STUDY OVERVIEW
Pain control continues as a major focus in health care. The Joint Commission and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) identified pain management as a measure of quality healthcare and patient satisfaction, both of which are tied to federal reimbursement. Additionally, the HCAHPS survey publicizes perceptions patients have of their hospital experience by asking questions such as, “How often did hospital staff do everything they could to help you with your pain?” (Hcahpsonline, 2009). OSF Saint Anthony Medical Center (OSF) runs in the xth percentile in the area of pain management. It is imperative, then, that we continue to seek ways to minimize pain that is experienced in the acute hospital
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These tests are described as the most painful laboratory procedure (Clinical Laboratory Standards Institute, 2004) and are performed, under standard of care, without the benefit of pain management (Lightowler & Elliott, 1997). In a study of 100 critical care patients, obtaining the blood sample for ABG analysis was the most potent factor that moderately or severely worried the participants, and the participants identified this pain as separate from regular pain (Hudson, Dukes, & Reilly, 2006). Furthermore, clinicians are hesitant to use local analgesia due to concerns that the pain from injection of the anesthetic is just as painful as that of the arterial puncture, that infiltration of an anesthetic will hinder the ability to obtain the sample, that it takes too long to administer the anesthetic, or that the pain is no worse than a venipuncture (Hudson et al., 2006; Malley, …show more content…
The risk will be minimized as the nurses will follow the established standards for radial artery access (CLSI, 2004) and will be trained by Ms. Barkley who conducted same procedure for the preceding pilot study. However, there is always a risk of artery cannulation being unsuccessful. In such scenario, no further attempt will be made to access the artery and lab personnel, of the respective hospital, will be contacted to draw the specimen. Risk of infection will be minimized using aseptic technique. We will also review the participant’s medical record and query the patient to assess for allergy to lidocaine or its derivatives prior to administration. The participants’ EMR or sampling site will be assessed within 24 hours to assess for any complications. All complications will be recorded and classified according to
The National Institute of Neurological Disorders and Stroke (NINDS) implies that acute pain, left untreated, can lead to chronic pain. Chronic pain affects more Americans than diabetes, heart disease and cancer combined and leads the cause of long-term disability in America.
everybody calls pain; a physical thing that is very unpleasant. Everyone, of the billions or even trillions of people on earth go through it. A person is probably going through it right now and nobody except the people around that person know about it. Pain is common though no one wants to figure out the simplest questions. For example why do we have pain and other questions related to it. Though now people can finally get answers. It is important to understand what causes pain to know the reason behind it, the different varieties, and what a person experiences.
Chronic pain has plugged into thousands and millions of people in this fast developing world. There are number of cases found suffering from chronic pain conditions and takes a long period of time to recover. People tempt to get chronic pain relief through some natural ways. Around 50 to 80 millions of Americans are suffering form chronic pain condition. The chronic pain if treated at an earlier stage can be well treated but if it sustains for a longer period than the situation can become worse. Chronic pain relives the flow of harmful hormones, such as cortisol which plays a major role in adversely affecting the immune system and kidney function.
In conclusion, pain is one of the most common reasons for patients to seek care in the ED and pain management should have a primary focus as effective pain management is associated with patient satisfaction, earlier mobilization, and reduced hospital stay. Despite previous research and studies, there are still barriers to pain management at the ED which increase the risk of mismanagement for the patients seeking care. As Nurses, we are well positioned to become active leaders and innovatively responsive in reducing human suffering by improving pain management within
pain is your physique's normal security in opposition to sickness and injury. It serves because the signal that some thing is mistaken in the body. Pains associated with arthritis include extreme pain from irritation of the joints, acute pain from damaged joints, and aggravated affliction brought on through continual affected by joint pains. Agony is caused by way of the gradual breakdown of cartilage, the tender material that cushions the joints. Soreness alleviation lotions are consumed by way of athletes, housewives, and the aged. At the same time there are various reasons and illnesses that may make a contribution to joint affliction, the most customary are osteoarthritis and sports injuries. Joint suffering from osteoarthritis
Chronic pain can be mental, emotionally and physically debilitating. Chronic pain affects us on many different levels. Your brain senses pain from sensory, emotional and cognitive angles. The brain is wired to expect severe pain, and it swiftly initiates a strong pain response. Neuropathways rely on past experiences that help the brain deal with similar threats. Our cognitive and emotional responses can jumble our actual pain signals. Similar physiological treatments are prescribed for an emotional response and actual pain.
In my lifetime I have taken prescription pain medicine for surgeries that I have had. I've always heard stories about people having an addiction to them,abusing them and people getting killed because of them. In all the surgeries that I have had, I think that I have taken prescription painkillers twice in my life. I was offered them many times by doctors right after my surgeries. I've always denied them because of the bad stories I've heard. People get intensely addicted to them even if they're not in pain, also, people can get immediately get addicted and could lead to other drugs such as heroin. Teens think that prescription drugs are more safe than illegal/ drugs.
Pain literally affects all levels of psychophysiological capabilities and influences almost every aspect of a patients’ life, including relationships with others, activities of daily living, as well as their job performance abilities. Pain accounts for an estimated cost of 90 billion dollars in economic resources as a result of disability, lost time from work, and reduced productivity as whole [5].
Within the human body, one or more joints can be littered with joint anguish and contradictory to the fashioned fallacy, joint soreness can influence a character of any age group.
Although Anesthesiology offers an excitement in the operating room, intensive care unit and emergency room, my pain management elective in the US put a new perspective on this field. As terrible as it is to watch a person in acute distress, chronic pain and discomfort that hinders the everyday life of an individual is equally dreadful. It was inspiring to see the dedication of the doctors aimed at relieving patients with conditions like protracted back pain, through regular epidural steroid injections, sympathetic blocks, or more complicated procedures like morphine pump implants or spinal
Pain Management is a medical approach that draws on disciplines in science and alternative healing to study the prevention, diagnosis, and treatment of pain. A recent study showed that 500,000 pregnant women in the United States found that 14% of women filled a prescription for an opioid at least once during the ante partum period and 6% of women received opioids throughout all trimesters. Opioids are drugs that act on the nervous system to relieve pain. This increases the use of narcotics during pregnancy for pain management for pregnant women. Between 1999 and 2010, death has increased fivefold for the pregnant women taking opioids pain relievers in the United States. This article talks about some pharmacological and nonpharmacological approaches in managing painful conditions during pregnancy. It also mentions some treatments of conditions that may be present during pregnancy.
Pain control in the older adult is essential to prevent emotional distress. There are several pain controlling medications that are available, but only a portion of them can be used safely in older people. Pain control should be optimized for each individual patient with measures to reduce narcotics overdose, and also minimize adverse events. Chronic pain is a growing epidemic of the elderly and is the most common reason why most elderly patient are seen in the clinic. Many older adults are vulnerable to suffering from arthritis, pressure ulcers, cancer pain, fibromyalgia fracture from a fall, age related joint disease, dental sources and many other types of chronic disease that may be associated with pain. These pains can lead to things like the loss of independence, lack of sleep, anxiety and or a reduced quality of life (Prommer & Ficek, 2012). Estimates vary, but most suggest that between 80 to 90 percent of people over the age of 65 have at least one chronic disease. Pain from a fracture is one of the most common health conditions that may contribute to functional disability. Therefore, it needs to be addressed to reduce the disability. Untreated pain could also cause an unpleasant emotional experience that can be associate with tissue damage.
Pain is a natural occurring phenomenon within the body. Pain acts as an alert system for the body. It notifies a person to an issue that is happening within the body such as a sprained ankle, or a broken finger. Some people experience chronic pain. Chronic pain does not only effect a person physically. It can also have effects that are mentally and emotionally overwhelming for the person suffering with chronic pain. Pain is not as simple as a physical sensation you feel. However, there are multiple layers to pain and how it affects a person’s body. Pain affects your senses, your emotions and could affect your mental state of mind.
Does the framework present the relationships among the concepts? Is a map or model of the framework provided for clarity?
This is a 71-year-old female with a 2/29/2000 date of injury, when she slipped and fell because of oil on the ground.