Symptoms And Treatment Of Pain

Prior to 2000, nurses would routinely monitor a patient’s blood pressure, pulse, respirations and temperature: the four vital signs. After 2000, the Joint Commission on Accreditation of Healthcare Organizations added pain as the fifth vital sign and nurses were required to evaluate a patient’s pain level using a numeric scale of 0 to 10 (Florida Office of the Attorney General, 2012). This led to a flood of opioid based pain relievers hitting the market and an increase in physicians writing prescriptions for these medications. Previously opioids had been used for treatment of cancer related pain, but broadened to include management of chronic non cancer pain (Edlund, et al., 2014). Research by Edlund

This paper will examine the the nurses and pain assessment in the hospitalized patient. The paper will focus on pain and pain management and the need to assess pain. How much percentage of the population in the U.S. are experienced pain, and how much of the population abuse the pain medications. There are many barriers which hinder nurses from perform accurate pain assessment. These barriers are nurses experience, competence, perception and manipulation. Pain is subjective, but pain assessment tools and nurses’ perception may contraindicate with what the patients stated. Thus, the paper will try to find solution to accurate pain assessment during hospitalization, especially with abuse of opioid.

Acetaminophen is a worldwide known drug used for aches and pains, but that is all that is thought of when the name is said. Because it is an over the counter medicine, nobody thinks about the effects it can have on you. In fact most people don't even read the warning label. In this paper, it will discuss all of the things nobody even bothers themself to look into. Such as common name/s, what it should be prescribed for, uses, side effects, warnings, drug interactions, and the chemical composition for it. This essay attempts to prove that Acetaminophen is more than just a benign remedy for discomfort.

abuse opioid were a challenge to nurses during pain assessment because nurses are a cornerstone in assessment of pain. “During the past decade, the treatment od noncancer pain with opioid has expanded e.g. sales of hydrocodone increased 244%, oxycodone 732% and methadone 1177%” (Hahn, 2011 P. 2)

However, a better understanding of the factors that affect such knowledge and attitudes and of the discrepancy between attitudes and practice can provide useful information to be included in education programs for nurses and to inform policy on the provision of pain management. On the other hands (Rushton, Eggett, and Sutherland, 2003) stated that nurses do not use evidence-based practice in pain management consistently. Until recently there was no standard of care by which to judge the adequacy of pain management. Study findings support the premise that many nurses have inadequate knowledge about pain theory, assessment, and management strategies, especially pharmacological and non-pharmacological strategies. Importantly, study findings suggested that nurses do not objectively assess pain or individualize care plans for patients with pain complaints. In particular, nurses expect patients to tolerate pain, do not differentiate well between acute and chronic pain, consistently overestimate the incidence of narcotic addiction and malingering (i.e., false pain complaint), and tend to rate patients ' pain and related needs lower than patients themselves. Pain assessment is the first step in effective pain management and is an independent nursing function. It has been estimated that a significant number of problems with pain management relate to inadequate assessment (Clark et al., 1996). The research evidence suggests that nurses ' attitudes and beliefs constitute significant

The first 48 hours of pain analysis and treating the pain of the patient to the hospice (or end-of-life patient in any other stetting) are crucial. However, the patient may be unable to speak and articulate his pain, or may be able to inadequately express the symptoms. One of the major concerns for those who are at the end of life is

In some cases, pain management is provided by an interdisciplinary team which may include physician, psychology, physical and occupational therapy, pharmacy, social work, massage therapy, acupuncture, and nurses (Mackey, 2015). In interdisciplinary approach, therefore, psychological and physical therapies are integrated in the pain management regime. Because of the increasing accept¬ability of nonpharmacological pain management therapies, there is a need evaluate their effectiveness (Jibb et el, 2015). Nurses have a unique opportunity to enhance the use of these therapies because of their role in patient care coordination and they are also in direct contact with patients more than other disciplines (Alaloul et el, 2015).

Chronic, acute, somatic and oncologic are all types pain - each with their own symptoms, reliefs, and evaluations. As pain has been explored, we have learned more about it; however, it remains an anomaly. In the postoperative setting, nurses are the first line of pain management. Their assessments of the patient’s pain, including questions and scaling is imperative when dosing medications and evaluating the patient. Studies continue to determine that healthcare providers undertreat and mismanage pain control and assessment. According, to the American Society of Interventional Pain Physicians, “80% to 90% of physicians have had no formal training in prescribing controlled substances, and only five out of one hundred thirty-three medical schools in the U.S. have required courses on pain management” (Glowacki, p. 37). The American Nurse Credentialing Center reported that “as of 2013, only one thousand six hundred seventy two registered nurses in the U.S. were certified in pain management” (Glowacki, p. 37). According to the CDC, about 50% of postoperative patients report unrelieved pain (Centers for Disease Control and Prevention, 2013). Effective postoperative pain control is necessary for successful care and treatment. Inadequate relief of postoperative pain can contribute to postoperative complications such as atelectasis, deep vein thrombosis, and delayed wound healing (Francis &

In conclusion pain management is an important impact on patient practice as well as education and knowledge. Although the study did prove to have been beneficial I found the results to be inconclusive as they were generally biased according to the perception of the patient on the individually nurses’ influence and actions toward the management of pain. Every nurse in each generation can learn the same information and the same execution it is what the nurse chooses to apply of his or her own attitude that will determine how the patients will perceive their care and this is with any study being performed on the nursing practice with patient.

Research dedicated to pain reassessment and documentation is wide ranging and mostly focused on topics to medical pain management in critically ill hospitalized patients. An extensive review of literature was performed to obtain the latest research on pain reassessment and documentation and the different methods suggested to improve the pain management protocols. The database used for this study were Science Direct, Journal Club, and CINAHL. Database were mainly accessed through Grand Canyon University Online Library. Database also included Google Scholar and American Association of Pain Management, Society of Pain Management Nursing etc. Review of literature was limited only by searching for articles published in English and particularly written

Pain management in burn unit hospitals continues to be a major challenge for many hospitalized patients of all ages. Patients who are required to be hospitalized are usually ones who have moderate to severe burns that result in traumatic tissue damages. The topic of this research paper will be about pain management in patients with burns. The purpose of this paper is stated in following as a patient intervention comparison and outcome (PICO) format, in patients with severe burns who requires routine dressing changes, how does the combination of pharmacological and non-pharmacological pain management compare to using pharmacological pain management alone affect the patient’s overall pain experience?

Pain is often an unpleasant part of being human. The experience is different for every individual person and, the result of the pain does not always depend on the stimulus but can be effected by the contest of any given situation. Neuropathic and nociceptive pain serve no observable purpose and can often be an immense burden on the lives of the people that suffer from chronic and neuropathic pain. Their physical, mental and emotional health can be seriously impacted as well as their social life, and even their career or occupation can be negatively impacted by it. Analgesic treatments that are currently available are extremely limiting, they suffer from low effectiveness, extreme financial costs and potentially harmful toxicity factors. This

Improvements in pain management have many benefits for the patient, clinician and health care provider. Patients benefit from reduced pain, discomfort, physiological stress, delirium, morbidity, and the facilitation of return to mobility and independence (NICE, 2011). Clinicians benefit from having more manageable, less physiologically unstable patients, and reduced personal dis-ease with patients in pain. Health care providers will benefit from earlier discharge, more patient independence and less morbidity, as hospital bed days, post-discharge nursing and social care costs are reduced.

In today’s health care a major problem is the management of pain after surgical procedures. The purpose of this paper is to improve the quality of pain management for post-operative patients by integrating more non-pharmacological and holistic techniques. Gélinas, Arbour, Michaud, Robar, and Côté described non-pharmacological interventions as interventions that do not involve the use of medications to relieve pain (2013). Pain is a subjective experience. Gélinas et al. found that pain often goes undertreated in patients which can contribute to physical, emotional, and psychological distress (2013). This distress increases anxiety and can interfere with the healing process. Pain is often worsened by anxiety and fear (Comeaux & Steele-Moses, 2013). Therefore, reducing anxiety can also aid in reducing pain. The most often used intervention for pain management is the use of drug therapy. However, drug therapy alone is not effective. For example, on the South 3 West unit of Holyoke Medical Center patients still report pain levels of 9 and 10 on the numerical pain scale even after receiving pain medication. There are also risks to relying solely on drug therapy. Prolonged use of analgesics can cause harmful side effects to the patient, such as decreased respiratory rate. Non-pharmacological interventions could decrease the need for medications. Adding non-pharmacological interventions to pain therapy is effective and reliable because the interventions are safe and relatively

Analgesic medications have long been the backbone of pain management, although now may be the time to seek some alternatives. Pain management is more than just treating the current source of pain. We need to treat our patient in a broad, wholistic way to give them the best outcome. We can seek to do this by recognizing that pain comes from many sources and for many reasons. “Practitioners of complementary and alternative medicine recognize that pain may arise from many inter-related factors and seek to identify and address the contributing factors associated with a patient’s pain” (Schulenburg, 2015, p 323). We need to acquire as many alternative pain management strategies as we can because we realize that a patient may experience pain physically,