Managing Acute Pain On Patients, Along With Post Operative Recovery Pain

Optimal postoperative pain control is of utmost importance in the surgical population. 1-2 Analgesic techniques in paediatric patients having surgery are often delayed by the inherent difficulties of conducting a large randomized clinical trial in those patients. 3,-4 The optimal dose of local anaesthetics in paediatric regional anaesthetic techniques remain unknown. 5- 6

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

First pain is an everyday experiences that is expressed through the use of language and is then legitimized (Waddie, 1996). If a patient as a history of depression or chronic pain they have pain every day and the concept is used to help explain their pain. As nurse we use the concept of pain to find a base line of the pain and to assess new pain. In surgical patients they may have multiple types of pain from the incision, emotional, and history. The concept educates the nurse of the different form that pain can present itself. Pain can also guide how we treat the patient. Emotional pain would not be treated with the “so know pain pills”, but with talking or listening to patient. Concept of pain also address the different form of patient and how the nurse and patient response to it. If a patient is having somatic pain from an incision the nurse could react by applying heat or ice. Pain is what the patient says it is.

The practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse. Some of the benefits of PCA include improved pain management, improved use of nursing resources, increased patient satisfaction, and reduced pulmonary issues (Hicks, Sikirica, Nelson, Schein & Cousins, 2008). Some of the safety

Assessing and managing the pain of the patient is critical in delivering quality care services, but what if the presenting individual has cognitive impairment? According to Fry, et. al. (2014), there is also evidence that cognitive impairment is a significant risk factor for analgesic delay. The immediate recognition of pain and the timely intervention is a

Statistically it is the older portion of the population that is most likely to take opioids as a means of controlling pain. However, in most of these cases the opioids are meant for long term chronic pain. When it comes to assessing opioid use for acute pain, it is ideal to focus on the 20 through 50 year old age range where there is increased instances of acute pain. Opioids are most often in the form of a tablet and are taken orally (Richeimer,2015); however, this study is aimed at discovering the possible positive benefits of administering a Remifentanil opioid transdermally and how this process will affect the

Healthcare workers, especially nurses, have for ultimate goal to provide the best care possible for patients. Caring for patients does not only include making sure that they are safe and well-taking care of but it also requires for nurses to act as patients’ advocate and ensure that the best methods are used to provide care. Nurses contribute to ensuring that the patients are as comfortable as possible and help prevent or reduce pain as much as they can (Dearholt.& Dang, 2012, p. 12P). People have a different reaction to pain. For some patients being pain-free might be one their ultimate goal while they are in the hospital and if a nurse can help achieve that goal that will significantly contribute in making the

In NRSG259 students are asked to read and assess a case study (Yeboah, 2016) and suggest the outline for a nursing care plan based on process identified in the provided framework.

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).

In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.

The management of postoperative pain has received much interest nowadays. The intensity of postoperative pain depends on many factors such as type and duration of the surgery, type of anesthesia and analgesia used, and the patient’s mental and emotional status (11).

This feature also enables the use of this technique into the postoperative period for analgesia, using lower concentrations of local anaesthetic drugs or in combination with different agents.

Non-pharmacological adjuvants are non-medicinal elements which could include music, relaxation, breathing techniques, imagery, distraction, and massage (Sylvia, Carol, LeeAnn & MSN, 2011). Assessments of pain and side effects refer to the examination of a patient at regular intervals of time. Intervention and reassessment is based on changes related to previous pain and side effect assessments. Patient education is training individuals on how to manage or prevent pain with medication and activity. Goal setting is designed to aid in maintaining and reducing pain by allowing the patient, nurse, and doctor to work together in order to form a plan of pain management. All concepts work together to promote a balance between analgesia and side effects.

Nursing is the holistic helping of persons with their self-care activities in relation to their health. I agree Vargina Henderson in her definition of nursing and nurses role, According to Henderson, 1966 “Nursing is primarily assisting the individual in the performance of those activities contributing to health and its recovery, or to a peaceful death”. Varginia Handerson, 1964 stated that “the nurse must get inside the skin of each her patient in order to know what he needs”. from this statement I conclude that nurses play an important role in promoting patient quality of care. Nurses play an important role to promote pain management practices for patients, a critical component of the nurse’s role in pain management is pain assessment, medications administration, organizing and delivering patient care activities, advocating for patient rights, educating patients and contact with physicians regarding changes in patient conditions; these nursing functions are critical in the management of pain. So, we can’t imagine nursing discipline without nursing

One of the most important obstacle is communication in nursing and healthcare, as it can keep the culture alive by verbal and nonverbal communication. Excellent communication skills are a vital aspect in nursing, for nurses to be able to do their job effectively and efficiently; they will have to communicate with a wide range of people around the world. Communication is an integral part of daily work. In nursing practice, nurse-patient communication is information discussion between the nurse and patients, and their families. It is also the connection between nurses and patients deal with the main contents (Jane 2010). The communication pleased between nurses and patients’ awareness and understanding is vital, excellent communication between nurses and patients is able to improve the needs of patients with pain and suffering. Moreover, to encourage understanding and