Geraldine current problems include pain. There are many causes of cancer pain, but often cancer pain occurs when a tumor presses on nerves or body organs or when cancer cells invade bones or body organs. Cancer treatments such as chemotherapy, radiation, or surgery also may cause pain. (Melinda R., 2017)
Geraldine pain may be related to cancer invasion of the pleura and chest wall this is evidenced by her complaints of pain at right-sided that radiates from her upper abdomen through her back. Other likely causes of Geraldine pain are surgical incision, tissue trauma, and disruption of intercostal nerves, presence of chest tube(s) for cancer treatment .as shown in her medication list. Using the Miller’s functional consequences theory, Geraldine
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The amount of pain may depend on the type of cancer, the stage or extent of the disease, and the person's pain threshold (tolerance for pain). The oncologist confirms Geraldine has Stage IV lung cancer and has spread to her liver. This implies her pain can range from mild and occasional to severe and constant; in addition, Geraldine current medications include Morphine on a regular interval to manage the pain.
The following goals and intervention have been established to manage Geraldine Pain situation in other to improve her quality of life. The first goal will be to put Geraldine pain under control, secondly, Get Geraldine to take part in her usual or desired activities at least before she dies and finally, Make sure Geraldine rest well, relax and have enough sleep.
Step one, Geraldine pains will be monitored and documented at a regular interval by asking her to score her pain on a scale of (0-10) with 0 meaning zero pains and 10 being highly in pain. This will help in evaluating her cancer-related pain symptoms, which may involve viscera, nerve, or bone tissue. Use of rating scale aids helps in assessing level of pain and provides a tool for evaluating the effectiveness of analgesics, enhancing patient control of pain. Geraldine’s reported and unreported pain will be assessed. The discrepancy between reported and nonverbal cue can give us clues to the degree of pain, the effectiveness of
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
- Palliative care and lack of it (the patient with torturous pains caused by side effects of full dose rounds of chemotherapy and ovarian cancer did not get the right of controlled analgesia).
There are different types of chemotherapy induced peripheral neuropathy: sensory neuropathy, motor neuropathy, and autonomic neuropathy. Sensory neuropathy is what most would think of when discussing neuropathic symptoms. This includes the feelings of numbness and tingling that can lead to burning sensations. Many describe this feeling as “pins and needles”. Motor neuropathy is related to feelings of muscles weakness and loss of control, which can lead to decreased coordination. Finally, autonomic neuropathy presents itself with symptoms of abdominal
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
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
The first 48 hours of pain analysis and treating the pain of the patient to the hospice (or end-of-life patient in any other stetting) are crucial. However, the patient may be unable to speak and articulate his pain, or may be able to inadequately express the symptoms. One of the major concerns for those who are at the end of life is
According to Lossignol (2012, p.10) cancer treatment can also result in pain, thus, two major ways to alleviate the pain include considering the aetiology
Feelings. Just imagine how they must be feeling. They just found out that they have a sickness that could kill them. They probably feel angered, hopeless, worried, denial. It could also be painful both physically and emotionally. Depending on where the tumor is, it could hurt. It might be pressing up against a bone or a nerve. The person might need support. You should be there with them. This leads me to my next topic.
Patient continues to manage pain with medications which brings the pain intensity from 7/10 on an average down to 3-4/10 and allows her to continue activities of daily living (ADLs) with less pain and stiffness. Patient states that without medications, she will not be able to function or move due to increase pain
At today's visit he is accompany by his wife. He is awake, alert and oriented times 3. He complained of neoplasm related back pain that he describes as stabbing and constant that radiates to his abdomen, the pain is 4/10 in severity. His neoplasm related pain regimen includes Fentanyl Patches 75 mcg Q 48 hrs; Dilaudid 2mg PO Q 4 hours as needed for neoplasm
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
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
The metastasis of cancer causes serious complications on the body of a patient, with these having a high potential to lead to death. Cancer that originates in the lungs or spreads to the lungs or the accessory muscles can bring about breathing difficulties and suffocation. Cancer may also spread to the tissues of the brain and the spinal cord to cause neurological manifestations affecting the nervous system of a person. The most common complication of cancer is the chronic pain (Lovell et al., 2014), which could be coming from the tumor itself as its growth and creates pressure, pushes other tissues and organs and invade or destroy nerves that then cause painful sensations. Bone pain is also very common when cancer has spread to the bone tissue.
Malignant tumors that have spread to other organs in the body may also present varied symptoms. These symptoms
More than 33% of tumor patients encounter some sort of agony at a moderate or extreme level (Reeves, 2008). "Torment is a noteworthy wellspring of tension and trouble, and maybe the most weakening manifestation that is dreaded the most by growth patients toward the end of life, and requiring master palliative consideration (Creedon and O 'Regan, 2010, p. 257)." Not just do numerous end of life patients experience moderate to extreme agony, yet they can encounter variances in their torment and leap forward torment also.