Pediatric Department: Pain Management

Quality of service should be one of the most important and well monitored goals for any medical facility, from your small town family doctor’s office, to nursing and rehabilitation facilities, all the way to large hospital systems. The quality of service provided in a facility doesn’t just affect the patients. Quality of service also affects the bottom line, or whether or not the hospital system is profitable. In order to better access the system’s current quality of service and to devise improvement plans I would need to explore issues that have significant effect on quality of care such as, patient satisfaction and retention, medical errors

What additional assessment tools would you select that would be appropriate for Clint and why?

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.

As a first part of the holistic assessment process the nurse collected the subjective data, which are the data from Anne’s point of view during the interview (delaune).the nurse gathered information regarding present medical history, past medical history and activities of daily living. Anne mentioned that she was diagnosed with oesophageal cancer one year before. She also added that she was suffering from pain and swallowing difficulty for few days and that was the main reason for her admission in the hospital. On observation the nurse noticed that Anne is very anxious and fragile. The pain assessment carried out and Anne was scoring six on the pain chart .marmo Liza suggest that pain is an unfavourable experience and each persons perception

Two pt verifier name and dob confirmed. Pb states that the pain management doctor is requesting a recent MRI to continue treatment. Informed the pt that he request was sent to her provider for review and recommendation. We call her within the 72 hours with her provider's recommendations. Please advise!

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.

In a country where chronic conditions continue to affect the pediatric population it is crucial that access to sub-specialty medical care is accessible. Unfortunately, in many rural areas access to sub-specialty care for pediatrics is not easily accessible. A medical home as defined by the American Academy of Pediatrics is identified by seven characteristics: “care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective.” (Brito et al., 2008)

Assist patient in identifying reasonable and acceptable levels of pain and note inconsistencies between pain-related behavior and verbal expression of pain.

Back pain is one of the most common ailments today affecting up to 80% of people in the United States. Options have always included conservative measures, such as chiropractic care or physical therapy, or extreme measures, such as surgery. Patients have become more knowledgeable about the treatment options and are searching for different routes. Today, many patients with pain are looking at interventional pain management procedures for pain relief. These procedures include injections like epidurals and facet medial branch block injections. This article provides a review of three of the most common fluoroscopically-guided procedures used today. The techniques along with the efficacy of each procedure are also addressed in this article.

DOI: 12/19/2015. Patient is a 23-year-old male field technician who sustained injury while removing a ladder from a truck. Per OMNI, he was initially diagnosed with back sprain/strain.

a) Patient preparation is a vital part of anesthesia. It begins by taking an accurate history and performing a physical examination. The patient is given a physical status classification based on their current condition. This classification recommends diagnostic tests. The minimum testing includes PCV, TS, and renal testing. Once the history, exam, and diagnostic testing are complete, the patient is ready for anesthesia.

Children are not just small adults. They cannot always say what is bothering them. They cannot always answer medical questions, and are not always able to be patient and helpful during a medical examination. Pediatric surgeons know how to examine and treat children in a way that makes them relaxed and cooperative. In addition, pediatric surgeons use equipment and facilities specifically designed for children. Most pediatric surgical offices are arranged and decorated with children in mind. This includes the examination rooms and waiting rooms, which may have toys, videos, and reading materials for children. This helps create a comfortable and nonthreatening environment for your child.

The ability to provide safe and effective local anesthesia is one of the most important skills required in the dentistry. To be able to achieve this required skill is amazing, however, to work with complications and still be efficient, is commendable. There are so many complications one might encounter in a dental office, particularly morbidly obese children. Childhood obesity is a serious problem amongst our country today, especially concerning the oral health. According to the CDC, did you know that in the United States, one in every five children has obesity? Obese children posture exceptional difficulties when establishing appropriate doses suitable for local anesthesia. The explanation for this is because of the vast measure of adipose tissue in the oral cavity, which makes it hard to distinguish the patient's intraoral anatomy.

There are many analgesic drugs. Among those the oxycodone is the most pain reliever of opioid analgesic drug. Oxycodone is classified as schedule II controlled substance. It is commonly combined in tablets with acetaminophen (Percocet) and with aspirin (Percodan). Oxycodone is available in the form of immediate-release (Oxy IR) and sustained- release (OxyContin). It is a strong pain reliever often used to control moderate to severe pain, postoperative, acute, and chronic pain. Oxycodone is classified pharmacologically as a class of opioid agonists, and opioid synthetic while, therapeutic classification oxycodone is opioid analgesics, and Pregnancy category B. Oxycodone. The opioid analgesic drugs are originated from the

The study conducted by Stanley and Pollard (2013) had two components. The first was to assess the amount knowledge concerning pediatric pain management of nurses then gauge their attitudes and level of self-efficacy concerning acute pediatric pain care. The second was an examination of the relationship between years of experience, amount of knowledge, attitude, and levels of self-efficacy. According to the authors, studies have previously indicated that care may be affected by the level of knowledge and attitude of the nurse, however no research existed between each component and self-efficacy. Stanley and Pollard predicted that a nurses job performance concerning adequate pain management of pediatric patients would be affected by the two components examined. (Review of literature ) They presented the problem by citing previously conducted peer-reviewed studies indicating that proper pain management of pediatric patients was lacking and which emphasized the importance of knowledge of the topic [cite]. Examples were given of barriers to proper pain management which included: ignoring patient self-report, lack of education about pain assessment, misunderstanding pharmacological effect on the respiratory system, lack of a universally applied pain management system, work security concerns, perceived inferiority, and time constraints. ( Stanley et al., 2013)