The Importance Of Pain Management

As seen in the article, “The Nursing Story”, one of the nurses, Kenny, tending to patient Steven said, “It was so stressful, because there’s no set way to treat pain; you have to find the right cocktail” (Schwartz 3). This was a surprising comment for me as I didn’t realize that there was not a treatment for all pains. As ignorant as I may be to the limitations of medications, the fact that medications cannot fully help a patient be relieved of their physical pain is troubling because there is nothing one can do but either give a higher dosage or to let the patient go through the pain. The nurse, Kenny, reveals the unpleasant fact that nurses are just as limited as they are

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

There are many various kinds of prescription of pain relievers, which include: opioids, corticosteroids, antidepressants and anticonvulsants (anti-seizure medications). Among them I would like to focus on opioid medications and its side effects. Opioid medications are narcotic pain medications that contain natural poppy plant, synthetic opiates such as; methadone, fentanyl, tapentadol and tramadol, as well as the semi- synthetic opioids such as; oxycodone, hydrocodone, oxymorphone, hydromorphone and heroin. Opioid prescriptions are morphine (C17H19NO3), heroin (C21H23NO5), codeine (C18H21NO3) and thebaine (C19H21NO3). They are highly addictive substances are called opiates. Opioid medications have been used for hundreds and thousands of years to treat both pain and mental health problems. It is also use in a short-term pain after surgery. According to the survey in the past two decades, the prescription of opioid in the United States has been increased to the higher levels that is more than 600% (Paulozzi & Baldwin, 2012). However, that opioid medications are very dangerous to the patients’ respiratory system, other parts of the internal body and even can cause death. It should be only being use after wise discernment and with a great care.

Long term condition (LTC) is a health problem that cannot be cured, at present, but can be managed by medication or therapies’ (Snodden., 2010: p1). There are more than 15 million people in England that are suffering from long term conditions (Department of Health., 2013). Long-term conditions are more common in older people. The percentages of people of over 60 having a LTC is 58 per cent compared to under that is 14 per cent (Department of Health, 2012). LTC is also more predominant in more deprived groups, such as the poorest social class as it has 60 per cent higher prevalence than of those in the richest social class. (Department of Health, 2012).

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.

Last semester in clinical, there was a patient with sickle cell anemia and he automatically sparked an interest in me. The patient was quite young and was in so much pain that he could not even bear to be touched by the nurse and reported a pain level of 8. Before my encounter with this patient, I did not know much about sickle cell anemia and decided to do some research on this disease. In my research, I learned that a majority of these patients go through acute pain episodes that occur chronically. After learning this and thinking about the young boy in the hospital, I wanted to discover more about how the pain in these patients are managed and controlled.

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.

Two pt verifier name and dob confirmed. Pb states that the pain management doctor is requesting a recent MRI to continue treatment. Informed the pt that he request was sent to her provider for review and recommendation. We call her within the 72 hours with her provider's recommendations. Please advise!

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

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

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

The authors of the article each come with their own perepectives on pain management in the cognitively impaired older adult.

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 &

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.

This paper is going to talk about how to deal with chronic pain. First of all, this paper will explain what chronic pain means by providing the foremost chronic pain encountered in life such as low back, joints, or other kinds. Next, this paper will cover why it is important to address conditions related to chronic pain, and will explore methods and strategies showing how to cope with continuing pain. Finally, this paper will share some predictable outcomes and a conclusion.