Pain And Pain Of Pain

It was a normal day in New York city. I was playing basketball with my friends in the park. When I went up for a dunk, and I got fouled and flipped around and snapped my leg. My friends were saying “get some help now.” While was setting down on the floor crying, holding my leg. When my friends called the ambulance for help.

Being a typical 9 year old, I bawled my eyes out. When I moved my arm, it hurt even more. My mom came over to see what all the commotion was all about and I told her what had gone on. I also told her that whenever I moved my arm, it hurt and it felt very weird. She told me we would have to head to the hospital in Columbus to go get an X-Ray to see if it was broken. Thankfully, this was after my older brother’s band’s performance. He came over to us, and my mom told what was about to happen and what we were about to do. He wasn’t happy, to say the least. After about 5 minutes of arguing, my brother lost and my mom took the rest of us to Columbus. As we got into the car, she told me to keep my arm as still as I could, to which I did. We didn’t go to the hospital right away, however, we went to McDonald’s instead to try and make me feel better with some ice cream. It worked, and made me feel glad, even until I got into the hospital. I had never had a broken bone before up until that point in my life, so I didn’t know what to expect. We sat in the waiting room for about 5-10 minutes, until the nurse came into the room to tell us that the doctor was waiting. We got into

Was that the doctor talking to my mum, did I hear him right? I’ll never be able to walk again, but why would this happen to me I need my legs. I play too much sport to not be able to use my legs. My legs saved my life once without even thinking about it, they caught me after a fell out of a tree. They were my everything, how could I live without

I retreated to the waiting room where my parents sat hopefully, hope which does not exist. I couldn’t bear to tell them, my parents whom have cared for me and love me, I can’t bear to see them worried. “I consulted with the doctor, I have decided to have part of my leg amputated.” I said this as calmly and confidently as I could, as if I had chosen to do this, hoping they would think it was my choice and diminish their distress with such a procedure. My father and mother stood up, smiling at me, a smile I will never forget.

Conceptual analysis is integral in understanding nursing theory. According to Walker and Avant (1995), concept analysis allows nursing scholars to examine the attributes or characteristics of a concept. It can be used to evaluate a nursing theory and allows for examination of concepts for relevance and fit within the theory. The phenomena of pain will be discussed in this paper and how it relates to the comfort theory.

After three days someone finally came to pick me up. They put me in their pickup truck and dropped me off at a reife station. There I was examined by many Army doctors. Discussing whether or not my leg needed to be amputated or not. Since no one could agree they move me to another facility. That Doctor said “no surgical procedure needed to happen”, but before they moved me to another facility the Doctor took my temperature and decided to keep me.

I was thirteen, and I had just come home from a school softball game. My friend Dalton had invited my sister and I to come and swim at the neighborhood pond. My sister stayed home, but I got permission to go. After a while of swimming, Dalton looks at me claims that he’ll jump out of a tree near the bank if I jump out. Of course, I accepted my friend’s little dare and climbed into the tree, focusing on the seven-foot-deep drop-off off of the bank. Regrettably, I didn’t jump far enough. My right leg landed in the drop-off, but my left leg hit the clay, which caused all of my weight to shift to my left foot. I felt an immense pain in my ankle and started screaming while crawling over to the bank as Dalton ran to get my mom. After I finally made it to the emergency room, I found that I had broken my fibula at an upward slant, which caused the upper part of the bone to slam down into my ankle.I had completely blown out every ligament and tendon on the left side of my ankle. I had to have a plate and four screws implanted into my fibula along with the surgical repair of all of my ligaments and tendons. The entire ordeal left me extremely interested in the human body, and this interest was heightened when I had to get my appendix removed a few months later and again when I took Anatomy and

The injuries he suffered were overwhelming, and so sudden that at first, he didn't know anything was wrong. Only when he tried to put weight on his leg did he realize the extent of the damage. He jokes about it today. "I found that I didn't have a leg to stand on," he chuckles. Most of the flesh on his leg was ripped away, leaving his foot attached only by the tendons in the back of his calf. Bones were exposed and the bleeding was profuse. He also suffered head and internal injuries.

Pain is a complex and multidimensional phenomenon that is subjective and unique to each individual. Pain is difficult to describe and often hard to measure; however, most healthcare professionals agree that pain is whatever the patient describes it to be. Pain is one of the most frequently used nursing diagnosis and is the most common problem for which patients in the clinical setting seek help (Cheng, Foster, & Huang, 2003). Unrelieved pain can have a profound impact on the lives of both the patient and his or her family members. The subjective nature of pain makes pain difficult to assess; therefore, many patients do not receive adequate relief. The Joint Commission on Accreditation of Healthcare Organizations

    “Wake up Mommy,” said Taylor through her tears as she hugged my mom’s twitching body.

When I heard about Miguel, a close family friend was in an accident, the first thing I did was prayed for his survival. Thankfully, he did survive, however, both his legs did not. He was in a motorcycle accident. He was hit by a drunk driver driving a SUV, and flew off his bike onto oncoming traffic. A semi trailer was unable to come to a complete stop before making contact with Miguel. When the trailer finally managed to stop, Miguel was stuck under the back wheels. After being rushed to the hospital, it was decided it was best to amputate both his legs. Reconstruction was not an option. Both his legs were inoperable (L. Rodriguez, personal communication, July 4, 2014). After the surgery, once Miguel had finally awakened, he wasn’t immediately informed about his situation. According to Miguel, he remembers feeling sharp pains and cramping on both his legs. He struggled finding a comfortable position to rest his legs in order to minimize the pain (M. Rodriguez, personal communication, September 16, 2014).

The procedure always spoke to me as an embodiment of the human spirit. ‘ If we cannot fix it one way, we will do it another; If we cannot mend the brain, we will correct the feet.’ Ever since my operation, I have used this same outlook to overcome all the handicaps. When I came home from the procedure, I had both legs in soft-wrapped splints. I was to be non-weight bearing and to keep still. The recovery period was frustrating for me and absolutely maddening for my mother. I had no interest in being immobile. So within days of coming home in the splints, I had to be brought back to the hospital. I had snapped the splints in to by trying to crawl. Afterwards, I was put into hard castings and I was more cautious. Once out of my castings, I had to endure a year or more of physical therapy, because I had to learn how to walk again. To this day, I refuse to let my disability stunt my potential. I have tried at every available opportunity to challenge myself, to keep on fighting, and to invent ways around my

The most common reason that people seek medical care is pain, and pain is the leading cause of disability (Peterson & Bredow, 2013, p. 51; National Institute of Health, 2010). Pain is such an important topic in healthcare that the United States congress “identified 2000 to 2010 as the Decade of Pain Control and Research” (Brunner L. S., et al., 2010, p. 231). Unfortunatelly, patients are reporting a small increase in satisfaction with the pain management while in the hospital (Bernhofer, 2011). Pain assessment and treatment can be complex since nurses do not have a tool to quantify it. Pain is considered the fifth vital sign, however, we do not have numbers to guide our interventions. Pain is a subjective expirience that cannot be shared easily. Since nurses spend more time with patients in pain than any other healthcare provider, nurses must have a clear understanding of the concept of pain (Brunner, et al., 2010). Concept analysis’ main objective is to clarify ideas, to enhance critical thinking, and to promote communication (Rodgers & Knafl, 2000). This paper will examine the concept of pain using Wilson’s Steps of Concept Analysis (Rodgers & Knafl, 2000).

The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (1979). Pain is actually the culprit behind warranting a visit to a physician office for many people (Besson, 1999). Notoriously unpleasant, pain could also pose a threat as both a psychological and economic burden (Phillips, 2006). Sometimes pain does happen without any damage of tissue or any likely diseased state. The reasons for such pain are poorly understood and the term used to describe such type of pain is “psychogenic pain”. Also, the loss of productivity and daily activity due to pain is also significant. Pain engulfs a trillion dollars of GDP for lost work time and disability payments (Melnikova, 2010). Untreated pain not only impacts a person suffering from pain but also impacts their whole family. A person’s quality of life is negatively impacted by pain and it diminishes their ability to concentrate, work, exercise, socialize, perform daily routines, and sleep. All of these negative impacts ultimately lead to much more severe behavioral effects such as depression, aggression, mood alterations, isolation, and loss of self-esteem, which pose a great threat to human society.

Up to now, I have only described the physical pain. Which as it turns out was and is not even close to being the worst pain. The worst pain resides way back in that dark place you do not want to go, because you know if you allow yourself to crawl there, you may never come back. All along the way, through this journey through pain, I have always allowed time to beat myself up and question everything about whom, why and how come I made the choices I have made. I questioned my manhood. I questioned my dedication. I questioned everything but the truth. I was physically unable to do it. The mental exhaustion from the physical limitations were impeding my judgement. Admitting this would mean acknowledging I was not a man. I would be unable to provide for my family. I was pushing myself closer to that dark spot. I was getting down on myself. I had already pushed people away with my attitude and misery. As each day passed, and I realized another person I had hurt or bad decision I made, I became more distant and reclusive. More bitter, more angry and I could not stop it. What I was failing to realize was I was already on the spiral slide down the dark abyss to hell. I would go through this never ending cycle. The center of the circle is pain and circling around it are depression, anger and anxiety. It was a never ending cycle. Always in one of those dark places.