Essays on Pain Management

The main objective of any health care system is to provide patient care with desirable patient outcomes. Simply put, a health care system strives to promote well-being and heath status of all human beings. It is also important to note that most aspects of the healthcare focus on prevention and management of pain among patients because freedom from pain is an essential dimension of health. Additionally, pain among patients is a multidimensional phenomenon that requires a broad, integrated and a comprehensive care model (Glare et al., 2014). Many studies that have been carried out by various scholars on health ...

Outcomes that have been developed and utilized to measure progress on the issue

The first step that has been taken to address the issue is the change of perception towards opioids and pain management. According to Swan & Hamilton (2016), currently, pain cannot be perceived as a form of symptom but it has to be viewed as an illness. In this regard, the stakeholders in the health sector have acknowledged the misuse of opioid in the treatment of chronic musculoskeletal disease disorders such as fibromyalgia. In addition, there is an immense concern on the abuse of opioids such as heroin and other prescription pain medication by the public. This has forced state agency ...

Introduction

Based on advances in mind-body research and the practicality of self-kindness and mindfulness, self-compassion offers a new way of thinking about the practical strategies for ending chronic pain. Self-compassion includes a stance of compassion, friendliness, interest, and open-heartedness toward an experience observed in the present moment. The management of chronic pain today incorporates both physical and psychological interventions because of the significance of self-compassion which relates to aspects such as acceptance of chronic pain, focus on individual strength, and lower levels of negative perception of the pain experience. A study in which an experimental vignette was used investigating the ...

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Introduction

Pain is an unpleasant sensory and an emotional experience which is associated with the potential damage of tissues (Gregory & Haigh, 2008). There are various factors that contribute to the pain psychology such as psychological and environmental. Acute pain is associated with the actual tissue damage which is associated with the surgical incidence and tissue damage. When the pain is experienced for a longer period due to unknown reasons or any underlying problem, it’s called chronic pain which illustrates the pain of Mr. John Smith due to ...

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Question 1: Pathophysiology of Mr. Jensen’s post-operative hypovolemia

Hypovolemia is a surgical condition that indicates the rapid fluid loss that may result in organ failures. The outcomes of the hypovolemia are mostly due to insufficient circulating volume or scarce perfusion. Often hypovolemia is secondary to hemorrhage the reason of which includes severe internal or external blood loss and GI, thoracic and abdominal bleeding maladies (Devitt, 2001). Hypovolemia involves significant fluid loss other than blood that can be further accompanied by refractory gastroenteritis and widespread burns. Hypovolemia may develop in post-surgical incidence, bone fracture, due to ...

Nursing

Introduction The term management and leadership are often interchanged and interpreted as the same, but that is not always the case in nursing profession. This is because not every nurse can be considered as a good leader, and the same can be said about nursing leaders that are not necessarily managers. Primarily, a nursing manager holds the decision-making power in assigning organizational position, and is expected to carry out control over specific duties and processes. On the other hand, leaders may not have the same authority as managers, but the power that nursing leader posses is inherited from their ...

During my past few years as a nursing student and as a trainee nurse at this institute, I have come across different situations and experiences that have molded my thought process, my goals, and my whole personality. I have chosen the question: What do you feel you can contribute to the patient, for this assignment. Though I have chosen the nursing career with my own goals in mind, clinical experience has made me realize the extent to which patients are reliant on the nurse. I can confidently state that it would be impossible for hospitals to function without nurses. ...

Introduction

Chronic pain is associated with the pain behaviors that cannot be comprehensively explained from the biomedical perspective. Pain is a psychophysiological unpleasant sensory and perceptual experience provoked by injury or diseases (Talaei, Labbaf, Tabatabayi, & Barekatain, 2015). Chronic pain experience involves the perception of the unpleasant physical stimuli as well as the interpretation of the sensations of pain and evaluation of the experience as one that creates suffering. This means that chronic pain imposes physical, emotional, and sociological stress on individuals. The relationship between the emotional, physical, and sociological factors appears causal rather than simply correlational. In the past years, ...

Advantages and disadvantages of having a circumcision

Various persons and groups have advocated for and against circumcision, often citing various advantages or disadvantages to back up their respective positions. Some advantages according to Elist (2013a), the National Health Service (NHS) (2016) and Webmd (2014) include the reduced risk of developing urinary tract infections (UTIs), sexually transmitted diseases (STDs) especially HIV, cancer of the penis and cervical cancer in female partners. It also acts as prophylaxis against balanitis, balanoposthitis phimosis and paraphimosis as well as facilitates the maintenance of penis hygiene (Elist, 2013b; NHS, 2016; Webmd, 2014; Wiswell, 1997). Disadvantages of the procedure include complications which may ...

Implementation plan

The problem of cancer pain amongst oncology care patients need to be given the required attention as a way of seeing to it that such individuals are able to emerge with desirable outcomes. It is important for pain alleviation programs to be put into place to make sure that such individuals are able to manage their conditions and assists them incorporate into the society. As such, it is essential that all due processes are followed to guarantee that pain alleviation amongst cancer patients is achieved. Having in place a proper implementation program will be an important step in achieving ...

Literature review

Kaasa, S. (2015). Is Cancer Pain Control Improved by a Simple WHO Pain Analgesic Ladder Approach Combined With Tumor-Directed Treatment?.Journal of Clinical Oncology, JCO647537.

Article summary

This article takes into consideration the role that the WHO analgesic ladder plays in addressing cancer pain in palliative care patients. The authors identify that cancer pain occurs in 90% of cancer patients but only half them are under proper pain management. To this effect, therefore, there is the need for applying opioids under the WHO ladder guidelines as a way of addressing cancer pain in oncology care patients.

This is a narrative qualitative research ...

In most healthcare settings primarily in oncology care units, the patients being taken care of here are usually faced with a myriad of treatment and post-treatment problems which compromises their state of wellbeing. The fact that these patients are under intense cancer treatment process makes them experience a lot of pain which in most cases compromises the quality of their life (Ripamonti et al., 2012). Individuals battling this condition are usually affected by the pain which is influenced by different factors like physical, emotional or environmental. These factors have been established to affect the nervous system of the body ...

2016

Introduction The purpose of this dissertation is to investigate the barriers to effective pain management in palliative care nursing. The essay will be divided into five parts the first section will be the introduction. The second section will be the research methodology and the critical appraise of literature followed by a section discussing the emerging themes from literature. Recommendations of how to overcome the barriers that may hinder effective pain management in palliative care will be analyzed in the fourth section and the last part will be the implication of future nursing practice and conclusion of the dissertation. This ...

Advantages

Male circumcision is the surgical removal of the foreskin. Circumcision may be performed for various reasons such as medical reasons, religious and cultural reasons and HIV prevention. Firstly, circumcision might be done to treat the following conditions: Phimosis is a condition wherein the foreskin is too tight to be pulled back over the glans penis. This can be a cause for pain during erection and may cause urination to be painful and difficult.

Recurrent balanitis is the inflammation of the foreskin and head of the penis.

Paraphimosis wherein the foreskin can’t be returned to its original position Penile cancer Aside from the medical reasons mentioned above, circumcision is a religious and ...

The prohibition of marijuana has for long been a subject of heated debates, arguments, and counter-arguments regarding the effects of such action around social and political circles. Many argue that the use of marijuana makes an individual intoxicated which results in feelings of anxiety, fear, and panic. Others argue that marijuana-induced intoxication leads to impairment of the memory, negatively affecting coordination and reaction time. Legalization of marijuana is believed to be a good thing since it will lead to the collection of larger amount of tax revenues and lower government spending. In spite of the fact that a large ...

1.Do you think pain should be considered a public health issue? Why or why not?  (At least 200 words) Pain is defined as the unpleasant experience which may sometimes lead to damage of an individual’s body tissues. Pain should be considered as a public problem due to the fact it affects a huge number of individuals within the society. Since it influences a huge number of individuals within the society it may at times reciprocate in affecting the public as a whole. Further research showed that pain goes ahead to affect an average of 100Million American adults. In ...

The Problem of Delayed care in Paediatric Emergency Rooms

Statistics indicate that children are among the heaviest users of emergency rooms. In America, for example, more than 800,000 children require care from the emergency department (ED) daily. These cases translate to more than 31 million cases of pediatric emergency cases annually in America alone (Barata et al., 2015). There are many concerns regarding the preparedness s of the ED to handle this influx of patients. It is easy to point out that delay in care is a real concern given the big number of patients and the lack of proper training or supervision of the emergency care ...

The information presented in the brochure is very informative; it emphasizes the role of pain management in patient-centered care and clarifies the position of The Joint Commission on standards in pain management. The brochure also gives a historical background to standards in pain management and the progress in development and adoption of better standards. It also highlights ongoing debates in the medical community such as whether pain should be considered a vital sign. Under treatment of pain is a major challenge in the endeavor to increase the quality of health services and make it patient-centered. Standards in pain management ...

PHIL 434 Medical Ethics

Short answers 3 point seach What is medical tourism? Medical tourism is “where patients travel overseas for operations and various invasive therapies.” (Connell 2006, p. 1093).

What are 3 reasons people choose surgeries/procedures in other countries?

1. Economics – Even with health insurance, many procedures can be performed for a fraction of the cost overseas. 2. Quality of care – quality of care is increasing around the world to the near equivalent of Western countries. 3. More options- Even with health insurance, many patients find their health insurance companies limit the kinds of procedures they are able to receive.

What is the commoditization of care?

Turning health care into a commodity that is undifferentiated from other competing ...

Pain Management in Hospice Care

Pain is one of the sources of discomfort for the patients admitted in hospice care. Motivated by the need to rectify the paucity of information on the characteristics of pain for the patients who have other terminal diseases other than cancer, Romem et al., (2015) performed a retrospective study in which they wanted to compared the characteristics of pain for those patients admitted for dementia treatment and those with chronic obstructive pulmonary disease (COPD) with those admitted for cancer. Romem et al., (2015) found that there was a high prevalence of pain as a source of discomfort for patients ...

Abstract

The high prevalence of substance use in the society has made more users to depend on opioid drugs to relieve pains and discomfort because of addiction. The problem contributes to high number of hospital visits and increasing admission rates in hospital’s acute care departments. The following paper aims at reviewing the literature on the acute pain management in chronic pain patients and opioid dependent patients. The outcome of the review plays a critical role in the field nursing practice by assisting professionals to develop strategies that help prevent adverse effects for the patient suffering from acute pain. The ...

WGU

A. Table of Contents Professional Resume – presents my clinical knowledge, skills, experience, and philosophy to potential employers Executive Summary – provides an overview of the contents of the portfolio Professional Reference Questionnaire – presents the objective and subjective evaluation of my key behaviors and clinical performance by one of my professional references Importance of the Institute for Healthcare Improvement (IHI) – discusses the need to develop knowledge and skills in quality leadership in order to improve the quality and safety of patient care and promote holistic, patient-centered care

Copy of IHI certificate of completion – serves to validate my completion of the IHI Organizational Systems and Quality Leadership course

Evidence-based Practice – summarizes an evidence-based research project on hand hygiene Applied Leadership – summarizes my ...

Section 1

Part A: Assessment Cause Hank’s pain comes from a two-year-old surgery and radiotherapy for his left lung mesothelioma. Objective Data Hank is alert, oriented and can respond to questions in an appropriate manner. Hank’s skin appears pale with slight perspiration. The VAS assessment kit shows an intensity score of 2/10. Furthermore, Hank demonstrates distress on movement with visible restrictions on trunk movements. Finally, Hank’s chest is clear though with reduced air entry.

Subjective Data

Hank explains that he has a constant burning pain localized in his left chest area. He states that the pain has been continuous since ...

Pain which is either caused by the disease itself or by treatment is among other frequent symptoms experienced by patients despite progress in pharmaceutics and therapeutics. Severe pain is very common among people with cancer, and unfortunately, this pain has caused a drastic impact on the patient’s well-being. On the other hand, low back pain is another pain which has been challenging to an individual’s self-confidence to engage in the daily activities. Cancer and its treatment keep on causing overwhelming suffering to both of those who are successfully treated and those who finally succumb to death. Unfortunately, ...

INTRODUCTION

Pain and anxiety are a common hospital occurrence among patients. Surgeries are no exception when it comes to experiencing acute pain and anxiety in post-operation conditions. However, the absence of appropriate management techniques after such procedures exposes patients to numerous complications, including but not limited to mortality. The main of this research paper is to determine the impacts of listening to soothing and personalized music on pain and anxiety management after surgery. It proves that music has a significant value in pain and anxiety management for patients in post-surgery units.

PURPOSE AND STUDY SIGNIFICANCE IN MUSIC LITERATURE

Music has long been perceived as an art for ...

Is this a quantitative or qualitative research article?

Fine, Herr, Titler, Sanders, Cavanaugh, Swegle & Reyes (2010) utilize a qualitative approach that in their bid to make a detailed report of a cancer pain management tool based on collected evidence and expert analysis.

What are the problem and purpose of the research article?

Pain management for cancer patients is described as one of the priority issues that the clinical team has to explore. Medicare hospice programs recognize the importance of pain management for cancer patients and it is one of the measurable elements on which the quality of life of the patient is measured. For older patients with the pain assessment and management tools are expected to be ...

Introduction

Patients with advanced cancer most often experience excruciating pain as one of the symptoms of the deadly disease. This pain if unrelieved causes unnecessary anguish and suffering that happens to be exhausting to patients both physically and psychologically. Therefore, recommended treatments for such; assist in ensuring the comfort of the patients and allows them function normally. Various studies and several developed scales have been conducted to study pain management; unfortunately, they all fail in one way or another due to complications experienced in evaluating pain patients undergo. This is due to the variance in levels of pain experienced by ...

Introduction

Palliative care is associated with two major components. The first component is related to the emotional and psychological care of the patient and family members. The second component is based on the identification of pain and utilizing pain relief interventions based on current evidence. Palliative care is mainly provided by healthcare providers with a support from a team of experts trained and experienced in palliative care (Kwon, 2013. p. 910). The main objective of palliative care is relieve the patient from pain and pain symptoms. Palliative care and effective pain management are the cornerstones for a terminally-ill patient. The ...

Introduction

It is essential that nurses understand the issues related to health care, which are local and state financing, national healthcare policies, and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet health care needs. Nurses also have an ethical responsibility to be fiscally prudent in all practice settings to eliminate inefficiencies, and to promote best practices. 

Task: Scenario 1: Note: For parts A and B, the suggested length is a combined total of 1–2 pages. 

Mrs. Zwick, a 77-year-old widow and permanent resident of the United States, was admitted as an inpatient and hospitalized for five days following a mild stroke. She was ...

Musculoskeletal pains are common and disabling condition to the elderly. Conditions predisposing people to rheumatic pain such as osteoarthritis and conditions of the soft tissue which include tendonitis are generally incurable. Pain management being paramount to maintain quality of life is diverse and unique for each patient. Management involves a combined use of non-pharmaceutical and pharmaceutical treatments which begin with educating the patients.

They are then encouraged by healthcare professionals to practice personal goals and be attentive to healthy habits including exercise and weight control. Although Studies on the efficacy of herbals and supplements on the elderly have proven limited, ...

Introduction

For this assignment, the pain management policy and procedures were evaluated. This policy enhances enlightenment to the registered nurses (RNs) on the appropriate guidelines after which they can act in a manner that is in accordance with the pain management requirements. Effective management of pain by the RN is enhanced through appropriate patients advocacy, assessment and intervention (Cousins, 2003).

How easy/difficult was it to find this procedure?

Utilizing my intranet facility to locate the HCHD pain management policy and procedure was an easy task. Therefore, there were no obstacles that were encountered. Did the RNs know where to find this procedure? Given that the RNs are ...