Nonpharmacological Approach Essay

Shallow breathing and pain altered this patient’s comfort. Therefore, one of the nursing diagnoses can be stated as “Breathing Pattern, Ineffective r/t pain and anxiety, as evidenced by respiratory depth changes" (Ackley & Ladwig p. 175). We briefly discussed the specifics of incentive spirometry use before initiating the intervention. After return demonstration, the patient was ready to use his incentive spirometer.

When managing the childs pain during cancer treatment the nurse must work with an interdisciplinary team involving many different experts to come up with the best possible pain management plan for the child. The nurse would be the one to carry this plan out in the child’s care. Knowing what opioid’s, nonopioids, NSAIDS, acetaminophen with codeine, oxycodone, and morphine to give during different times is crucial. The nurse must also know the side effects of these medication and monitor the child closely.

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

This essay will now analyze the nursing intervention that requires for the acutely ill patient to prevent an exacerbation of chronic obstructive pulmonary disease. The nurse carried out an initial assessment of a full history, taking in consideration that the patient was over 35 years of age who has been, or still is, a cigarette smoker, with vascular related diseases and had symptoms of breathlessness on exertion, chest tightness, wheezing, coughing, sputum production especially in the morning and chest infection (Currie 2009). A physical examination was done to check the patient respiration rate, depth and rhythm, blood pressure, pulse, temperature and oxygen saturation (Lynes 2007). The acutely ill patient’s respiration was between 30-34 breaths per minute, blood pressure 580/98, pulse 110 beat per minute and saturation levels 80-82%. Increase respiration indicates that the patient was in fear, pain and anxious. Anxiety causes stimulation of sympathetic nervous activation which forces bronchioles

The main priority for all the pediatric patient was to make sure they are getting enough air. They needed an open airway. Without an open airway nothing else matters. To help with the patients airways we monitored their O2 sats and if they were low we made sure to apply oxygen, and continue to monitor their sats. Once oxygen was applied we worked on

“Non-medical prescribing is prescribing which is taken by a health professional who is not a doctor” (Non-medical prescribing 2012).To become a non-medical prescriber the relevant training must be undertaken to ensure the patients’ safety is most important. The health care professional who is the non-medical prescribers is only legally allowed to prescribe within their area of expertise and they must remain competent within that area, through maintenance of various continuing education and training programmes.

The focus of the visit for the patients was to promote wellness and an annual examination. These examinations consisted of healthcare professionals ensuring proper health status, growth, can development of the child. Healthcare professionals promoted patient participation through the patient’s involvement in their care. During the wellness visit for each patient, the child was acknowledged and was asked about their feelings regarding their health. Additionally, an example of participation involved the child holding the stethoscope on their chest while the physician listened to heart and lung sounds. Non-pharmacologic modalities that were implemented for the patients involved the use of educational health materials such as books to read and the use of toys during procedures. These non-pharmacologic materials were implemented in this healthcare setting for educational and comfort

This paper will examine the the nurses and pain assessment in the hospitalized patient. The paper will focus on pain and pain management and the need to assess pain. How much percentage of the population in the U.S. are experienced pain, and how much of the population abuse the pain medications. There are many barriers which hinder nurses from perform accurate pain assessment. These barriers are nurses experience, competence, perception and manipulation. Pain is subjective, but pain assessment tools and nurses’ perception may contraindicate with what the patients stated. Thus, the paper will try to find solution to accurate pain assessment during hospitalization, especially with abuse of opioid.

This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.

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.

The major stressors of hospitalized children include fear of the unknown and unfamiliar people. Lying to children about upsetting realities, such as their diagnosis or a procedure that is occurring, is ineffective and does not help children deal with stress. Educating children on their treatment better prepares them for stressful situations while hospitalized. While nurses identify crying as a sign of stress, child life specialist recognize crying as an effective coping mechanism for stress (Kaddoura). While both nurses and child life specialists are helpful to treating a child, child life specialists focus on children’s emotions while nurses focus on medical care. The issue here is that not all hospitals have child life specialists, so the emotions of children are disregarded. Although medical care is obviously a priority while a child is hospitalized, a child’s emotion and stress are very important to their recovery and health. Research shows that focusing on children’s emotions with the use of child life specialists makes a difference for children and families. Child life programs have been shown to reduce children’s pain, decrease the emotional distress children feel while in the hospital, and lower parents’ anxiety about their children’s hospital stays

This patient obviously did not receive even basic education on how to use her inhaler since she is seen using it like a perfume rather than inhaling the medication into her lungs. As a nurse, it is imperative to teach patients how to properly administer their medication. Especially if it is a rescue medication, such as an inhaler for asthma attacks, insulin to control blood glucose levels, or an EpiPen to control a type I hypersensitivity allergic reaction, to name a few. I believe the best teaching strategy to use for this situation would be the demonstration/return demonstration, or “show back” method. The purpose of this strategy is to teach your patient a new skill (Lewis, 2014, p. 56). The nurse can then ensure the patient truly understands

The nurse supposed to be aware of time consuming techniques and avoid those in emergency cases. For example, techniques that takes a long time, such sitting next to the patient and listening to the patient’s concerns must be avoided in emergency situations, instead the nurse can make eye contact with the patient and reassure him or her that everything will be done for the patient. Therapeutic communication must be used for all patients regardless of their ethnicity, race, age, sex, and religion. All nurses must apply these techniques in practice for all their patients in the same manner. Mostly all therapeutic techniques are under nursing scope of practice due to the reason that they are done psychologically and there is no specific use of medications, physical tasks, or decision making involved. Therefore, all nurses can apply these techniques freely since they are all under the scope of practice. Nurses must be aware of external and internal regulations while using therapeutic communication techniques. Sometimes, the techniques take time to be done and nurses must make sure they will do all other tasks that the organization assigned to them on-time. Potential breakdowns in these areas can be the low amount of time to apply the techniques at bed-side or in emergency situation. Nurses have multiple patients and multiple tasks to perform at all times and applying

The techniques employed are based on mindful stress reduction, which teaches you to be aware of your body, to learn how to still your mind and actually let positivity in. The biggest contributor to bad health and pain or depression is the stressful lives

As introduced in the article “Unstructured play for anxiety in pediatric inpatient care” it explains the various research, observations, results and methods on the importance of play and how it decreases children’s stress levels. Play and inventive exercises amid hospitalization helps children to adapt to the experiences and diminishing uneasiness (Tarroja,Catipon,Dey and Garcia,2013).According to the text one of the many responsibilities of those individuals in the healthcare environment is to address the issues of children by perceiving their apprehensions