Use of Informatics in Pain Management
Name of the Student
Institutional Affiliation
Use of Informatics in Pain Management Pain Management is a specialty in modern medicine, which focuses on treating all categories of pain such as spinal, neuropathic, sickle cell, and musculoskeletal pain disorders. According to Johnson, Collett, and Castro-Lopes (2013) pain management cases constitute about a third of PCPs (Primary Care Physicians) appointments. However, only sixty-percent or less of patients treated for chronic pain in routine practice setting achieves adequate pain relief. Some of the issues attributed to low success rate in chronic pain management can be associated with information management. In that regard, the process
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According to Aiyegbusi et al. (2017), a sickle cell crisis is associated with episodes acute pain, which is the leading cause of hospitalization for the victims of the disease. A single hospitalization, for a sickle cell crisis case, may last from two weeks to over a month; hence, a patient encounters an immense challenge of keeping a job. In addition, Careful medication is required to treat sickle cell pain due to the frequent need to change drugs and the addictive nature of some substances used to reduce pain. Therefore, managing such a condition in the current pain management environment can be highly tasking to physicians and patients.
Methodology
A qualitative method was used to conduct the study on informatics due to the need of secondary data about the topic. The approach was considered the best for that research due to time constraints and the existence and easy accessibility of immense information on the study topic. Therefore, the study began with an online search of secondary materials in digital libraries using a set of key words and phrases. Some of the key words and phrases used include ‘Informatics in healthcare’, ‘informatics in pain management’, ‘pain management’, ‘sickle cell pain management’, ‘Informatics’, EPRON, advantages of Using EPRON in medical practice, and ‘challenges in sickle cell management’,. Digital libraries considered include google scholar,
Sickle Cell Disease is an illness that affects people all across the globe. This paper will give a description of the sickness through the discussion of the causes, symptoms, and possible cures. Sickle Cell Disease (SCD) is a "group of inherited red blood cell disorders."(1) These disorders can have various afflictions, such as pain, damage and a low blood count--Sickle Cell Anemia.
What is pain? If you ask someone to tell you the definition of pain they will typically state something that hurts. Registered nurses should know the definition of pain and how it can be identified on their patients. However, Abdalrahim, Majali, Stomberg, and Bergbom (2010) propose that nurses did not receive adequate education in pain management and suggest the lack of knowledge hinders their ability to adequate control their patients’ pain. Therefore, the unethical treatment of pain can be traced back nurses.
The paragraphs below describe the predominant clinical practice gaps in current management of chronic pain. As NPs increase their knowledge and competence in these areas, it is anticipated that changes in clinical practice will
Recognizing that the prevention of chronic disease and promoting population health is the key to controlling health care expenditure, the inclusion of pain management is a positive aspect of the legislation. While chronic pain is not in the top leading chronic diseases, the cost to the health care system is higher than heart disease and diabetes combined.2 This paper will discuss Title IV - Prevention of Chronic Disease and Improving Public Health. Subsection D - Support for Prevention and Public Health Innovation of the PPACA, including the funding of the United States Department of Health and Humans Services (HHS) for research in public health services and the examination of best prevention practices. One focus of this part of this provision is research and evaluation of pain management, the assessment, and treatment standards through an Institute of Medicine Conference on Pain Care.3
According to the 2016 edition of the Oxford dictionary, to define someone or a group of people as vulnerable means that they are susceptible to physical or emotional harm (Vulnerable, 2016). One of the most recognized populations of vulnerable people are children; furthermore, by adding an inherited disease process, that decreases the immune system, would only increase the vulnerability of the population. Children with sickle cell anemia are highly susceptible to being attacked both physically and emotionally by foreign invaders that threaten their already fragile immune systems. During the process of “making hemoglobin, which carries oxygen in our red blood cells, a defect can occur when the amino acid glutamate is replaced by valine. This simple substitution can cause the red blood cell to sometimes collapse, assuming the characteristic sickle shape. The red blood cells, normally very elastic and able to conform to the shape of tiny capillary blood vessels, become rigid and can block the blood vessels, depriving tissue of oxygen and resulting in severe pain” (Stone, 2015). Sickle cell children must endure an incredible amount of pain, many hospitalizations, a pain management regimen, and the inability to experience the normal, everyday life that most of their peers participate in each day. Health care for sickle cell children is focused toward management because there is no cure and as their bodies run out of healthy red blood
Sickle cell anemia can cause numerous symptoms, which the severity of this can vary between individuals. Symptoms that might vary from person to person that change over time, include anemia, episodes of pain, frequent infections, delayed growth, vision disorder, acute chest syndrome, and more. Indeed, of each symptom; anemia, sickle cell breaks red blood cell faster and die living people without enough red blood cells. Sickle cell anemia usually dies in 10 to 20 days while normal live for about 120 days before it replaced. Episodes of pain is a major symptom of this disease and the most common reason for people to get hospitalization; Pain develops when sickle-shaped red blood cells block blood flow through tiny blood vessels to the chest,
In-depth interviews with various rural and urban based physicians of various ethnicities within the state of Florida were performed and relevant information was extracted. Common themes were identified and open-coding was utilized to categorize the physicians’ attitudes and behaviors for chronic pain management. Limitations included a small sample size within one region of the nation which limits the generalizability. Also, the data is based on stated behaviors of the physician and not directly based on their observed patient
The pain from sickle cell disease most of the time is undertreated because the federal government wants doctors only to prescribe and to screen the patient to make sure that they are taking the medication and not selling them. The funding is much lower for sickle cell disease compared to other diseases like cystic fibrosis that affect Caucasians. The funding is 3.5 more for cystic fibrosis than for SCD. Cystic Fibrosis has more drug medication than SCD. Hispanics and African Americans generally receive under treatment because they do not receive pain medication or very little than what Caucasians do according to a
7. Describe the main points of the Pod/Vodcast. Healthcare Informatics is defined by the U.S National Library of Medicine as the Interdisciplinary study of the design, development, adoption, and application of IT- based innovations in healthcare services delivery, management, and planning (Ong, 2014). Health informatics is being utilized to enhance process efficiency. The wave of health informatics began in the 1990’s. It has changed the way we do things from shopping to work to the way we live our daily lives (Kudyba, 2010). Health Informatics has doubled productivity (Kudyba, 2010). Healthcare is slowly emerging into the world of informatics. Many healthcare facilities are now utilizing electronic medical records. Healthcare Informatics will help reduce cost. Utilizing technology increases the speed of routing
The potential impact of writing the article, “Sickle Cell Anemia Pain Pathology” was to increase nurses’ knowledge of SCD and methods of treatments. According to Isokariari (2016), insufficient awareness and training of SCD exist in the medical community. An in-depth insight of the pathology of SCD among the health community positively affects the quality of health care provided to individuals living with SCD. Jenerette et al. (2015) state that nurses’ negative attitudes affect the patients with SCD outcomes. Negative attitudes toward the lifelong pain that patients with SCD encounter are often preconceived ideas developed prior to nursing school that requires addressing through increasing awareness of SCD (Jenerette et al., 2015). Patients
Sickle cell disease is a chronic condition that a person can inherit from their parents in which it effects the globular structure of the patients red blood cells. A more sickle shaped structure, which can alter a person’s blood flow, replaces the more common globular structure. This impairment in blood flow can lead to blood clots, severe debilitating pain and damage to vital organs such as the liver, kidney and spleen. This disease currently affects over 90,000 people in the United States, with the majority of them being African American and
The purpose of this paper is to offer a contribution to the little ongoing research about healthcare stigmatization practices and the other burdens that Sickle Cell patients go through on a day-to-day basis. There is not that much information and attention on Sickle Cell patients and the burdens that they face throughout their life. It is often overlooked with mainly the focus being on scientific aspects of the physical pain and treatments. This paper will include a literature review of what other scholars have published regarding the disease, and I will also analyze my one-on-one interview I with a patient. I investigated what support system the patient has in place, their care regimen, and the experiences they encounter in healthcare facilities.
A case study about a 15 year old African male with sickle cell disease was rushed to emergency room by his mother due to complaint of unbearable pain all over his body. He was medicated with Demerol an hour after he came to the ER and every 3 hours after. The teenager expressed a decrease in pain after medication but still continued to complain about pain. He was diagnosed with acute vaso-occlusive pain (Fletcher, C., Managing Pain in Teenagers with Sickle Cell Disease, 2002). Same dosage of Demerol was prescribed both IM and oral routes.
Sickle Cell Anemia is a hereditary disease that changes the smallest and most important components of the body. A gene causes the bone marrow in the body to make sickled shapes, when this happens; it causes the red blood cell to die faster. This is what causes Hemolytic Anemia. Older children and adults with sickle cell disease may experience a few complications, or have a pattern of ongoing problems that shorten their lives. The most common and serious complications of sickle cell disease are anemia, pain, fatigue, and organ failure. Today there are many alternatives and opportunities that a sickle cell patient may consider. One outlined in this paper is the Hydroxyurea method.
In 2010, the Apple industry released the Apple iPad that paved the way for healthcare organizations, medical groups, hospitals, physicians and residents to incorporate information technology into patient interactions. Since then, tablets have served as an eye-opener to many healthcare organizations and clinicians (Eastwood, 2010). These institutions like Stanford medical center hospital in Palo Alto California, the University of California San Francisco (UCSF) medical center, Kaiser Permanente, the Washington hospital group among others have incorporated the use of tablet