Symptoms And Treatment Of Pain Management

pain is the usual cause for persons to look for treatment. Inadequate pain management can cause delay in healing process. It can also leads to prolonged hospital stay. The acute pain management theory describe how nurse can manage pain with minimal effects from the pharmacological interventions and use of alternative methods of pain management (Good &Moore, 1996) The main factors are in the management of pain are Pharmacological, non-pharmacological, patient participation, education and different interventions. Effective pain management involves the application of non-pharmacological interventions and usage of pain medications. (McEwen & Willis, 2014). The pain management theory deals with management of pain in daily basis. It offers the knowledge about alternate methods in pain

Appropriate assessment and management of pain should be paramount to nurses working in the elderly care sector.

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.

The content for the educational strategy can vary depending on the group, individual and the learning needs of each. While the overall aim is to reduce rates of worsened pain through accurate documentation, some nurses may benefit from in-depth

Some patient’s were either on other pain medications or psychotropic medications and the nurse was unclear as to treat with medical therapy or non-medical therapy. This lack of knowledge can play in delay of treatment. Suggestions to overcome this were recommended for a pain management program. The change led to more patient routine pain scales being conducted but strategies were limited to show effectiveness since mostly non-pharmacologic measures were used. As a future advanced nurse practitioner, I believe that this article is useful to me and my career because it will remind me to use formulated pain scales and cues for pain based on the cognitive ability of the dementia of the patient. Despite the pain measures that the patient is already on, the patient should be treated appropriately for the pain that they are having. For instance, if their pain measures a 7 on the scale and they are receiving pain management scheduled and they are not due for a scheduled narcotic for another six hours then that patient should receive a PRN medication rather than a non-pharmacological

To provide the best care for their elderly patients, nurses must incorporate pain assessment into their daily care of patients. Pain assessment is a key aspect of the nurse’s role. There are many factors to consider when assessing patients’ pain such as if they are verbal or non-verbal, what language they speak, their age and their cultural background. There are many tools that a nurse can use to assess a patient’s pain but one of the most common tools is the 0-10 scale. This tool can be asked verbally by asking what

Healthcare workers, especially nurses, have for ultimate goal to provide the best care possible for patients. Caring for patients does not only include making sure that they are safe and well-taking care of but it also requires for nurses to act as patients’ advocate and ensure that the best methods are used to provide care. Nurses contribute to ensuring that the patients are as comfortable as possible and help prevent or reduce pain as much as they can (Dearholt.& Dang, 2012, p. 12P). People have a different reaction to pain. For some patients being pain-free might be one their ultimate goal while they are in the hospital and if a nurse can help achieve that goal that will significantly contribute in making the

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 interventions will be aimed at reducing as far as possible all factors that decrease the threshold and promote those that increase it. It is of no use to judge the pain of others. Nursing care should recognize the presence of the painful experience of the patient, listen carefully and evaluate the factors that condition. Assess the response to analgesics as important as identifying the intensity of pain at the start of the intervention, it is reassessing its evolution time and under the treatment plan is implemented. In hospitalized patients should ask about pain at frequent intervals, every four hours or at least once per shift, and always after administration extra to check their adequacy and effectiveness dose. What drug it was effective and what dose is information that should not be left to memory for later transmission. Its systematic registration history is essential for inter-coordination. Moreover, the patient transmits real interest on the part of professionals and reinforces the therapeutic relationship and

This study was little different from the previous studies as it was carried out by the student nurses. The students performed a research in collaboration with the faculty and unit to describe the root cause and provide recommendation on improving clinical documentation practices within the health care setting. This included describing the pain reassessment process or plan of care compliance. Six pilot units were selected within the healthcare system with a team or 4-5 students for each unit with a lead faculty for each team. Each faculty was responsible for the work of 3 student teams. 2 teams focused on the pain reassessment and one team on the plan of care documentation. Each student used about 8 hours of clinical hours for this project. The RCA teams met weekly to summarize the current status and develop data tools and recommendations on this project. The project process was completed in 3 phases: background overview, data collection and synthesis and project evaluation including recommendations. The total time to complete the project was approximately 7

Participants completed a Brief Pain Inventory-Short Form within 24 hours of admission and every 48 hours until discharge. The nurse practitioners that gave the surveys reevaluated the patient’s feedback on a weekly basis. The study concluded that using the intervention of audit and feedback strategy, there was an increased compliance with using the CPGs (Dulko et al., 2010). There was also a significant increase in the documentation of the initial pain assessment and repeat assessments following a pharmacological intervention. Although the disease process of cancer patients cannot be avoided, it is imperative that this group of patients have substantial symptom control (Dulko et al.,

To be effective, pain treatment depends greatly of the strength of the clinician-patient relationship, specifically the exchange of knowledge of treatment options, outcome potentials and shared goals (Pizzo and Clark, 2012). Impediments to pain management include outdated or unsubstantiated information, individual attitude, and fundamental differences in pain perception (Pizzo and Clark, 2012). Educational barriers among clinicians include lack of knowledge regarding analgesics, therapy interventions and their potential side effects as well as inadequate time to properly assess pain symptoms (Wilkie and Ezenwa, 2012). Another limiting factor from a clinician perspective includes the lack of education provided in residency or practice to counsel patients about pain. Over 27% of providers surveyed felt unprepared or underprepared to adequately and effectively advise patients of pain management options (Pizzo and Clark, 2012). Similar findings have been identified in nursing, specifically a lack of education, emphasis or absence of curriculum related specifically to pain management (Kumar et al,

Gropelli, T., & Sharer, J. (2013). Nurses' Perceptions of Pain Management in Older Adults. MEDSURG Nursing, 22(6), 375-382.

I choose to do my power point teaching on problems with pain. Pain is the number one problem among patients in all hospitals and community’s settings. Pain affect almost every one including babies. Pain is a universal experience occurring in all age groups and is the most frequent reason why people seek health care (Daudet, 2002). Research shows that most patient continue to experience unnecessary pain and that most patient receive inadequate pain management. Therefore, effective pain management is very important in health care, and it is a good indicator that quality care was provided to the patient. Nurses play an important role in patients’ pain management because they interact more with the patients. Based on my experiences as LPN, Nurses

Based on the duration of persistence, pain is often divided into two broad categories as mentioned below.