Personal Reflection Of The Pain Management On 2B

Before I started my day in Transitions, the Rn checked with her patients if they would like students to take part in the care.

Nurses play a vital role in healthcare. They are the patient’s advocate and act as the patient’s “eyes and ears”. Pictured here, is Mark, a Registered Nurse working in the Schulich Heart Centre at Sunnybrook Health Sciences Centre, preparing medications for his patients. Making sure the correct medication is administered at the right time is an integral part of a patient's recovery. On his unit, patients are primarily admitted under three services: cardiology, cardiac surgery, and vascular surgery. His ward in particular only has registered nurses as the patients are very acute and registered nurses have more education and training than a registered practical nurse. His daily activities include administering medications, tracking vital signs,

In every Nursing setting that you will be in your peers will expect you to be a respentation of there facilities . Whatever you do reflects on self ,patients , and peers within nursing facilities. A Non-reliable person in general is the worst feeling ever in a workplace ive learned that everyone help is needed whether you play a big part or small part in your role of duties. Having lack of help causes frustartion and sometimes a hostile enviorment. CNAs shouldnt ignore their hygiene duties they should always keep their surrouding clean to avoid any patients from getting sicker than they are already are. Not intaking what youre learning on a day to day basis will sometimes cause you your job! A CNAs job is to learn consistently and put what they hae learned into hard work. If you dont have your job down pack no one will want to work with you ...they will feel as if theyre are doing your job and that will be pressure on them also. Always learn and intake every piece of information that you recieve throughout your nursing

Chronic pain is a tremendous public health problem, and a costly one. As health care advances and the need for palliative care rises, patients and health care providers are constantly investigating alternative methods of pain treatment and management. Questioning and challenging traditional health policies and practices has created a curiosity in the use of cannabis as an alternative option to standard opioids, for the management of chronic pain. Cannabis, is a leafy green plant consisting of buds and leaves of the cannabis sativa forma indica plants. Marijuana has been used in holistic solutions for hundreds of years; it has also been especially prevalent among terminally ill patients, who have been reported using it to alleviate symptoms like chronic pain, nausea and depression.

The literature provided speaks of the nurse’s responsibility in creating a safe environment for the patient and a healthy work environment for individuals of the organization. Part of providing safe and competent care to patients is for the RN to ensure that she is clinically capable of providing care at the skill level necessary for an assignment, especially when she floats to other units. Otherwise, she must decline the duty to care for that patient, make it known to the charge nurse that the assignment is beyond her competency level, and ask for an alternative assignment that matches her skill set (California Board of Registered Nursing, 1998). In addition to knowing the nurse’s

I come in with basic knowledge and the BSN nurses that I work with not only have experience but most if not all have that edge on me to deal with the family, look at the big picture and have the leadership skills necessary to conduct a fully functional unit and a calmness about them that tells you they can handle every kind of situation. A situation I can think clearly of is when I had a change in condition in one of my patients and coded, I could deal with the basics that I was taught in nursing school like CPR, calling for help, calling for Code Blue, IV access but I was incapable of dealing with the family who was at the time hysterical about their loved one impeding the process of resuscitation. The BSN nurse that responded to the code and was assisting in dealing with the family and calming them down and getting them out of the room and speaking with them in a rational manner. The other BSN nurse that responded to the code was able to orchestrate a successful Code Blue by delegating the other team members to take certain roles, 2-3 people doing CPR, 1-2 running errands, 1 recorder, 1 administering medications, 1 staying with the family, Respiratory therapy focusing on airway, and the bedside nurse explaining history and situation to the MD. The BSN nurse was able to pull all facets of the healthcare team into one

When I followed the RN's at Woodland Height's we mainly passed out medicine to the patients, but we also took care of other tasks. We also checked on new mothers in Labor and delivery. I myself got to inject morphine into a woman in pain who had just gave birth to a new baby boy. That was a huge thing for me considering I am not licensed to do it.

I supervise the unit’s operations and oversees specific employees at the BHT II and BHPP II level. I am also part of a multi-disciplinary clinical team to provide recovery-based services for consumers in varying levels of crisis. Others include performing nursing assessment, developing a medical service plan and obtains and executes medication orders from psychiatric prescriber. As an RN supervisor, I oversees and maintains medication and medication records in accordance with Agency policies and State regulations. I also coordinates medical care with psychiatric prescriber and PCP. It is my responsibility to serve as a role model of professional behavior at all times.

Work that is involved on a basic daily routine is somewhat unordinary. Occasionally you won’t have the same patients, or you may not work the same hall or even the same shift. You can have from 1 to 8 patients at a time which makes time with your patients limited. The duties of a Registered Nurse (RN) are typically as follows; recording past medical history, setting up care plans, observing the patient and following their progression, talking to the doctor about the patient's care, using and also observing medical equipment, teaching the patient or the family how to continue care for the patient’s problem, and explain how to do it at home.

Pain is the most commonly reported reason for coming to the hospital in America. It’s causes have a massive variance, and in many chronic cases the root source of pain can not be articulated at all. When a patient reports pain, the role of the nurse, and the whole healthcare staff, is to aim to reduce that pain. In many cases pain reduction can be attained through nonpharmacologic, complementary and alternative methods (CAM). Using CAM to reduce pain is an ideal scenario for both the patient and the healthcare staff as these alternative methods have fewer negative consequential effects.

Chronic pain is a tremendous public health problem, and a costly one. As health care advances and the need for palliative care rises, patients and health care providers are constantly investigating alternative methods of pain treatment and management. Questioning and challenging traditional health policies and practices has created an interest in the use of cannabis as an alternative option to standard opioids, for the management of chronic pain. Cannabis, or marijuana, is a leafy green plant consisting of buds and leaves of the cannabis sativa forma indica plants. Marijuana has been used in holistic solutions for hundreds of years; it has also been especially prevalent among terminally ill cancer patients, who have been reported using it to alleviate symptoms like chronic pain, nausea and depression.

Pain is different for everyone, because the brain “…[creates] its own selective picture; a picture largely determined by what is important for the survival and reproduction of the species” (Axel 234). In addition, because “[o]ur perceptions are not direct recordings of the world around us, rather, they are constructed internally according to innate rules” (Axel 234), classifying and treating pain for a large group of individuals is problematic. When attempting to address this issue, the question must be presented: is there a particular type of therapy which hospitals can use to reduce pain perception of patients, thus improving (or upholding) their physical

Because severe pain is more difficult to control, Mrs R may become anxious and fatigued, and may also withdraw again from the regimen if there is no success in achieving pain relief; therefore, the preventive approach needs to be considered. (Wells, 2014). For an effective pain control pain, Mrs R should also keep a daily record of her pain. Writing a diary can help empower the patient in her own care, give her confidence and increase self-efficacy (Bastable, 2014). Also, a strategy of pain management is to combine opiods with non-narcotics, such as Tylenol, in order to enhance pain relief and to slowly decrease the use of narcotics overtime (Lewis, 2014). Mrs R was explained to always follow the right dosage of medication to optimize the narcotic results. A complete assessment of pain should be performed: PQRST. Pain is a subjective concept and the patient must describe the pain in order to provide an effective care plan (Jarvis, 2013). Responses to pain medication should be documented to facilitate communication between health care providers, therefore to maximise effective pain management strategies (Lewis, 2014). The use of non-pharmacological therapy for pain is also recommended to Mrs R because it helps reduce the dose of an analgesic/opiod required to control pain and helps to minimize analgesic side effects, and also promote the release of endorphins which inhibit pain signals (NCBI, 2010). Mrs R is encouraged to use distraction such as watching TV, listening to the radio/music, which redirect the attention on something and away of the pain. Imagery can also be proposed to divert the focus away from the pain by stimulating the client’s imagination to develop sensory images. Relaxation strategies can also be used to help Mrs R to be free of her anxiety and stress, and to reduce muscle tension (Lewis,

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

In my placement as a second year student, most of my duties are focused on providing nursing care and general ward