Evidence Based Nursing Pain Management

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Evidence-based Nursing Pain Management Practice Barriers to Patient with Cognitive Impairment Nursing assessment is a substantial way of gathering physiological, psychological, spiritual, and emotional condition of the patient. It creates a whole picture of an individual and assist the health care providers to formulate a diagnosis. Assessing the comfort of the patient is equally important as taking the blood pressure or temperature. Pain is the fifth (5th) vital sign that is subjective in nature when performing an assessment of a patient. Various studies were conducted in finding the most appropriate evidence-based nursing practice in assessing and managing the pain of a cognitively impaired patient, whether it is acute or chronic or the underlying cause is cancer or post-operative incision. As emphasized by Song, Eaton, Gordon, Hoyle, and Doorenbos (2015), it is vital to ensure that “pain management is based on the best evidence” (p. 456). Perhaps knowing the causes of inability to assess and manage the pain in a cognitively impaired patient would give a clearer understanding of the practice. General Problem Assessing and managing the pain of the patient is critical in delivering quality care services, but what if the presenting individual has cognitive impairment? According to Fry, et. al. (2014), there is also evidence that cognitive impairment is a significant risk factor for analgesic delay. The immediate recognition of pain and the timely intervention is a
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