Nurse's Understanding And Stance On Children's Pain

Cook Children’s has achieved accreditation by the Commission of Collegiate Nursing Education. This is important to me as it shows the quality and integrity of the residency program and I am assured that I will receive the best training and education available to me. I enjoy learning and I believe that a residency at Cook Children’s will allow me to stay up to date with nursing skills, policies, procedures, and give me an opportunity to further my education through my experiences. In the residency program, I will complete over 1,800 hours of individual clinical experience with a nurse preceptor. The amount of individual clinical hours ensures that I will be able to start my career with confidence that will help me further as a new graduate nurse. With the high achievements that Cook Children’s has obtained, I believe that I will have an outstanding platform to begin my nursing career that will aid me in becoming a nurse with the ability to continue to learn and grow in the profession. Upon completion of this residency I expect to have a solid foundation of pediatric nursing that I can build on. Cook Children’s has several values which include caring, safety, integrity, collaboration, innovation, and giving. I will demonstrate caring by listening to my patients and their families. I will be an advocate for patients and treat them holistically. I will try to minimize fears by explaining procedures to patients, keeping them updated on their treatment, and answering any

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

As I begin my fifth year of working as a nurse practitioner in a leading children’s hospital, I am certain the pediatric acute care setting is where I will continue my career of service to children and their families. Although I hold a masters degree in nursing and have been a primary care certified pediatric nurse practitioner for many years, I wish to expand my knowledge of pediatric nursing to encompass the unique and challenging aspects of pediatric acute care.

Pain is one of the most common reason patient seek out help. The concept of pain can affect every person is some form or way. Pain can stand alone as a theory or fix with other theories like Comfort, Self- care, and more. As a surgical nurse I need to have a higher understanding of the patients I care for to ensure they receive the best care. Concept analysis is a form of research that allows a person to explore a theory/ concept to the fullest degree in an organized way. This concept analysis will take Walker & Avant’s steps to form a better understanding into pain.

Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.

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.

The data was collected using a few different methods. The fist method was information gathered from a quarterly statement that was sent out by the states board of nursing. This information

Nursing assessment is a substantial way of gathering physiological, psychological, spiritual, and emotional condition of the patient. It creates a whole picture of an individual and assist the health care providers to formulate a diagnosis. Assessing the comfort of the patient is equally important as taking the blood pressure or temperature. Pain is the fifth (5th) vital sign that is subjective in nature when performing an assessment of a patient. Various studies were conducted in finding the most appropriate evidence-based nursing practice in assessing and managing the pain of a cognitively impaired patient, whether it is acute or chronic or the underlying cause is cancer or post-operative incision. As emphasized by Song, Eaton, Gordon, Hoyle, and Doorenbos (2015), it is vital to ensure that “pain management is based on the best evidence” (p. 456). Perhaps knowing the causes of inability to assess and manage the pain in a cognitively impaired patient would give a clearer understanding of the practice.

This paper will address and evaluate the research problem itself, the design of the study, the sample, how the data is collected, its limitations, and its findings. Furthermore, how does this study impact the overall nursing process?

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

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.

Pediatric pain management is measured subjectively because it is based off of what the patient says or how the nurse interprets the pain scale. Pain is rated using different scales, unfortunately these different scales could yield different results. Nurses are trained to use pediatric pain scales to analyze and treat pain but parents are not supplied with the tools to manage pain when the patient goes home. With 84% of all pediatric surgical procedures performed on an outpatient basis, the importance of teaching parents how to assess for and manage pain has become more important than ever (Rony, Fortier, Chorney, Perret, & Kain, 2010). According to Rony’s et al. (2010) study, it is apparent that pediatric pain is not being treated effectively. The study showed that 58.8% of children were receiving less than the daily recommended does prescribed by the pediatrician (p.1). Results of the study also showed that parents had false assessments on if their child was actually in pain. 36% of parents believed that if their child was in pain, they would cry out for the parent , 30% agreed that their child would always tell them if they are in pain, while 22% said that the child would report their pain immediately (Rony, Fortier, Chorney, Perret, & Kain, 2010, ). Children do not always verbalize when they are in pain. Sometimes the pain can be so intense that a child is unable to talk. If the child catches on to the parents negative perception of pain medications, the child may not

Pediatric Care Nurses have a demanding job that is often overlooked by most. People do not take into account how much a nurse will give to his or her patient, especially considering that patient is most likely a child between the ages of infancy to eighteen (“How Nurses”). The patients, being very young, can attribute to the amount of stress the nurse feels to do his or her best which can in some form bring an emotional factor into the mix, especially if the nurse has children himself/herself (Izumi 203). While being a pediatric care nurse, emotions play a large role in the way these professionals do their job. A step back is needed to see the emotional and physical stress these pediatric care nurses face when doing their job.

Numerous tools have been developed to help identify pain within health populations. Each tool used is specific to the population that the nurse is trying to conduct a pain assessment on. In neonates and infants, it can often be difficult to assess their pain when they are not yet able to speak or express their pain appropriately. Several pain scales exist to help nurses pick the best scale to use on their individual patient. It is important for the nurse to know what tools and scales are available because each patient is different, whereas one scale might work better for one patient compared to another. Cong et al. (2014) indicated that recognizing pain in neonates is often undertreated. This journal examines the deficits and barriers within

The study sought to improve patient care in three areas. The first area was improving pain assessment documentation by introducing a standardized pediatric assessment. The second area was decreasing the time the patient received pain medication. The last area was evaluating the effect of the nursing intervention in reducing the pediatric patient’s pain at discharge via a pain scale. This study was conducted at a 35 bed level 2 emergency department in the United States. A total of 1200 EMRs were collected from pediatric patients ranging from 3 months to 6 years in age (Ramira et al., 2016, p. 43). Half of the cases were review before the