John Taylor Initial Assessment

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 much more than a physical sensation caused by a specific stimulus. An individual's perception of pain has important affective (emotional), cognitive, behavioral, and sensory components that are shaped by past experience, culture, and situational factors. The nature of the stimulus for pain can be physical, psychological, or a combination of both.” (Potter, Perry, Stockert, Hall, & Peterson, 2014 p. 141) As stated by Potter et al, the different natures of pain are dealt with differently depending on many factors. Knowing this, treating pain can be very difficult as there is no single or clear cut way of measuring it; “Even though the assessment and treatment of pain is a universally important health care issue,

The ratings for this scale vary from no pain, a zero, to the worst pain one could possibly endure, a ten ('Misha' Backonja & Farrar, 2015).  This type of tool used for measuring pain is considered a self-assessment.  Meaning, the individual rates his/her pain on the provided scale.  All individuals who have received medical treatment, whether for a serious injury or a yearly physical, has been asked, “What would you rate your pain today, on a scale of one to ten?”.  This pain assessment tool is considered a fully ordered variable due to the individual having a wide range to rate his/her

The nurse will assist Mrs. Thomas in achieving optimal pain control. The nurse will interact with Mrs. Thomas more than any other practitioner. The nurse will have to continuously assess Mrs. Thomas pain control. Due to Mrs. Thomas’s advance stage in her illness her pain control needs will vary depending on her level of conscious and the disease process. Keeping Mrs. Thomas’s level of pain to a level where Mrs. Thomas can still maintain her functional ability will be an ongoing struggle. Too little or too much pain medicine will prevent Mrs. Thomas in participating in activities.

“Pain is a complex, multidimensional experience that can cause suffering. [While] pain is inevitable, suffering is optional” (Kinder, 2014, p. 114). The control of pain is, as Kinder puts it very complex, without appropriate measures it can be easily side stepped especially in the elderly. To ensure patient center care it is important that all aspect of one’s quality of life is address, this is emphasizing by pain being a component of vital signs. Being a vulnerable population the elderly is often under assessed as they minimized their problems so as not to be a burden in addition to the fact that they may believe that their pain is a normal part of aging.

(REARDON, ANGER & SZUMITA, 2015.). There are two ways to assess pain which they have been used for long time. The first way is Visual analog Scale. The second way is Numeric Rating Scale which means patient should rate their pain in scale of (0-10) zero is no pain and 10 is the worst pain. REARDON, D. P., ANGER, K. E., & SZUMITA, P. M. (2015). However, “the nurse also judged patiens’ pain based on their appearance and mobility, and investigated any potential complications by conducting physical examination. The nurses often rechecked the pain levels in order to clarify and ensure that the recorded pain levels corresponded to the causes of the pain and suffering” (Chatchumni, Namvongprom, Eriksson, & Mazaheri, 2016) patients also may report no improvement for their pain even though with high dose of opioid and ask for high dose of opioid while the nurses noticed them sleeping or

The implementation of pain management based on the best available evidence implies the comprehensive assessment of pain with a reliable and valid assessment instrument, the application of pharmacological and non-pharmacological interventions based on the findings of the evaluation, the frequent re-evaluation of pain to know the level of response to treatment. Although evidence-based pain management

Pain is an obvious consequence of injuries and surgery, but it is also a common symptom of ill health. A complex experience, with many variables that can influence the patient experience and interpretation. The various factors include age, gender, culture influences, social class, personality and emotional factors such as anxiety, fear and depression which do not necessarily increase the patient’s pain experience, but will affect their reaction to it.

Understanding a patients’ experiences in relation to pain management is an important evidence based practice in the field of nursing. The significance as a nurse is in the understanding of the patient’s perception of pain in order to administer the appropriate treatments. This particular study was performed to understand the patients experiencing pain that have been hospitalized for cancer treatments. The objective was to obtain different perspectives in order to determine what is believed to be proper pain management.

Pain is subjective and identifying pain objectively is very complex. It can influence the patient’s behavior and can negatively affect the patient’s heart rate and blood pressure. When caring for these individuals and attempting to control their pain,

Outcome data will be analyzed using intention to treat analysis to account for any subjects that drop out during the course of study. Outcome measures of pain using NRS-11 and jaw ROM using the TheraBite ROM Scale will be assessed at baseline, immediately after the 2-week intervention, and at 2 week, 4 week, 6 week, and 8 week follow up periods.

Nurse practitioner should be able to recognize these descriptors and take them as potential indicators of pain and clarify with further questioning.

The first nursing diagnosis to address with the client is the chronic pain related to his posterior back as evident by his level of pain over the course of several months. The client has been complaining of pain upon initial assessment on 10/17/17. According to the client’s MAR he was diagnosed with nonspecific pain and was prescribed hydrocodone-acetaminophen PRN to help alleviate pain. In order to avoid under treating the client’s pain, the goal of the nursing interventions is to improve his quality of life by managing and treating his pain more effectively. Vital signs collected on 11/29/17 revealed that he had a pain level of 7 on a scale of 0 to 10. Over the next week the objective is

What I have learned from the Pain Log is that it wants to know more about an individual internally and externally. It is based on a scale of 0 (highest) to 10 (lowest) on what an individual do, and how he or she feels. The Pain Log is something new to me, and should be in doctor offices, and hospitals. Even though there is a simple overall pain log of what level of pain currently experiencing; however, this pain log is different, by including other important questions about an individuals well being.

Nonpharmacological therapies for pain management are considered one of the most important responsibility of nursing. The nonpharmacological approach is now common in hospitals and used as either a complement or an alternate to the pharmacologic therapies (APS, 2005). Nonpharmacological approach is a comfort tool that provides coping strategies to reduce pain experience and increase comfort. It includes all interventions aimed to control pain, except the pharmacological ones. It is аn essential раt of the саrе of all children in раin because they are filled with fantasy and magical thinking and desire coping mechanisms that distract them from painful situations.