as a problem of global proportions by WHO and postoperative pain is one of the most common types of pain that has raised a public health concern by various societies in Australia, USA and Europe. It affects roughly 40% of surgical patients who experiencing a moderate to severe pain. It is important that graduate RNs have the knowledge and clinical skills to care for these patients as management of acute post-op pain has posed a significant challenge in surgical specialities for the past 50 years.

Concept Analysis of Pain 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).