...Procedural Pain Management for the Early Childhood Patient: A Multidisciplinary Concept Analysis of Pain BLK, RN, BSN The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Xxxx, xx October 8, 2013 Procedural Pain Management for the Early Childhood Patient Children presenting to the emergency department are often subjected to painful and anxiety-producing procedures, both for diagnostic purposes and for treatment of symptoms. Historically, pediatric patients have not been afforded the same level of care as adults with regard to the management of procedural pain. Pain in the young child age group (1-7 years) has often been under-treated, resulting in increased fear of the healthcare setting and postponement of necessary immunizations and procedures by the patients and parents. Close examination of the concept of pain – specifically, procedural pain in the young child age group in the emergency department (ED) setting, is necessary for understanding how nursing practice may be improved in order to produce a more positive patient experience. A thoughtful review of current literature will provide insight into the concept of pediatric pain, permitting a detailed analysis. This analysis will assist in the formulation of theoretical and operational definitions of the concept for use in further study. Review of Literature A review of literature was conducted to compare and contrast...
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...Self-Management in Chronic Illnesses: A Concept Analysis Dianne Rinehardt Chamberlain College of Nursing NR501: Theoretical Basis for Advanced Nursing Practice November 2015 Self-management in Chronic Illness: A Concept Analysis Globally, the human species is experiencing longer life-spans. As the number of persons with extended lifespans increases, so does the prevalence of those living with chronic illnesses. With the inception of the Patient Protection and Affordable Care Act (ACA) in 2010, there has been a paradigm shift in the focus of healthcare from treatment to prevention. The origin of this paradigm shift occurred when traditional provider-directed/patient compliant approach failed to produce the outcomes that were expected (Udlis, 2011). Transforming healthcare from a treatment modality to one of prevention assumes that each person will be actively engaged in the prevention of chronic illnesses. Dorothea Orem’s self-care and self-care deficit nursing theory is based on the premise that people are naturally inclined towards self-care and that nursing should be focused on identifying and correcting any self-care deficits. Orem defined self-care as, “care that is performed by oneself for oneself when one has reached a state of maturity that is enabling for consistent, controlled, effective, and purposeful action” (Orem, Taylor & Renpenning, 2001, p 149). Orem’s self-care and self-care deficit theory is directly applicable to the concept of self-management...
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...Pain Management: A concept Analysis Laura Miller Sacred Heart University Pain Management: A concept Analysis Millions suffer from acute or chronic pain every year and the effects of pain exact a tremendous cost on our country in health care costs, rehabilitation and lost worker productivity, as well as the emotional and financial burden it places on patients and their families. The costs of unrelieved pain can result in longer hospital stays, increased rates of re-hospitalization, increased outpatient visits, and decreased ability to function fully leading to lost income and insurance coverage (American academy of pain medicine,2006). The most often used definition for pain is: an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (Chandra & Ozturk, 2005, p.34; Loeser & Melzack, 1999, p.1607; McHugh & Thoms, 2001, p.33). The aim is to improve communication, develop tools to evaluate the effectiveness of pain management, and how it can be the solution in decreasing the cost of unrelieved pain, decrease re-hospitalization and also improve function and quality of life. Current use and historical perspective Individuals have a great tendency to treat their pain before seeking any medical assistance. Every culture has some type of home remedy that they rely on to treat any type of element including pain. According to Bonica, Pain is as old as humankind and Humankind has been suffering from...
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...Management Focusing on Acute Pain: A Multidisciplinary Concept Analysis The concept of managing acute pain is extremely significant to nursing as pain is one of the most common problems for which patients seek out health care resources. Pain is a complex and abstract concept that encompasses sensory, emotional, psychological, social, and spiritual perceptions of pain that may occur in combination with physical pain. Pain is difficult to describe and often hard to measure; although, most healthcare providers agree that pain is subjective and is to be measured qualitatively and quantitatively as the patient perceives its intensity. Pain can affect the quality of life of the individual by impacting them physically, emotionally, and financially. Pain can also impact the family and support systems. The treatment of pain and the loss of income due to pain increases the costs for health care, the individual, and the population. Analyzing and clarifying the concept of managing acute pain can increase the healthcare provider’s knowledge of acute pain management, define the concept of managing acute pain, and expand the understanding of the concept of managing acute pain. The aim of this analysis is to clarify the defining attributes of managing acute pain, identify antecedents that influence the perception of pain and the possible consequences of acute pain. Review of Literature To increase the understanding of the concept of managing acute pain, it is important to explore the definitions...
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...Planning and Design Analysis of a Qualitative Research Study NUR/443 Evidence-Based Nursing Research and Practice Planning and Design Analysis of a Qualitative Research Introduction A qualitative research is a “systematic, subjective approach used to describe life experiences and give them meaning” (Burns & Grove, 2011). With this type of research, the data are collected through interviews, focus groups, observations, and review of documents. Thus, qualitative research uses words instead of numbers. This paper is going to analyze the planning and design of a qualitative research paper titled: Patient’s experience of pain and pain relief following hip replacement surgery, published in the Journal of Clinical Nursing on October, 2010. Research questions Although the research question or questions are not clearly labeled in the study, the research questions were as follows: 1) How do patients describe their experience with pain after hip replacement surgery?, 2) How do patients describe their pain relief following hip replacement surgery?, 3) How does pain affect patients after hip replacement surgery? Problem A research problem is “an area of concern in which there is a gap in the knowledge base needed for nursing practice” (Burns & Grove, 2011). In this research, it was identified that many patients undergo hip replacement every year and previous research has focused largely on the long-term effects of pain for these patients but not so much on their subjective...
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...Comfort: Concept Analysis Concept analysis deals with the careful job of guiding clearness to the meaning of concepts used in science, according to McEwen, M., & Wills, E. (2010) in Nursing Theories and Nursing Practice. This paper will analyze the concept of comfort which comes from Katarine Kolcaba’s Comfort theory. Comfort is the state that is experienced automatically by receivers of comfort interventions. It involves the holistic experience of being strengthened through having comfort needs addressed as defined by McEwen and Wills (2010). Comfort is a key concept and central value of nursing. As stated by Tutton, E., & Seers, K. (2003), An exploration of the concept of comfort, comfort is defined as a state, linked to outcomes such as ease, well-being and satisfaction. The steps used to perform this concept analysis on comfort come from the Walker and Avant’s steps of concept analysis. These steps are as follows: 1) select a concept; 2) determine the purposes of the analysis; 3) identify all uses of the concept; 4) define attributes; 5) identify a model case of the concept; 6) identify consequences of the concept; and 7) define empirical references of the concept (Walker & Avant, 2010). Each one of these steps will be discussed throughout this paper along with providing why comfort is necessary to providing comfort in different ways. Purpose of Concept Analysis Comfort is a meaningful need during a person’s life span that should be seen as an essential part of holistic...
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...Terminally Ill Patients' and End of Life Care: A Multidisciplinary Concept Analysis Jennifer Thompson UTA Analysis of Theories in Nursing Nurs 5327 Ronda Mintz-Binder, RN, MSN, DNP April 19, 2014 Terminally Ill Patients' and End of Life Care: A Multidisciplinary Concept Analysis With an aging population in our country we are facing an increasing number of patients’ that are coming to the end of their lives and are presenting with terminal illness. As life expectancy increases we are seeing more and more patent that are 65 year old and older in need of end of life care. Research and medical developments have provided a vast array of treatment options available to our patients’. After patients’ have exhausted all available treatment options for their disease processes they face the reality that their life is coming to an end. Patients’ near the end choose between quality of life over quantity of life. One service available to terminal patients’ is hospice care which offers palliative care to patients’ at the end of life. Health care providers must be able to face and appropriately care for patients’ with terminal illness and end of life care. At times it may be difficult for health care providers to face or present the truth to a patient that further treatment is futile and end of life care would be appropriate. Advanced practice nurses’ will face terminal illness and it is required of them to be able to sufficiently treat, manage, and discuss end of life care with these...
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...Concept Analysis Healing Matilda Linares-Cornejo Chamberlain College of Nursing Theoretical Basis for Advance Nursing Practice NR 501 Lizabeth Vincent March 25, 2016 Concept Analysis Healing Advance practice nursing encompassed a mosaic of knowledge. These knowledge is acquire through years of formal educational and preparation, through the development of a deeper mode of critical thinking, through life experiences, through the desire to achieve and provide the best one can offer, and through the final understanding that one does not have all the answers or the power but one can help others to alleviate their pain. Advance practice nursing preparation is a journey that takes the nurse through different paths designed to provide understanding to how nursing science has developed and continues to evolve. Nursing science has made great advances-this thanks to the many theorists that thought their theories have guided, provided, and developed essential concepts now use in nursing care delivery. The following will be a discussion about concept analysis and how this lead to the development of theories. The concept of healing will be discussed as it applied though Barbara Dossey’s Theory of Integral Nursing. Third, the concept will be evaluated using the concept analysis process, and the conclusion will be a summary of how the healing concept is utilized within the broad scope of advance nursing practice. Concept Introduction Healing is Barbara Dossey’s Theory of Integral...
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...application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions and use of theory in qualitative end-of-life studies published in English between 1990 and 2008. Discussion. The term ‘theory’ continues to be used in a variety of ways by theorists and researchers. Within the reviewed end-of-life studies, the use of theory included theory creation or provision of a comparative framework for data analysis and interpretation. Implications for nursing. Nurses who...
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...Introduction Chronic pain is one of the most frequent diagnosis and the most common problem for which elderly patients in the clinical setting seek help. Chronic pain refers to an unpleasant, distressful and uncomfortable feeling. Studies have shown that chronic pain is often undertreated even when the prevalence rates and syndromes are well understood. The means of relief are within practitioners’ capabilities to provide care. With careful assessment and a comprehensive plan of care that addresses the various aspects of the patients needs; chronic pain can be controlled in the vast majority of cases. Thus, awareness and provision of basic and specialized interventions can ensure comfort and improve quality of life. However, chronic pain left untreated or undertreated may cause suffering. This will also cause disease-mediated symptoms such as pain, dyspnea, fatigue, and loss of mobility. Needless to say, there are accompanying emotional states such as depression, anxiety, and a sense of uselessness. This paper will explore the under treatment of chronic pain among the elderly, its defining attributes, the use of an analysis model and its relationship to the concept. Identify a nursing theoretical framework used to analyze and resolve the problem. Also, an attempt will be made to identify an evidence based practice and research to support strategies for the resolution of the problem. Problem Under treatment of Chronic Pain in the Elderly However, most often than...
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...Enhances Learning. Dissertations/Theses; Tests/Questionnaires. 2002 An action research project implemented musical strategies to affect and enhance student recall and memory. The target population was three suburban elementary schools near a major midwestern city: (1) a kindergarten classroom contained 32-38 students; (2) a second grade classroom contained 23 students and five Individualized Education Program (IEP) students; and (3) a fifth grade classroom. Students exhibited difficulty recalling facts and information in a variety of subject areas evidenced through an inability to gain mastery of grade level skill areas. Research suggests that young students have difficulty understanding concepts and lack the ability and desire to learn. A successful program needs to be developed to teach these concepts. A review of solution strategies suggests that the following musical techniques proved to be helpful for increasing student recall because the songs helped with phonemic training, mnemonics, setting desired skills to familiar tunes, and linking connection to cultural themes. Research has shown that preschool children taught with an early exposure to music through games and songs showed an IQ advantage of 10 to 20 points over those children taught without exposure to the songs. In the same study, students at age 15, had higher reading and mathematics scores in comparison to children without musical experiences. Brain studies indicate that exposure to music alters and increases brain function...
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...Introduction Palliative care (PC) provides a better comprehensive health care for patients with cancer and their families. Supportive care, pain management and symptom control at the end of life are valuable and common services provided by the PC team (World Health Organization [WHO], 2002). However, there are many challenges and barriers for PC in developing countries such as: health care and public literacy about PC, opioid phobia, policies and regulations to access and prescribe opioid, limited resources and adequate education and training (Bingley & Clark, 2009). The presence of these problems plays a major role in providing suitable and accessible symptom management for many oncology patients. In Saudi Arabia, between 2007 and 2011,...
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...Concept Analysis: Healthcare Related Quality of Life Tarren Evans, RN BSN APSU/RODP NURS 5000 March 21, 2015 Quality of Life Concept Introduction The phrase “health care related quality of life” (HRQOL) or “quality of life” (QOL) is often used in healthcare. The perceptions of the meaning can vary depending on who is explaining it. The reason for this selected topic is to research other disciplines and see if indeed significant variations in the meaning exist. The purpose of this concept analysis is to define, research, and analyze if the dissimilarities improve or hinder a patient’s plan of care. This paper will examine the significance of a concept to advance understanding (McEwen, 2014). Literature Review Can quality of life be defined to have a uniformed definition? The first known research on quality of life was published in 1957 that surveyed mental health adults in the USA. The Oxford English Dictionary (2010) defines QOL as “the standard of health, comfort, and happiness experienced by an individual or group”. There are several influences that can alter the definition of QOL. The acronym “HRQOL” is a narrowed term when characteristics relating to an individual’s health status are likely to be affected (Sandau, 2014). The literature review discussed some domains that render the effects on the perception of this concept. A collaborative study done by doctors and nurse practitioners discussed that physical, social, emotional, cognitive, and spiritual...
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...Therapeutic Exercise Prescription Concepts Applied to Patients Diagnosed With Fibromyalgia Pain is defined as an “unpleasant feeling, conveyed to the brain by sensory neurons” (Medical Dictionary, 2013). Pain is a subjective interpretation, which describes location, intensity and nature of sensory information resulted from noxious stimulation of nerve endings. The emotional response and other various conscious or unconscious responses add to the concept of pain. Acute pain usually results from tissue damage and it usually ends once the injury is healed. Chronic pain is a long term condition related to a persistent or degenerative disease or it doesn’t have an identifiable cause. Although there are different opinions about when a patient can be declared as suffering from chronic pain (after six months or twelve months), the presence of such sensation after the healing period usually leads to this diagnosis. One of the diseases with a generalized chronic pain as a symptom, which continues to generate many debates in the medical world, is fibromyalgia. Fibromyalgia, a disorder that affects the overall system and has an effect of generalized chronic pain, will be delineated in this paper, including its causes, manifestation, and part of the process of managing this disease in which a kinesiologist would have a central role. Fibromyalgia, estimated to affect 4% of the population, is a compilation of symptoms accompanying pain, which include fatigue, stiffness and sleep disturbance...
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...are publically reported designed to measure patient’s perceptions of their “hospital experience.” The survey instrument is called the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) which allows hospitals and consumers the ability to compare hospitals to one another on topics important to patients. The survey also serves as a tool to enhance accountability through transparency and creates incentives for hospitals to improve the quality of the care they provide (Centers for Medicare & Medicaid Services, 2014). Nursing plays a vital role in the hospital’s HCAHPS comparison measures. The patient’s perception of the hospital “experience” includes several nursing-specific areas: communication, responsiveness, pain control, education, comfort level, and discharge planning. Utilization of Kolcaba’s Theory of Comfort places focus on the individual basic needs important to patients that contribute to their overall...
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