Health Policy and Chronic Pain Management Essay

Chapter seven of Social Problems by Joel Best was about how policies are made and the process of getting a policy noticed. The chapter explains what policy domains are (201). Best also explains Kingdon’s policy stream model (204-207). Best goes on to explain the pressures put on policymakers (211). Best ends the chapter talking about the rhetoric of policymaking (216).

Social policies are defined as actions taken by governing bodies such as schools or welfare systems that create action in society and cause implications for its members, they’re

Social policies often are based on the government’s philosophies and ideologies. In 19th century, Britain had the Laissez-faire approach which led the economic life. This meant that there was not government’s interference.

Social policies have impacted my life before I was even aware of the term social policy. Today, social policy impacts my personal life and my professional life daily. I am impacted personally by many social policies that pertain particularly to higher education and women’s rights. Social policies that increase assess for adult learners and reduce financial barriers for higher education has allowed me to return to higher education. I am an adult student who has children and works full time so attending classes in a traditional setting is not an option for me. With higher education being more accessible and offered on-line I am able to attend higher education working towards a degree. Financial policies regarding higher education have provided

Social policies often are based on the government’s philosophies and ideologies. In 19th century, Britain had the Laissez-faire approach which led the economic life. This meant that there was not government’s interference.

A social policy refers to the plans and actions of government agencies, such as health, welfare benefits, schools etc. These can often be used by politicians to promote certain family structures, which they believe to be ‘ideal’. There are many examples of policies which the government use to try and promote the traditional nuclear family which is commonly seen as the family ideology. One example is the 1930’s Nazi government who wanted to create an Aryan race and put policies in place to sterilize certain groups to prevent them from having children. Another more recent example is China’s two child policy which was out in place to

JCAHO (2011) also stated that patients and their families needed to be educated about pain and how the patients’ pain is going to be managed. Every patient perceives and exhibits pain in a different manner and if nurses do not assess the patient thoroughly they can miss it. For instance, Engebretson et al. (2006) acknowledged that, patients manifest pain in different ways and this resulted in nurses performing an inadequate assessment of their patients’ pain. Also, Engebretson et al. recognized that patients often conceal their pain because they do not want to be viewed by staff as complainers or addicts, and if patients decide to speak up the nurses frequently view their patients’ statements from their own cultural, moral and ethical belief system and not their patients which leaves the patients’ pain untreated.

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).

To gain a better understanding of Social Policy we need to look at its definition:

Social policies the fundamental principles in which a society is based. Created to tackle poverty, protect society addressing issues such as social welfare, justice and individual wellbeing. By 1834 the government were under fierce criticism due to rising and mounting costs of looking after the poor, it became clear a change was needed to fix problems in society. The government brought in an amendment act titled the Poor Law (1834) which was designed to reduce the cost of looking after the poor, passed by parliament this new law meant anyone seeking relief from poverty had to now enter a workhouse (BBC-Bitesize, 2017). In the early 1800's the population was rapidly rising, an industrial revolution, the development of towns and the first experience of modern unemployment caused problems within British society (Spicker, 2017). There was suspicion from middle and upper-class taxpayers that their money encouraged the poor to be lazy and avoid work, Squandering money on alcohol and tobacco. In addition, this encouraged the poor to have more children in which they could not afford to support causing resentment and dividing society (Murray, 2013).

In this essay is about the relationship between the social policy and social problem, but before going into a deep understanding of the two related parts that involve in a society, let is defined each one of them and know what they are and how they connect. When it comes defining the social policy or social problem; there is no one solid definition for them as it has many definitions because of their widely involvement in the society. In Bessant Theories, Mark Considine (1994;2) , fairly recommended that policy is cleverly easy caption that is able to cover parts of actual complicated actions.

Since the early nineteenth century the reformist of social democracy has hugely affected the development of social policy. Basing its principles on the two theories, socialism and liberalism it has influenced social democracy. The state is a key instrument that constructs social change, social democracy protects individual liberty and believes in state intervention to better the welfare and equality among the public. Altogether social democracy is a theory used by social democrats to transform from capitalism to a welfare state, extending the rights and freedom for citizens. Social democrats accept the confined role of markets, and the economic system. Social democracy is achieved through parliament distributing goods and implementing policies that support the welfare promoting egalitarianism, such as taxing the wealthy to redistribute wealth.

A social reformism government believe that everyone is equal and should have the same opportunities no matter what their background. They argue

Social policy refers to the policies used by government for welfare and social protection (Spicker, P.) that are usually made by central Government and implemented by local authorities to tackle current social issues such as poverty and racism. Scotland, Wales and Northern Ireland have now devolved and have their own laws and legislations on several issues.

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.