The considerable interest in satisfaction related to pain as an outcome variable waned after investigators studied postoperative and cancer patients and found poor correlations between satisfaction and pain intensity. In these studies, patients commonly reported moderate to severe pain (>4 on a 0-10 scale), but indicated they were satisfied with their pain management (Cohen, 1980; Dawson et al., 2002; Jamison, Taft, O 'Hara, & Ferrante, 1993; Miaskowski, Nichols, Brody, & Synold, 1994). These findings are counter intuitive, and authors have speculated about explanations for the inconsistency. Not many authors, however, have considered the validity of the satisfaction item. Most investigators measured satisfaction with pain management, not pain intensity, but the former is a vague concept that could be interpreted many ways. A few investigators measured satisfaction with pain relief or satisfaction with pain level in small samples (Corizzo, Baker, & Henkelmann, 2000) and did not observe the inconsistency that investigators observed when measuring satisfaction with pain management. Cancer is a common health problem frequently associated with pain and is an important illness condition for studying patient satisfaction. The incidence of patients with cancer is on the rise both nationally and worldwide with projected global numbers for 2030 at 21.4 million new cases and 13.2 million deaths per year (Boyle, 2008). Pain is a major symptom in 40-50% of newly diagnosed patients
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Chronic pain is often defined as pain lasting more than 12 weeks. It may arise from initial injury, such as a back sprain, or there may be an ongoing issue such as illness. The assignment given consisted of finding a person who suffers from chronic pain to explore the ideas of illness classification, the experience of pain and explanatory models. The interview process was executed on September 17, 2016 via face time lasting approximately 45 minutes in length. She gave me her oral consent for this interview. I explained that this information would be used for a chronic pain paper. (American Chronic Pain Association) The subject is a 53 year old, Caucasian, upper middle class female currently in treatment for melanoma cancer. Currently, no disease
Pain is one of the most common and feared complications of cancer. It is exacerbated by stress, anxiety, fatigue, and malaise which accompany advanced cancer. Pain is generally absent in the early stages of cancer, but it is a significant factor as the illness progresses to advanced stages. Cancer-associated pain can arise from a variety of direct and indirect mechanisms including direct pressure, obstruction, and invasion of a sensitive structure, stretching of visceral surfaces, tissue destruction, infection, and inflammation (McCance 2010). Pain is generally accepted as whatever the patient says it is, wherever the patient says it is. Treatment of pain and its associated symptoms is a primary responsibility of the healthcare team. Treatment modalities for pain include the use of opioid analgesics, patient-controlled analgesia, psychological interventions, and preventing recurrence of pain. Reinforcing the reporting of pain by the patient is important, as is a respect for the social and cultural differences with respect to pain perception.
Pain is a condition that is determined and described by the person reporting it. There are several components to pain including the emotional, psychological, and physical aspects. Many health professionals struggle to understand this phenomenon and thereby insert their own perspectives into the pain assessment of patient reporting pain. The Affordable Care Act (ACA) (2010), also titled the Patient Protection and Affordable Care Act H.R. 3590, was passed by Congress and signed into law on March 23, 2010 (U.S. Department of Health and Human Services (DHHS), 2013). Hospital value based purchasing programs (VBP) were developed to align patient quality care and outcomes to the support initiatives from the ACA. A component of the VBP includes patient satisfaction. Patient satisfaction is a self-reported response to questionnaire administered by a third party. Many hospitals utilize Press Ganey to administer the survey for the inpatient and outpatient patients. One component the survey includes patient’s self-reporting how well their pain was managed during their hospitalization. This measure of satisfaction can have an adverse effect on patient outcomes and increase opioid use in this setting. Patient satisfaction and pain management are both subjective however pain management while within scope of healthcare professionals should not be included in the patient satisfaction survey.
According to The World Health Organisation (1999), defined pain as an unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Pain is traditionally described as acute or chronic pain. The prevalence of chronic pain (CP) is higher than of acute of pain, as it affects 7.8 million people of all ages in the UK (Chronic Pain Policy Coalition., 2006). The current leading cause of mortality that is accounting for 60% of all deaths is due to chronic diseases and is also a problem as causes an increasing burden on the health care service (World Health Organisation., 2007). CP can affect a person’s quality of life if managed poorly, statistics shows that 25% of people lose their job and 22% leads to depression. (Chronic Pain Policy Coalition.,
Within the article, “Pain Intensity and Pain Interference in Patients With Lung Cancer”, the researchers use a combination of surveys, questionnaires, and lab results to conduct their research. All of the tools are given at a certain time, taken within a certain time
Despite recent advances in information regarding perioperative care, postoperative pain continues to go undermanaged. Postoperative pain is the pain patients experience after a surgical procedure. According to Gan, 80% of all people who undergo surgeries experience postoperative pain, and 75% of them rate their pain at a moderate, severe, or extreme level (as cited by Cooney, 2016). Furthermore, inadequately managed pain can lead to patient dissatisfaction, decreased patient outcomes, and overall higher cost of care (Penprase, Brunetto, Dahmani, Forthoffer & Kapoor, 2015). In order to provide higher quality pain management,
Identification of pain has been the most feared and common symptom of cancer (Sloan, et al. 1999). The joint project that includes primary, secondary and tertiary levels of care were successful in breaking down the barriers that crossed traditional boundaries in cancer care. Steering committee member were identified and meetings took place between multi-professional teams and project coordinators to identify their issues and concerns and communication, discharge, pain management and symptom control were identified. Multidisciplinary groups worked were
Pain, which is defined in its widest sense as an emotion which is the opposite of pleasure (White, 2004, p.455), is one of the major symptoms of cancer, affecting a majority of sufferers at some point during their condition (De Conno & Caraceni, 1996, p.8). The World Health Organization (WHO, 2009, online) suggests that relief from pain may be achieved in more than 90 percent of patients;
Participants completed a Brief Pain Inventory-Short Form within 24 hours of admission and every 48 hours until discharge. The nurse practitioners that gave the surveys reevaluated the patient’s feedback on a weekly basis. The study concluded that using the intervention of audit and feedback strategy, there was an increased compliance with using the CPGs (Dulko et al., 2010). There was also a significant increase in the documentation of the initial pain assessment and repeat assessments following a pharmacological intervention. Although the disease process of cancer patients cannot be avoided, it is imperative that this group of patients have substantial symptom control (Dulko et al.,
Treating pain associated with cancer is very complex. Significant factors with the initial intensity of pain are metastasis to the bony area, temporary pain despite administering other pain medications, below the age of 60-year-old and bad result in the (KPS) Karnofsky performance scale (Caraceni & Portenoy, 1999).
Furthermore, this activity has linked to my overarching goal because through a literature search and completing a data extraction table of at least three articles that are recent (within the past 5 years), I have acknowledged various pain assessment tools used in oncology patients. I am able to compare and contrast different pain assessment tools and choose which is more insightful and effective to evaluate my patient’s pain, which will then help me improve my pain assessment
I titled and quoted from the ‘The Pleasure of the Pain' "Some people have to be tied up top be free” for the sheer fact that those words show a profoundness. Whats being said is so much larger then the actual words themselves. It resonates more psychologically then sexually. That to be restrained is freeing for some souls. Dare I compare to a therapeutic response. I see such similarities in this statement that sheds light on this. Therapy is having a positive affect on ones body and mind or sense of well being. Some might argue that being tied- up, flogged or “abused” in some fashion is very much the opposite, and I tend to disagree with that.
I used the SPSS to calculate the Pearsons’s correlation coefficient (r = -0.911). The r value indicates a strong negative relationship between the pain level and the level of physical activity; as the pain level increases, the level of physical activity decreases. This result revealed that the individuals tend to be more sedentary when they have a high pain level. This could be due to the pain itself functioning as a limiting factor or could be a protective mechanism as the individual tries to avoid exaggerating the pain. On the other side, when the pain level drops, the individuals tend to be more active, as they don’t have a limiting factor.
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.