Exploratory Study In Nursing

Won, S., Hong, R. A., Shohet, R. V., Seto, T. B., & Parikh, N. I. (2013).

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

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.

Keywords: intensive care, patient scenario, clinical practicum, pathophysiology, disease processes, interventions, diagnoses, assessments, health prevention, promotion, health outcomes

The field of exercise science is facilitating and understanding of links between fitness exercise, diet and health. There have been many studies that show how exercise and the human body interact. My main interest is being a physical therapy and showing how exercise can help the human body when used effectively. If you over exert yourself, it can cause your immune system not to function correctly. In this exploratory essay a comparison of a journal article and news article to find out that intense exercise can cause the immune system not to recover after exercise.

Smith, R. J., Kilaru, A. S., Perrone, J., Paciotti, B., Barg, F. K., Gadsden, S. M., & Meisel, Z. F.

Some patient’s were either on other pain medications or psychotropic medications and the nurse was unclear as to treat with medical therapy or non-medical therapy. This lack of knowledge can play in delay of treatment. Suggestions to overcome this were recommended for a pain management program. The change led to more patient routine pain scales being conducted but strategies were limited to show effectiveness since mostly non-pharmacologic measures were used. As a future advanced nurse practitioner, I believe that this article is useful to me and my career because it will remind me to use formulated pain scales and cues for pain based on the cognitive ability of the dementia of the patient. Despite the pain measures that the patient is already on, the patient should be treated appropriately for the pain that they are having. For instance, if their pain measures a 7 on the scale and they are receiving pain management scheduled and they are not due for a scheduled narcotic for another six hours then that patient should receive a PRN medication rather than a non-pharmacological

The interventions will be aimed at reducing as far as possible all factors that decrease the threshold and promote those that increase it. It is of no use to judge the pain of others. Nursing care should recognize the presence of the painful experience of the patient, listen carefully and evaluate the factors that condition. Assess the response to analgesics as important as identifying the intensity of pain at the start of the intervention, it is reassessing its evolution time and under the treatment plan is implemented. In hospitalized patients should ask about pain at frequent intervals, every four hours or at least once per shift, and always after administration extra to check their adequacy and effectiveness dose. What drug it was effective and what dose is information that should not be left to memory for later transmission. Its systematic registration history is essential for inter-coordination. Moreover, the patient transmits real interest on the part of professionals and reinforces the therapeutic relationship and

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

As nurses, we treat a diverse population, each patient having different needs and requiring different care. On any given day we rarely treat two patients in the same way, this requires us to think critically and work within the full scope of our education and knowledge. By doing this we

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).

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.,

As a nurse in the critical care unit I noticed an increase in CAUTIs over the last six months furthermore, there was also an increase in new clinical staff during that time. Using my skills learned in my Evidence Based Practice course I investigative the increase in CAUTIs on the unit. The patients in the ICU are at risk for CAUTIs because they are catheterized for an extended period of time, which is the single greatest risk factor for CAUTIs. Additionally, ICU patients are sicker than in the past which has increased length of stay. Additionally, this has also compromised their immune system, making them more susceptible to infection.

Nurses have also reported their desire for further education on cancer pain management so they can better care for their patients (Garcia et al., (2015). Despite the challenges of interpreting patient’s self-reported pain, proper assessments and documentation from the nurse is crucial in cancer pain

Critical care in the United States is currently accelerating at a rapid pace and is predicted to continue the growing trend as more people age. With high costs and diminishing availability of nursing care, the medical field is at a crucial juncture with managing the health of those who are in critical care. Individuals who enter Intensive Care Units (ICU) are at higher risk for developing further complications the longer they are under critical care such as developing Intensive Care Unit delirium and weakness to ventilator-associated pneumonia. The role of critical care nurses’ in the ICU is not only essential but it is pertinent in the success of a patients’ ability to recover and leave the ICU department. “A “bundle,” according to the Institute for Healthcare Improvement, is a set of evidence-based practices-generally 3-5-that, when performed collectively and reliably, improve patients’ outcomes. The Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle incorporates the best available evidence related to delirium, immobility, sedation/analgesia, and ventilator management in the ICU and tailors the