Palese, A., Skrap, M., Fachin, M., Visioli, S., & Zannini, L. (2008). The experience of patients undergoing awake craniotomy. Cancer Nursing, 31(2),…
Immediate clinical success: It was defined from the first available clinical follow-up subsequent to the procedure. Success is determined by an increase of at least one clinical category of chronic limb ischemia from baseline. Those patients who had actual tissue loss must have advanced at least two clinical categories and reach the level of claudication to be considered improved.…
The literature review for the qualitative study includes two sources. The sources were from 1988 and 2005, while this article came out in 2008. The 2005 source is recent. The 1988 source is not so recent, but was relevant to the study because it helped to address the fact that there is a lack of exploration for the patient’s feeling surrounding an awake craniotomy.…
The problem presented is pain control in children postoperatively. Currently there are no proven ways to accurately measure postoperative pain in children. Hospital staff tend to under estimate the pain of children. Staff have only the word of patients and caregivers, combined with pain scales, which can be less than reliable due to the fact that many of them are utilizing opinions and visual cues. It is more difficult to gauge the pain of a child, especially under the age of 5, and in nonverbal children. So, the real problem is that many children do not have properly managed pain postoperatively.…
Additionally, 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” (2012). It was very…
DeLamar, L.(2007) ‘ Anaesthesia’ in Rothrock J (ed) Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. Pp.120 – 122.…
Anesthesia uses a great amount of drugs to suppress pain that would occur in the body.…
Perioperative use: control of nausea and vomiting as adjunct to analgesia pre-op and post-op, to allow decreased opioid dosage. (pg 466)…
Karp, J. F., Shega, J. W., Morone, N. E., & Weiner, D. K. (2008). Advances in understanding the mechanisms and management of persistent pain in older adults†. British journal of anesthesia, 101(1), 111-120.…
The results of several studies show that preoperative anxiety is associated with negative postoperative outcomes. These studies were conducted on men, women and children, all undergoing surgery for various diagnoses. A study conducted in Singapore on school aged children found a statistically significant correlation between preoperative anxiety and pain intensity 24 hours postoperatively (Chieng, Gu, & Chan, 2012). A broader study on 241 children, that lasted four years, concluded that not only was preoperative anxiety associated with postop pain, but with sleep problems, emergence…
The concepts of this theory are the balance between analgesia and side effects, pain, and side effects themselves. Opioid analgesics often have very unpleasant side effects, so the end result is often patients taking less medication than they actually need, which results in pain not being effectively relieved. The combination of potent analgesics, pharmacological and non-pharmacological adjuvants can allow for the pain relief needed and also help minimize or eliminate unwanted side effects. Nurses can work with the patient to educate them on the side effects of potent medication and help them set realistic goals. This will entail working with both the patient and physician to achieve the results desired.…
When Mr X woke up he was in acute pain, this is something that needed to be addressed in order to make him comfortable. It was important to factor in how much pain he was in prior to surgery, it was found in his notes he was in little to no pain on rest. So when I asked him how much pain he was in on a scale of 1-10 and he said 6, even with a regional block I knew he was very uncomfortable. I could also see this through his facial expression, and the fact he was tachycardic and was becoming hypertensive (Dillon, 2007). It was also found that he was quiet anxious prior to the surgery due to this being his first surgical intervention, which meant that the way he was perceiving this surgical pain could be adding to his discomfort (Hilton, 2005). It was important to address his pain as soon as possible, as in a surgical setting pain has no value, and not treating this pain can lead to negative effects both physiological and psychological. The anaesthetist had prescribed Mr X fentanyl, tramadol, brufen and paracetamol. It was important to look through his theatre notes to see what he was given in theatre to make sure we weren’t giving him too big of a dose if he had already had some. We first administered fentanyl as it is a short acting opioid (Drain, 2003) then did another pain assessment. It was found he was down to a 4, which he said he still…
After coming home from the outpatient procedure, I had to stay in my bed in darkness with my eyes closed. I felt very dependent from my husband and children and I was so sorry to be such a burden for them. In those moments I felt my pain grow. On the other hand, I felt better when they were close to me holding my hand.…
GRUBB, B.D. (1998). Peripheral and central mechanism of pain. British Journal of Anaesthesia, v.81, n.1, p.8-11.…
Cancer patients, end of life patients, patients with chronic diseases, and patients with a simple complaint of pain are all entitled to the best pain management available for their specific needs. This topic is of particularly important for nursing professionals who need to have the knowledge to adequately assess and manage a patient’s pain with the correct tools in the various clinical settings. Pain is not one dimensional; author Hughes presents a detailed article describing all three chronic pain syndromes that are relevant to palliative care. Authors Arbour and Gelinas provide a glimpse into the implementation of the newly created Critical-Care Pain Observation Tool (CPOT).…