The Stress Of The 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.

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

The subjective human response to acute pain is a response that is most often self-reported and is dependently measured on a pain scale by health care providers. The phenomenon of pain is that it sometimes is difficult to manage without the perplexities of the typical opioid analgesic side effects. More than often, these accompanying side effects Hoffman et al. (2011) state the inclusion of sedation, constipation, nausea, and cognitive disorientation. In addition, repeated use of opioid analgesics gradually decline in effectiveness without dosage adjustments and can lead to a state of tolerance with ultimately a reliance of opioid dependency (Hoffman, et al. 2011). Non-opioid analgesics may compliment opioid analgesics, however, the

The American Pain Society (APS, 2008), defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (p.1). According to McCaffery (1968), “pain is whatever the experiencing person says it is, existing whenever he says is does”. Pain is a complex, multidimensional experience. It is present in all clinical settings and in many different patient groups. It is one of the main reasons why people seek medical attention. Many health professionals involved in pain control (Lewis, Heitkemper & Dirksen, 2004). In order to measure the level of knowledge of medical and nursing staff about pain management in critical care patients and the economic impact I make

Seeing 11:00 flash on my phone screen is the best thing I have seen all day. At eleven, Bridgette comes in and take over the rest of the night shift, however, she hasn’t showed up yet. I decide to walk and check the back and front doors to make sure they are still locked and the rooms to make sure they are vacant, so I will be ready to leave once she gets here.

I nod and gulp thickly as one of the doors unlocks with a click. The Russian grabs the door handle and pulls it open gently, revealing the contents of the ward inside.

Pain assessment – finding out client’s pain coping mechanisms when applying pressure to the tissue and the client tells you that it feels good this tells me the therapist it is having an analgesic effect. This client may suffer a harmful pain indicated by a muscle contraction or the male pushing against the movement that the therapist is applying, so it’s important for client to be vocal and tell you when it hurts. When assessing pain, try to determine as accurately as possible which structure is affected whether the tissue is healthy enough to receive massage is to apply slow pressure to the area with your thumb. If the pain subsides within 10 seconds, massage is fine; if pain increases the situation is too acute and you should implement protocols

“We need to hurry. I slept in a lot. It’s already probably 11:00 a.m. already.” Said Lilly’s mom while she was shoving her piece of bread in her mouth. Once they had eaten breakfast and packed up their things, they were off again.

My limps become useless as I drop to the ground, my eye rolling back. My body makes a loud thump against the door. Pain overwhelms my mind.

Sometimes the quiet is violent, leaving my skin screaming forcing me to face what it is buried deep attempting to claw its way out. These are monsters you can't explain as they are simply you, they are your thoughts, your actions, your minds.

Lauren was busy unpacking boxes from the move when suddenly she let out a yawn and realized she had stood up later than she should. It was nearly 11:00 p.m. Tomorrow would be a busy day. She needed some sleep.

Eula Biss’s The Pain Scale is written metaphorically about pain, both emotional and physical, and what defines pain. Biss presents her composition in the structure of a scale a patient would use to tell a doctor how much pain they are in. The pain is ranked on the scale of zero to ten; zero being no pain and ten being the worst pain imaginable. However, Biss asks the question of how much pain is someone is in. Everyone experiences pain differently so how can you put pain on a scale? Throughout her composition, Biss tries to answer this question with metaphors using style and structure. These two very important parts, both structure and style, are essential in this composition and are something the reader should note while reading this essay.

Identical, square brick apartments dominated the landscape, adding to the bleakness; the dull uniformness being a staple of the city. In the ways the city was sprinkled with character, it was with the jagged, hieroglyphic graffiti that sloppily degraded whatever it touched, or the trash and dog shit that littered the streets, or the unintended touch of nature in the form of weeds exploiting weak spots in deteriorating infrastructure. Was there crime and violence? Of course. Was it sometimes a scary place to be in? Between the criminals and the police, there was almost no escape. Was there very little to do? Yes, and that’s part of the problem. But it was home. Either out of necessity, or a misguided sense of nostalgia, I look back at my childhood

My sales manager laughed. “Come on. The third floor wants to see you right away. I’ll take you up.”