The Delivery Of Healthcare Is The Proper Management Of Patient Pain

The psychological processes in the article include pain perception, and how we as humans perceive pain, how we react to it, and how we adapt to it. The article explains the pain signaling process and how pain can be amplified. For example, when we get pricked by a needle, a signal from our finger ascends through the spinal cord to reach parts of the brain. From there, we perceive pain, then we form a pain experience. Pain perception can be resulting from several factors such as the frequency of pain input, how sensitive the CNS is, How the body reacts after brain perceives and tries to send information to the injured area. A pain experience is when we have the urge to put a band aid on our injury, or be scared to get pricked from a needle again. However, each pain experience differs from one culture to the other, moreover, one person to the other. The article is conducting a research paper about pain and pain perception in different ethnic groups.

First pain is an everyday experiences that is expressed through the use of language and is then legitimized (Waddie, 1996). If a patient as a history of depression or chronic pain they have pain every day and the concept is used to help explain their pain. As nurse we use the concept of pain to find a base line of the pain and to assess new pain. In surgical patients they may have multiple types of pain from the incision, emotional, and history. The concept educates the nurse of the different form that pain can present itself. Pain can also guide how we treat the patient. Emotional pain would not be treated with the “so know pain pills”, but with talking or listening to patient. Concept of pain also address the different form of patient and how the nurse and patient response to it. If a patient is having somatic pain from an incision the nurse could react by applying heat or ice. Pain is what the patient says it is.

The purpose of this paper is to explore the effects of the Chinese culture on pain perception, responses and management. Cultural backgrounds can have a significant role in how a person perceives and copes with their pain, many studies have identified the vast difference between cultures. “Culture shapes many aspects of the experience of pain, including pain expression, lay remedies, social roles, expectations, perceptions of the medical system, when/how/where to seek care, healthcare practices, illness beliefs and behaviors, and receptivity to medical care interventions” (Campbell, 2012)

JCAHO (2011) also stated that patients and their families needed to be educated about pain and how the patients’ pain is going to be managed. Every patient perceives and exhibits pain in a different manner and if nurses do not assess the patient thoroughly they can miss it. For instance, Engebretson et al. (2006) acknowledged that, patients manifest pain in different ways and this resulted in nurses performing an inadequate assessment of their patients’ pain. Also, Engebretson et al. recognized that patients often conceal their pain because they do not want to be viewed by staff as complainers or addicts, and if patients decide to speak up the nurses frequently view their patients’ statements from their own cultural, moral and ethical belief system and not their patients which leaves the patients’ pain untreated.

“Pain is a universal condition. At some time, each person will experience pain from illness or injury. Pain isn 't only a physical experience; it also has an emotional component that may trigger behaviors that play an important role in how a patient 's pain is perceived by others (Yvonne, 2009)”. Pain can create a great impact on person’s life. In this paper, I will focus on the effects of Chinese culture on pain perception, responses, and management as well as how their ethnic differences and ethnic background helps them to

Pain is one of the most common reasons people consult a physician, yet it is frequently inappropriately treated [St Stauver JL, 2013]. To deal with this dilemma, nurse practitioners can play an important role on the pain care team, particularly as primary care clinicians spend less time with patients and are increasingly reluctant to provide care for pain patients. As frontline providers, they can take the time to perform a thorough patient assessment and physical examination and follow through with pain treatment, while also playing an essential role in patient education and assessing and monitoring the patient’s opioid risk. Their primary goal is to develop a therapeutic relationship with patients, providing the time and space for patients to tell their pain story [Hughes, 2013], which they then can communicate to the rest of the team and which forms the basis for all subsequent decisions about treatment.

Different ethnicities from around the world are stereotyped due to the ability to control pain. According to (Calvillo & Flaskerud (1991). Stereotypes include: “Mexican-Americans have a low a pain tolerance”, “Italian Americans are very dramatic about their pain”, “Jewish Americans complain a lot about pain” and “Asian Americans do not express their pain.” Nurses are in the forefront when assessing the patients pain tolerance. However, nurses need to be sensitive to the cultural background of a patient. The transmission of pain can be altered by blocking cells along the nervous system. If the pain receptors in the nervous system are not being stimulated, the body will not feel pain. Moreover, many patients get addicted to pain medications

The Pain Assessment Survey was developed to assess whether registered nurses are using evidence-based standards to assess and manage pain for special populations. Descriptive statistics were used in this study. The sample group surveyed included registered nurses currently enrolled in an on-line Baccalaureate program. A quasi-non-experimental study was utilized to allow the collection of a large amount of data at one time, while allowing the researches to compare and contrast the use of evidence based practice standards when preventing medication errors. This study contained both dependent and independent variables. The independent variable present is the use of evidence-based practice standards in the assessment of pain in special populations. The dependent variable is the management of pain in special populations of different cultures and chronic pain syndromes. The researchers concluded that out of the 50 participants of the survey, the majority use the verbal pain scale. The researchers concluded that registered nurses are using evidence-based standards of practice when assessing pain in special populations such as those with different cultural backgrounds and those with chronic pain

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.

They started by getting an overview of what was already being done to assess pain. “Only 60% of patients (n=923) were evaluated by a nurse using an accepted pain scale during their visit.” Surprised by the lack of pain assessment, they began the protocol in a community hospital. The beginning results were lower than most people want to see; only one third of the patients who had gone to the emergency room for pain related reasons got treated. Since there was a lack of pain documentation and

‘Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage’ (International association for the study of pain 2014). Pain can be made up of complex and subjective experiences. The experience of pain is highly personal and private, and can not be directly observed or measured from one person to the next (Mac Lellan 2006). According to the agency for health care policy and research 1992, an individuals self-report of pain is the most reliable indicator of its presence. This is also supported by Mc Caffery’s definition in 1972, when he said ‘Pain is whatever the experiencing patient says it is, existing whenever he says it does’.

Pain is something that connects all of us. From birth to death we can identify with each other the idea and arguably the perception of it. We all know we experience it, but what is more important is how we all perceive it. It is known that there are people out there with a ‘high’ pain tolerance and there are also ones out there with a ‘low’ pain tolerance, but what is different between them? We also know that pain is an objective response to certain stimuli, there are neurons that sense and feel pain and there are nerve impulses that send these “painful” messages to the brain. What we don’t know is where the pain

The most common reason that people seek medical care is pain, and pain is the leading cause of disability (Peterson & Bredow, 2013, p. 51; National Institute of Health, 2010). Pain is such an important topic in healthcare that the United States congress “identified 2000 to 2010 as the Decade of Pain Control and Research” (Brunner L. S., et al., 2010, p. 231). Unfortunatelly, patients are reporting a small increase in satisfaction with the pain management while in the hospital (Bernhofer, 2011). Pain assessment and treatment can be complex since nurses do not have a tool to quantify it. Pain is considered the fifth vital sign, however, we do not have numbers to guide our interventions. Pain is a subjective expirience that cannot be shared easily. Since nurses spend more time with patients in pain than any other healthcare provider, nurses must have a clear understanding of the concept of pain (Brunner, et al., 2010). Concept analysis’ main objective is to clarify ideas, to enhance critical thinking, and to promote communication (Rodgers & Knafl, 2000). This paper will examine the concept of pain using Wilson’s Steps of Concept Analysis (Rodgers & Knafl, 2000).

The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (1979). Pain is actually the culprit behind warranting a visit to a physician office for many people (Besson, 1999). Notoriously unpleasant, pain could also pose a threat as both a psychological and economic burden (Phillips, 2006). Sometimes pain does happen without any damage of tissue or any likely diseased state. The reasons for such pain are poorly understood and the term used to describe such type of pain is “psychogenic pain”. Also, the loss of productivity and daily activity due to pain is also significant. Pain engulfs a trillion dollars of GDP for lost work time and disability payments (Melnikova, 2010). Untreated pain not only impacts a person suffering from pain but also impacts their whole family. A person’s quality of life is negatively impacted by pain and it diminishes their ability to concentrate, work, exercise, socialize, perform daily routines, and sleep. All of these negative impacts ultimately lead to much more severe behavioral effects such as depression, aggression, mood alterations, isolation, and loss of self-esteem, which pose a great threat to human society.

“That’s the thing about pain… it demands to be felt” John Green eloquently states in the tear-jerking novel The Fault in Our Stars. Ask anyone who read the book about the supporting character, charming Augustus Grey, and quickly witness an almost physical wave of acrimony and nostalgia pass over them. Green’s unique ability to demand compassion from the reader through his cleverly compiled diction forces the reader to feel the extreme pain his characters are faced against. Pain brings people together, pain incites movements, and pain is universal; an unavoidable affliction that every human being is destined cope with. It is something that everyone can deeply relate to from their own experience, but if it is so poignantly unpleasant, why not just take pills or have a procedure done simply to turn it off? The human race still struggles to comprehend the circuitous and convoluted biology of pain perception. This is due to the feeling of pain being influenced by numerous emotional and cognitive experiences – i.e. what one has previously identified as pain- and manifested by individualized, psychosomatic and behavioral responses – how one reacts to said sensation from past experiences. Pain however, is a vital sensory reaction necessary to stay healthy. Gaining an understanding of how the process of pain transmits through the body allows us to develop more effective medications and treatments managing the uneasiness, and discomfort of pain. The path of pain perception