Introduction
1.1. Inflammation
The suppression of pain and inflammation has been a major goal of medical treatment throughout the ages. Inflammation is an essential response to any noxious stimulus which threatens the host and may vary from a localized response to a more generalized one. [1, 2, 3]
The inflammation sequence can be summarized as follows:
• Initial injury causing release of inflammatory mediators (e.g. histamine, serotonin, leukotriene, SAS-A, lysosomes enzymes and prostaglandins).
• Vasodilation.
• Increased vascular permeability.
• Leukocyte migration, chemo taxis and phagocytosis.
• Proliferation of connective tissue cells.
1.1.1. Cause of Inflammation
The agents causing inflammation may be as under:
• Physical agents like heat, cold, radiation, mechanical trauma.
• Chemical agents like organic and inorganic poisons.
• Infective agents like bacteria, viruses and their toxins.
• Immunological agents like cell mediated and antigen-antibody reactions.
1.1.2. Signs of Inflammation Following are the cardinal signs of inflammation:
• Redness
• Swelling
• Heat
• Pain
• Loss of function
1.1.3. Sources of Chemical Mediators
The most common sources of chemical mediators are as follows [4]:
Cell/Tissue Mediators
Basophils Histamine, Serotonin, SRS-A
Mast cell Histamine, Serotonin, SRS-A, Lysosomes enzyme
Platelets Histamine, Serotonin, lysosomes enzyme
Polymorph nuclear leukocytes (PMNs) lysosome enzyme, leukotriene
Macrophages
Table 2 shows some of the chemical mediators involved in Mr X’s inflammatory process, causing it to become more severe and uncontrolled, resulting in a further decline in his clinical presentation.
The perception of pain and the emotions that control intensity differ in individuals. Since feeling pain is somewhat adaptive, when one experiences it, he or she becomes aware of an injury and tries to remove oneself from the source that caused the injury. For this reason, pain is considered neuropathic or inflammatory in nature. Thus, when pain is the outcome from the damage caused to the neurons of the peripheral and central nervous system, then that pain is neuropathic. However, if the pain signals any kind of tissue damage, then the pain is inflammatory in nature. Due to various types of pain, the interpretation of pain by neurons and the source of that pain
Cytokines, like histamine and leukotrienes, are secreted by damaged cells in Dave’s ankle. How do these cytokines
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.
After the analgesics or the non-steroidal anti inflammatory drug commonly referred to as (NSAIDs) have proven non-responsive, disease modifying
When patients are prescribed to a medicine for low amounts of pain, they are usually prescribed daily use of anti-inflammatory pills such as ibuprofen or tylenol. For more severe pain, patients are often prescribed these pills in higher dosages, or even prescribed opiates such as vicodin or oxycontin (Meisel & Perrone). Anti-inflammatory pills are not as powerful as drugs such as opioids, but they present the risk of cardiovascular problems
Pain is the most commonly reported reason for coming to the hospital in America. It’s causes have a massive variance, and in many chronic cases the root source of pain can not be articulated at all. When a patient reports pain, the role of the nurse, and the whole healthcare staff, is to aim to reduce that pain. In many cases pain reduction can be attained through nonpharmacologic, complementary and alternative methods (CAM). Using CAM to reduce pain is an ideal scenario for both the patient and the healthcare staff as these alternative methods have fewer negative consequential effects.
noniceptors to reduce inflammation. They also have some effect on the nervous system to act on
As mentioned above, opioids are extremely helpful in killing acute and cancer pain. Because opioid receptors are G-protein coupled reactions, the inhibitory G-protein is usually coupled or attached with the receptors (Ghelardini et al., 2015, page 219). The onset of reaction in inhibit the pain is rapid and effective due to multiple inhibitory actions at the terminal site (refer to the previous section of mechanism of action). Besides, the interaction of opioids gradually increases the threshold of pain neuron as well as attenuates the pain subjective evaluation (Ghelardini et al., 2015, page 220).
When the body recognizes that bruising has occurred the body’s natural healing abilities take effect. The first thing that the body will do will be to release histamines to increase to permeability of the
Pain is a prevalent symptom among patients in general and in cancer patients. The treatment and control of pain have been through the years one of the most significant concerns of health workers and a constant inspiration for the scientific community in the search for the ideal drug to treat pain with the least possible amount of adverse reactions.
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 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.
Cranberry contains high levels of nutrients and bioactive molecules that have health‐promoting properties. The purpose of the present studies was to determine if cranberry extracts (CEs) contain phytochemicals that exert anti‐inflammatory effects. The human monocytic cell line THP‐1 was treated with two CEs (CE and 90MX) and subsequently challenged with Lipopolysaccharides (LPS). Tumor necrosis factor α (TNF α) expression was decreased in the CE‐treated cells, indicative of an anti‐inflammatory effect. Gene expression microarrays identified several immune‐related genes that were responsive to CEs including interferon‐induced protein with tetratricopeptide repeats 1 and 3 (IFIT 1 and 3), macrophage scavenger receptor 1 (MSR1) and
When injury occurs, the body goes through different phases in order to complete its recovery, each phase has a specific job with the intention of preparing the body for the next phase of recovery. The phases that the body goes through are; the bleeding phase, the inflammatory phase, the proliferation phase and the remodelling phase, each of these phases happen at a specific time within the recovery after the injury. The phase that this essay is going to look at is the inflammatory phase and what role the inflammation has in tissue healing whilst briefly discussing what impacts it will have in a clinical setting.