Symptoms And Treatment Of Pain Management

The selected policy Essence of Care 2010: Benchmarks for the Prevention and Management of Pain, includes the latest benchmarks on the management of pain and its prevention. It presents up to date reviewed views, with the aim to deliver

While there are many healthcare problems that can be discussed I chose to discuss the problem of management of acute and chronic pain. The purpose of this paper is to explore the effects proper pain management on nursing practice, population most effected by chronic and acute pain, ways to improve pain management from a nursing perspective.

Recognizing that the prevention of chronic disease and promoting population health is the key to controlling health care expenditure, the inclusion of pain management is a positive aspect of the legislation. While chronic pain is not in the top leading chronic diseases, the cost to the health care system is higher than heart disease and diabetes combined.2 This paper will discuss Title IV - Prevention of Chronic Disease and Improving Public Health. Subsection D - Support for Prevention and Public Health Innovation of the PPACA, including the funding of the United States Department of Health and Humans Services (HHS) for research in public health services and the examination of best prevention practices. One focus of this part of this provision is research and evaluation of pain management, the assessment, and treatment standards through an Institute of Medicine Conference on Pain Care.3

What is pain, pain is an intensive feeling we feel when something distressing is happening to our body. Pain management is how we treat the pain that we feel in our body. In today hospitals care of patients the staff is becoming more judgmental toward patients with pain problems instead of treating the condition. Nurses and doctors are supposed to make patients feel comfortable about their treatments and not feeling like they are being judge for asking for pain medication. Being in pain and having to come to the hospital patients are vulnerable, and the last thing a patient wants is to be turn away because the staff doesn’t believe what is going on.

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 the United States alone it has been estimated that nearly 50 million people suffer from chronic pain. However, chronic pain continues to be undermanaged with as many as 41% of patients reporting uncontrolled pain 1. Poor pain management outcomes are due in large part to a lack of a pharmacological intervention that is both efficacious for moderate-to-severe chronic pain and widely tolerable. Currently, the most efficacious treatment for moderate-to-severe chronic pain is the use of opioid agonists. Despite the efficacy of opioid therapy, in one survey 68% of physicians cited concerns about adverse events as a barrier to prescription of opioids for the maintenance of chronic pain1. Systemically delivered opioid agonists

In the United States, over 50 million people suffer from chronic pain. The annual cost of chronic pain is around $100 billion. Moreover, 46% of the people suffering from chronic pain lack adequate pain relief (http://www.painfoundation.org/painful.htm).

However, this research is a question of patient quality within the health care setting and needs to be investigated further. Sturesson et al., (2015) point out several limitations to this study like, exclusion of patient did not receive pain medication that could alter the result of the study, studying only medical records and not the actual pain assessment can lead to false evaluation and the sample size may not reflect all assessment as only 120/year was collected from the medical record

Chronic Pain is a major health problem for many people, and it is defined as pain that persists or progresses for more than three months. Chronic pain can be related to many other medical conditions such as cancer, fibromyalgia, diabetes, and arthritis as well as previous injury. Studying chronic pain is important because inadequate treatment of chronic pain significantly reduces many people’s ability to be active participants in their daily activities, which has the potential of negatively affecting employment status and could possibly lead to depressive and anxious symptoms in people with chronic pain. While there are increasing types of drug regimens to manage and relieve some aspects of chronic pain, the main source of persistent pain

Joshi, G., & Kehlet, H. (2013). Procedure-specific Pain Management: The Road to Improve Postsurgical Pain Management?. Anesthesiology, 118(4), 780-782.

According to International Association for the Study of Pain (IASP), globally, it has been estimated that 1 in 5 adults suffer from pain and that another 1 in 10 adults are diagnosed with chronic pain each year. Moreover, according to a recent (2014) article in the Journal of Pain, chronic pain is the most prevalent and disabling condition affecting at least 100 million Americans. It is also the most expensive public health condition with annual cost to society exceeding that of combined costs of diabetes, cancer, and heart diseases. Then, we have set of diseases that follow chronic pain. This

The International Association for the Study of Pain defines pain as an unpleasant sensory and emotional experience arising from actual or potential tissue damage (1994). Pain is commonly categorized along a continuum of duration. Acute pain is associated with tissue damage, inflation, a surgical procedure, or a brief disease process. It usually lasts hours, days, or weeks. Chronic pain, in contrast, worsens and intensifies over time and persists for months, years, or a lifetime.

Assessing and treating pain is a complex puzzle. McCaffery a researcher from the UCLA Center for Health Science says the standard definition of pain is, “whatever the experiencing person says it is” (Bernhofer 1). However, a practitioner’s personal opinions about a patient’s pain might interfere with this definition when performing a pain assessment. Treatment of pain is different than working with a patient who has hypertension and requires increased dosages of medications to reduce blood pressure. Practitioners are not likely to judge a hypertensive patient’s character because of their medication needs. However, it is harder to have an unbiased opinion of a patient complaining of chronic pain who does not respond to the standard pain medications.

Chronic pain, pain that is persistent in nature and usually lasting longer than three months, is noted to cripple millions of Americans lives yearly (National Institute of Neurological Disorders and Stroke, 2014). It is gradual in its onset with a character and quality that tend to change over time. Due to this continuous change, and the fact that

In the situation, Mr. Jensen’s pain was identified as one of the priority problems. The International Association for the Study of Pain (1994) defines pain as “an unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage”. Thus, pain is an inevitable physical stress with any surgery so much more in external fixation of combined fractures. Also, physical stress contributes to a marked increase in blood glucose levels especially in people with diabetes (Surwitt et al, 1992). It has been determined that the goal of this problem is control/ relief of pain immediately after (30 minutes) of determining the pain through proper pain assessment and management (through medication and complementary therapies).