...included pain in the back and side effects from the medication he was prescribed. Mark was prescribed dozens of medications and the only medication that seemed to work caused depression. For a short period of time, his quality of life had been decreased. Mark barely talked to anyone including close family members and chose to stay at home most days. He began to realize how this medication begun to negatively affect his ability to live his life so he looked for other treatments. His favorite two treatments include counseling which provided him with hope and motivation and his electronic messaging device. The electronic device stops...
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...1.2 Pain management Under treated pain is one of the most common complains reported by patients, especially chronic pain which represents the main health problem for people seeking medical help(Heit, 2003). Regarding chronic pain management, treatment goals should include relieving pain or decreasing its severity, improving patients’ functionality thus restoring the ability of self-care and performing simple daily tasks and most importantly improving general health quality of life. Due to the complex nature of chronic pain, management and treatment plan usually include multidisciplinary approaches. 1.2.1 Pharmacological approach: The first approach used to control pain is the pharmacological approach represented by the use of analgesic drugs....
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...Introduction Despite major improvements in pain management, cancer related pain continues to be a significant global health concern (Kaki, 2011). It is increasingly recognized within health care management that the more knowledge and skills a patient has about their condition, the greater their sense of control over their situation and pain relief interventions are likely to be more effective (Street & Haidet, 2011). So too, health professionals who are confident and competent assessing and managing pain are far more likely to consider themselves in control of their practice and feel able to deliver effective health care as they see the patient perspective view of levitating pain (Macintyre, Schug, Scott, Visser, & Walker, 2010)....
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...Running Head: Postoperative Pediatric Pain Management Postoperative Pediatric Pain Management: A Multidisciplinary Concept Analysis Postoperative Pediatric Pain Management: A Multidisciplinary Concept Analysis Acute pain following a surgical procedure is one of the most common stimuli experiences by pediatric patients. Pediatric postoperative pain management has long been overlooked and treated differently than adult pain management. There tend to many misconceptions when it comes to pediatric pain management stemming from the belief that children do not experience pain the same way as adults. Since the pediatric population is not legally allowed to make medical decisions, guardians must make these decisions for them. Postoperative pain in the pediatric patient may be hard to assess and therefore healthcare professionals have begun to involve family members and caregivers in the pain management process. Pain can stem from many sources and thus must be holistic, involve multiple disciplines, provide education and apply to each individual patient. In practice, advocacy for these young children is important in helping them and their families understand about the situation and make education decisions on how to proceed with care. The concept of postoperative pediatric pain management must be analyzed to help resolve these misconceptions and not ignore the population who at times cannot speak for themselves. Review of Literature After a surgical procedure, the pediatric...
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...The Norwegian Version of the Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain: Reliability and Validity Kari Raaum Hovde, Tone Høilo Granheim, Knut-Andreas Christophersen, Alfhild Dihle P ain in children is still both under-estimated and under-treated (Bell et al., 2009; Liossi, 2006; Stinson, Yamada, Dickson, Lamba, & Stevens, 2008; Zempsky, Cravero, & the Committee on Pediatric Emergency Medicine and Section of Anesthesiology and Pain Medicine, 2004). Inadequate treatment of pain in children may cause many negative psychological and physiological consequences, such as fear and anxiety, post-traumatic stress disorder, increased risk of infections, and delayed wound healing. In addition, poor pain control may result in increased length of stay in the hospital, contribute to the development of chronic pain, and even lead to death (American Academy of Pediatrics [AAP] & American Pain Society [APS], 2001; Liossi, 2006; Schechter, Berde, & Yaster, 2003; Vincent, 2005; Zempsky et al., 2004). The purpose of this study was to evaluate the reliability and validity of the Norwegian version of the Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain (PNKAS-N) in nurses who work with children in pain. The PNKAS was translated into Norwegian in accordance with international guidelines and pilot tested with 10 nurses. The reliability was estimated using Cronbach’s alpha coefficient and the test-retest method using Pearson’s r coefficient. Construct validity...
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...Children Children’s pain is multidimensional with psychological, physiological and behavioural domains, which presents unique challenges in the assessment and evaluation. These challenges require close consideration of the child’s age, prior pain experiences, developmental, cognitive and communication levels. As nurses are responsible in the assessment of children’s pain, it is appropriate to know all methods, and techniques of alleviating this uncomfortable stimuli, thus presenting the clinical question; in children, how can non-pharmacological (complementary/ alternative) methods be more beneficial in pain management compared to non-pharmacological/conventional medicines? The purpose of this paper is to explore how non-pharmacological methods can be useful in reducing pain. The different variations of non-pharmacological interventions, adverse effects of pharmacological medication, economic factors and knowledge deficits related to nurse education of pain management will be discussed below. Non-Pharmacological Techniques Non-pharmacological techniques, or complementary therapies are considered as any intervention used for pain alleviation that are non-analgesics or other kinds of medications and can be used with or without pharmacological aid. To better understand how many of these types of procedures are effective on a cellular level, we must look at “The Gate Control Theory”. This theory proposes inhibitory neurons in the spinal cord regulate pain information to the brain...
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...enhancing care for end of life patient, including collaboration with physicians and surrogate decision makers or a power of attorney (POA), as well as pain management policies. However, all aspects of care for end of life patients are taken into consideration when determining which facet is most important. The group’s research consists of quantitative and qualitative articles focusing on transitioning to hospice programs, new measures of care, acceptance of death and experience of caregivers for the dying patient. According to the Journal of Health Politics, Policy & Law (2008), three of every four Americans do not fear death as much as they fear being in pain at the time of death. End-of-life care can be a challenge requiring the full range of a family physician's skills. Significant pain is common but is often undertreated despite available medications and technology. Physicians must overcome their own fears about using narcotics and allay similar fears in patients, families and communities. Drugs such as corticosteroids, antidepressants and anticonvulsants can also help to alleviate pain. A considerable amount of research has compiled over time to aid in reducing the amount of pain in the dying patient (Health Care in America, 2004). Side effects of pain medications should be anticipated and treated promptly, but good pain control should be maintained. The physical, psychological, social and spiritual needs of dying patients are best managed with a team approach. Home...
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...Abstract-Aim The aim of this study was to identify barriers to optimal pain management in long-term care (LTC) from a nursing perspective. Method A quantitative, cross-sectional, descriptive design was used. Results Patient-related barriers were seen as interfering more often with optimal pain management than organizational-related or caregiver-related barriers. Difficulty assessing pain due to problems with cognition, older patients’ inability to complete pain scales and communication difficulties as a result of sensory impairment were common barriers. Conclusion A targeted approach to address the identified barriers would help improve pain management practices in LTC. Data collection-The information received in this study was gathered from nursing staff in two private and three public long term care facilities. Questionnaires were sent to these respondents’ regarding barriers to pain control and the respondents’ demographic information. Analysis of date-The questionnaire consisted of two sections. The first included questions regarding the staff personal feelings on what could possibly be a barrier to pain control in these facilities. The categories of barriers included patient, organizational and caregiver. The second section included information about the nursing staff including age, gender and education. A convenience sample was used in this study. Limitations-The limitations in this study include the fact that convenience sampling was used and only five facilities...
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...Pain is a global marvel which has been rigorously contemplated and described from different points of view. However, this subject continues to bewilder health care experts and researchers from many disciplines. Moreover, Pain is a combination of different domains of responses, particularly; social, behavioral, physiologic, emotional, psychological that may influence the person’s pain fortitude. Many components could influence the pain experience, manifestation and cause a dilemma for healthcare workers and researchers who will try to gauge the pain response. It is understood that expertise in pain assessment would result in an improved pain management (Flaskerud, J.H., 2015). The Joint Commission on Accreditation of Healthcare Organizations...
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...Pain management: Comparison of application times for ice packs used to relieve perineal pain after normal birth I have chosen this article for my critique because my client was a mother who experienced 1st degree perineal lacerations during the birthing process and was being treated with cryotherapy as an alternative to narcotic pain relief. This article addressed the trends of using cryotherapy to promote healing and pain reduction in perineal lacerations and episiotomies. I found this article to be extremely insightful as it addresses one of the key nursing interventions used to treat perineal lacerations to this day, as well as its rationale. This particular article is the second part of a two-stage study that was performed using controlled parallel, randomized clinical trials, with the evaluator blind to the outcome regarding the use of an ice pack to relieve perineal pain after normal birth. While evidenced based practice shows that using ice packs for perineal pain is effective this study asks the question, whether applying ice packs to the perineal area to relieve the pain after birth for 10, 15, or 20 minutes made any difference? The results confirm the hypothesis that there is no difference in the analgesic effectiveness of the ice pack applied for the three different application times on women who report moderate or intense pain. The results showed that all postnatal women submitted to cryotherapy responded favorably despite the high number of women who refused to...
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...Brandy Shields Mrs. Knutsen ENC1101-83 16 April 2014 Chronic Pain: Curable or Not Abstract Chronic Pain is an interesting problem in society today. The exact cause of Chronic Pain is not the same in every patient. In fact most patients present with different symptoms and associated pathologies, such as the strong link with depression. Treatment of Chronic Pain is often performed a single practitioner whether that be a Medical Doctor, Chiropractor, Nutritionist, or an alternative health care professional. Chronic Pain is often extremely complex, because of this treatment needs to be multidimensional. Effective care of Chronic Pain requires the collective cooperation of health care professionals Chronic pain is an increasing problem affecting society today. Chronic pain is a complex condition that affects 42 million-50 million Americans, according to the American Pain Foundation. A recent market research report indicates that more than 1.5 billion people worldwide suffer from chronic pain and that approximately 3- 4.5% of the global population suffers from neuropathic pain, Despite decades of research, chronic pain remains poorly understood and notoriously hard to control. A survey by the American Academy of Pain Medicine found that even comprehensive treatment with painkilling prescription drugs helps, on average, only about 58% of people with chronic pain. The frequency of pain has a great impact on business, with a recent report by the Institute of Medicine (Medicine) ...
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...YJT Task 1 Sherrie Byrd 000550774 March 5, 2016 Purpose: The purpose of this speech is to persuade my audience that music can be used to help with stress as well as pain. I want my audience to see that the use of music in everyday life is good for the mind, body and soul. My central idea is that music is what can be used in the medical field as therapy use for pain, stress relief and in everyone’s everyday life. Intended Audience: My ideal audience for this speech would be those of any age that will be willing to try the power of music. The topic would also be beneficial to a larger group as in doctor, nurses, and anyone in the medical field whom help patients with pain or stress. The topic is also suitable for any person who would like to see the power of music in the way that has affected so many people. Significance: This topic is very significant to my all audiences that will listen because music is free on the radio, easy to use, and can be tailored to each individual. Moreover, there are so many diverse forms of music, soothing sounds of earth, and genres in the world of music. Music can be a Poweful Tool in stress relief and pain management! Studies have shown that using music is a widely accepted form of therapy. Of course, not all forms of music can be used as a form of therapy. Heavy metal or hard rock to me does NOT have a calming effect, although it is liked by some. The most famous...
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...Technological Advancements in Pain Management Dishon Abbs 10/18/2010 Gabi Vosteen BIO 181 Lab Technological Advancements in Healthcare Throughout the world, many people live with pain every day. Some have never sought medical treatment, and others have received low quality and ineffective treatment. The approach to treating pain and illness depends on the culture and geographical location of the professional appointed to treat pain. In Western Tradition, physicians are considered to be experts on treating illness and pain by utilizing chiropractic manipulation, acupuncture, physical therapy and synthetic medicines. In Navajo tradition, medicine men are the experts on curing illness and pain with religious ceremonies and the use of natural herbs and remedies. Today, the most advanced practice in the health industry is pain management because of the combination of herbal medicines created by Navajos, and synthetic medicines created by Western Scientists. The study of medicine all began in the 1700s when Christopher Columbus came in contact with Indian people in the 1700s. The Indians and Europeans traded food, weapons, shelter and worked together, in a sense, to discover land and natural resources. Shortly after, Small pox, measles, and tuberculosis broke out and killed many people. This encouraged Western Scientists and Navajo People to try and discover cures for infectious diseases. Western Scientists engineered micro-organisms that would search and destroy harmful...
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...needed to replicate the current data and elucidate the mechanisms involved (Moseley, 2006). Following this, Johnson et al (2011) did a study to establish the effectiveness of GMI in clinical practice. This study found that the average pain intensity did not change, and only 3 out of 32 patients included reported that their pain had at least halved. The patients in Johnson et al (2011) study was only seen by a therapist every 2-4 weeks, compared to in Moseley (2006) study where the patients was seen daily and advised to practice three times every waking hour. This was only one of the possible explanations for the poor effect of GMI in Johnson (2011) study. The CSP guidelines for the management of CRPS (Goebel et al, 2012) are based on a...
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...Nick Sharpe 2177 words Choose a medical condition that interests you and research it. Write about the possible uses of hypnosis in the treatment of the condition as you see them. I will be looking at the impact that chronic illnesses have on a person’s life with particular reference to the illness Myalgic encephalomyelitis’ (M.E.) sometimes known as ‘Chronic Fatigue Syndrome’ (C.F.S). I will explore the role that hypnotherapy can have in pain relief and stress reduction. M.E. is an illness about which there is currently much disagreement among medical professionals regarding its classification, aetiology and recommended treatment. Estimates of it’s prevalence in the UK for example have ranged from 6 to 2600 in 100’000 across 10 years of study (1). Estimates by national health organizations say 450’000 people in the UK suffer. it occurs more often in women and is less prevalent among children and adolescents. Most research done has been on the assumption that they’re the same and this is gives good enough information at least for therapeutic purposes. CFS didn’t gained acceptance as a bona fide illness until 1988 because it is a ‘diagnosis by exclusion’ illness that can’t be tested for directly. Also the primary symptoms of fatigue, lethargy and muscle aches are similar to psychological conditions like depression, leading it to be dismissed by...
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