Up to now, I have only described the physical pain. Which as it turns out was and is not even close to being the worst pain. The worst pain resides way back in that dark place you do not want to go, because you know if you allow yourself to crawl there, you may never come back. All along the way, through this journey through pain, I have always allowed time to beat myself up and question everything about whom, why and how come I made the choices I have made. I questioned my manhood. I questioned my dedication. I questioned everything but the truth. I was physically unable to do it. The mental exhaustion from the physical limitations were impeding my judgement. Admitting this would mean acknowledging I was not a man. I would be unable to provide for my family. I was pushing myself closer to that dark spot. I was getting down on myself. I had already pushed people away with my attitude and misery. As each day passed, and I realized another person I had hurt or bad decision I made, I became more distant and reclusive. More bitter, more angry and I could not stop it. What I was failing to realize was I was already on the spiral slide down the dark abyss to hell. I would go through this never ending cycle. The center of the circle is pain and circling around it are depression, anger and anxiety. It was a never ending cycle. Always in one of those dark places.
The pain, as is my leg, is gone. I am not sure how eight years of pain wound up disappearing that quickly. The hard part
Pain is not only defined as a sensation or a physical awareness, but also entails perception. Moreover, pain is an unpleasant and an uncomfortable emotion that is transferred to the brain by sensory neurons. There are various kinds of pain and how one perceives them is varied as well. Certain parts of the brain also play a key role in how one feels pain such as the parietal lobe, which is involved in interpreting pain while the hypothalamus is responsible for the response to pain one has. Although some believe pain is just a physical awareness and is in the body, pain is all in one’s mind because the perception of pain and the emotion that controls its intensity differs in individuals and when pain itself is administered to the body, the brain determines the emotions one attaches to each painful experience.
Measuring Pain 1. 1. Sensory - intensity, duration, threshold, tolerance, location, etc 2. 2. Neurophysiological - brainwave activity, heart rate, etc 3. 3. Emotional and motivational - anxiety, anger, depression, resentment, etc 4. 4.
Conceptual analysis is integral in understanding nursing theory. According to Walker and Avant (1995), concept analysis allows nursing scholars to examine the attributes or characteristics of a concept. It can be used to evaluate a nursing theory and allows for examination of concepts for relevance and fit within the theory. The phenomena of pain will be discussed in this paper and how it relates to the comfort theory.
Each individual have experience pain differently. This is usually due to the factors of ethnicity, genetics and sex. This is known as pain perception. Different pain experiences are usually based on the location and severity of pain of an injury. However, evidence has shown that pain perception is not entirely dependent on physical injury; when pain perception is less/greater than expected from the extent of a physical injury, cases where the site of injury and site of pain differs.
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.
The proper way to ensure that this is not a constant problem is to make sure that initial pain assessments as well as re-assessments are done in a timely manner. It seems as though the initial pain assessment was completed using the pain scale but the re-assessment was not complete and documented in the proper amount of time. In order to ensure proper documentation of the re-assessment once the first pain assessment has been completed and an intervention has properly been administered, the first action step will be to make sure that the reassessment is complete within one hour of pain intervention. With electronic mars it is easy to build in a recheck into the system to alert the nurse that a reassessment is needed once the pain medication has been administered to the patient. When a pain intervention is done, a flag will come up to remind the nurse taking care of the patient that a reassessment is due. This will also resolve the issue on the tracer audit of how does the nurse know the intervention worked. Another issue on the audit was if no pain intervention was done what was the reason for it not being done.
Pain is a complex and multidimensional phenomenon that is subjective and unique to each individual. Pain is difficult to describe and often hard to measure; however, most healthcare professionals agree that pain is whatever the patient describes it to be. Pain is one of the most frequently used nursing diagnosis and is the most common problem for which patients in the clinical setting seek help (Cheng, Foster, & Huang, 2003). Unrelieved pain can have a profound impact on the lives of both the patient and his or her family members. The subjective nature of pain makes pain difficult to assess; therefore, many patients do not receive adequate relief. The Joint Commission on Accreditation of Healthcare Organizations
Pain threshold is the point when a stimulus causes pain. Pain threshold limit varies between everyone and the reason for that is because of the genes you inherited from your ancestors. Controlling these genes can result in higher pain threshold or higher pain sensitivity, as the pain threshold depends on your genetics. Sensing pain has been a survival trait for all mankind, making us avoid scenarios that will harm our body. Although having a sense of pain is very useful, what if we are able to control when we feel pain and how much we feel? Both cases have their positives and negatives.The average set of COMT genes is one Valine form of the gene, and one Methionine, the normal pain threshold.The version of your COMT gene depends in your genetics, the combination creates your pain threshold, and the COMT and be used in the medical field.
For this I interviewed an individual who has cancer. He is older than me, different race, cultural background, ethnicity, religious beliefs and socioeconomic status. Un-fortunality, an integral part of his pain experience is the fact he also has a long history narcotics and drug abuse. He spoke with me about his experience, once he is diagnosed with cancer and started to have severe pain. Sadly, a major barrier he has been facing is being labeled with “a drug addict”. He states “ ..doctors, pharmacists, nurses along common people hold this past against me and always are suspicious..”. Moreover, he adds “..I am smart enough to play everyone – like I did in the past - if I want, but believe me I am not trying to I am clean now and just want to have no pain”.
Some point throughout our lives, we have experienced temporary pain in order to reach a more rewarding future. This pain can come in numerous forms for each individual, some physical pain, others mental or emotional pain, and some being a combination of the various types of pain. Whichever form of temporary pain an individual has, it is an obligation to be successful. I would venture to say physical pain is my dominant type of temporary pain. Temporary physical pain is something I have struggled with endless times in my softball career, just so I could play another game; this was the pain I I subjected myself to in order to keep playing the game I love. I realized after I fractured my hip during a game, too much pain took a lasting toll on my body. After the numerous doctor visits, tests, and X-rays, the doctors prescribed medication
Major themes associated with this study included: cancer pain, emotional pain, spiritual pain, pain management, and barriers to pain management.
According to John Hopkins Medicine (n.d.), pain is an uncomfortable feeling that tells you something may be wrong. It can be fixed, throbbing, stabbing, aching, pinching, or described in many other ways. Pain is categorized as either acute or chronic. Acute pain is usually severe and brief, and is often a signal that your body has been injured. Chronic pain can vary from mild to severe and is there for long periods of time (John Hopkins Medicine, n.d). This paper will discuss a scenario that entails which person is experiencing the most pain, how two people can have the same procedure experience different levels of pain, factors that contribute to each person’s pain level, and two complementary/alternative methods of pain control.
Most medical treatment for chronic pain includes from pharmaceutical treatments for pain management, which can range from over-the-counter medicines like aspirin to prescription drugs. The problem with chronic pain management treatments that involve drugs is that they lose their effectiveness. Worse they actually can create more chronic or that can add to the chronic pain cycle.
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 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.