Preview

Pain: a Balance Between Analgesia and Side Effects

Satisfactory Essays
Open Document
Open Document
333 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Pain: a Balance Between Analgesia and Side Effects
Pain: A Balance Between Analgesia and Side Effects

What are the main ideas of this theory? * Patient Participation - The proposal that patient teaching and goal setting contribute to a balance between analgesia and side effects. * Multimodal Intervention - The proposal that nursing use of potent pain medication, plus pharmacological and non-pharmacological means will achieve a balance between analgesia and side effects. * Attentive Care – The proposal nursing assessment, intervention, reassessment, and reintervention will achieve a balance between analgesia and side effects.

What are the assumptions of this theory? * The nurse and physician will collaborate to effectively manage acute pain. * Systemic opioid analgesics or epidural opioids or anesthetic agents are identified * Medication for side effects is given as needed. * Patients are adults with ability to learn, set goals, and communicate symptoms. * Nurses have current knowledge of pain management.

What are the concepts of this theory and how do they relate? 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. Diagram of Theory

This theory is a result of previous work done by both Marion Good and Shirley Moore. One previous work is entitled Clinical Practice Guidelines as a New Source of Middle-Range

You May Also Find These Documents Helpful

  • Satisfactory Essays

    It is important that we recognized these issues while they are still new. I know a few years ago you were encouraged to treat pain more aggressively, and you may be unaware of the dangerous of the medicines you are giving your patients, and your patients are unaware also. It is very important to educate your patients so things don’t…

    • 372 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Before using any of these methods to manage pain, the individual needed to be assessed, as every kind of pain relief can be harmful, care plan and policies and procedures always have to be followed and necessary precautions have to be taken.…

    • 520 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Evidence based practice refers to making decisions about patient care based on well supported evidence through clinical research. “Identification of evidence and best practices results in the development of clinical guidelines to provide the best care to patients” (CCN, 2013). According to Hood; evidence-based medicine, evidence-based nutrition and evidence-based nursing provide a mechanism for the delivery of best practices for healthcare (Hood, 2010). In my workplace, implementing evidence-based practice on pain management is necessary. I work with mostly elderly patients; most of them are unable to voice any discomfort or pain. It is crucial that we assess them as frequently as possible, evaluate their pain medications, making sure they are effective. I teach my CNAs on a regular basis about the non-verbal pain indicators and the importance of reporting in a timely manner, teaching is also provided about non-pharmacological intervention for pain relief.…

    • 175 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    The nurse is constantly during the shift trying to maintain patient safety and comfort. Pain is a major area that is often mistreated. Being the fifth vital sign, pain plays a important factor in the care of an individual. Due to the subjectivity of pain, assessment and treatment are influenced by bias and emotions (Jiménez- Herrea & Axelsson, p. 555). There have been many instances, where nurses I have worked with question the reality of the patient’s pain. However, ethically you are supposed to advocate for the patient and allow them to be as comfortable as…

    • 574 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    The objective of this paper is to provide evidence of the importance of morphine use for patients on hospice. Managing pain with morphine for patients on hospice can be challenging including overcoming the many misconceptions related to morphine. Many families and patients on hospice believe morphine to be the “death drug” however oftentimes the benefits associated with the use of morphine are not adequately explained. A multitude of studies have been published describing the benefits to the patient through the proper administration of morphine. Research supporting this position have been identified by The American Journal of Emergency Medicine (Bounes, Charpentier, Houze-Cerfon, Bellard, & Ducasse, 2007), Nursing: Scope and Standards of Practice (Bickford, Brewer, Cones, Humes, & Wurzbacher, 2010), Johns Hopkins Nursing Evidence-Based Practice – Model and Guidelines (Dang & Dearholt, 2014) and through various reputable sources on the internet.…

    • 2304 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Web Validity Assignment

    • 1963 Words
    • 8 Pages

    One of the roles of a health care provider, including a nurse, is to read and analyze research to continuously improve health care or professional practice (Davies & Logan, 2012, p. 43). The research article entitled “A National Online Forum on Ethnic Differences in Cancer Pain Experience” by Im,E.O., Lee, H.S., Liu, Y., Lim, H.J., Guevara.E., & Chee. W. (2009), explores cultural values and beliefs in relation to cancer pain experience. In a nursing role, it is fundamental to assess a client’s pain. When assessing pain, there are many factors to consider which sometimes hinders the nurse’s perception of pain. Having an understanding of your client and the factors that may affect this individual’s experience is important for a thorough pain assessment; “Therefore, nurses need to assess all factors affecting the pain experience, including physiological, psychological, behavioural, emotional and sociocultural factors” (Kozier et al. 2010. p. 988). According to the Canadian Pain Society (2005), it has been reported for decades that pain management in Canada is inadequate (p.4). Pain management is important when providing care for a client and may affect the client holistically if not handled appropriately. Culture is especially important to consider when a nurse is assessing a client’s pain experience. There are many factors that represent culture that need to be identified to gain knowledge and ultimately make a judgment to provide safe and ethical care. When considering a client’s cultural background, the Practical Nurse needs to be aware of barriers that may effect communication, cultural values and beliefs, and be able to identify individuality. It is a client’s right to have the best pain relief possible and it is a nurse’s obligation to recognize this right and implement care…

    • 1963 Words
    • 8 Pages
    Powerful Essays
  • Best Essays

    Gask, L. and Usherwood, T. (2002) ‘ABC of psychological medicine. The consultation’, British Medical Journal, 324(7353), pp. 1567-1569.…

    • 4906 Words
    • 20 Pages
    Best Essays
  • Best Essays

    Concept Analysis

    • 2600 Words
    • 11 Pages

    Patient occurs in every person in some form. An understanding of what pain is and how to treat and assess it will allow the patients and nurses to achieve a better outcome. With an understanding of the concept of pain and how it affects the care nurses give then the better the patients’ outcomes. Working on a surgical unit I am faced with pain daily and learning how to assess it allows me to understand each patient’s views of pain. I can be faced with two patients with the same surgery, but the pain scale totally different. “All pain is Real and Pain is what the patient says it is” (McCaffery, 2002). The Purpose of this analysis of pain is to take the Walker & Avant steps to unfold what pain is.…

    • 2600 Words
    • 11 Pages
    Best Essays
  • Better Essays

    Nursing Qsen

    • 1146 Words
    • 5 Pages

    Patient centered care is a key component to providing excellent nursing care with the focus of compassionate and coordinated care based on respect for patient's preferences, values, and needs. There are many different healthcare workers all working to provide excellent care to a patient; however, if these healthcare workers do not collaborate and communicate with each other then the patient is not receiving the highest level of care possible (Dycus, 2009). Providing comfort to patients both physically and emotionally is critically important. To help comfort patients, involve family and friends, respect patient’s values and beliefs, and show understanding for what this patient is going through. Patient centered care should also be delivered with sensitivity and respect for diversity of different races. A priority nursing skill that needs to be achieved pre-licensure is assessing for a patients pain level and if they are suffering at all. Applying the correct nursing interventions to help…

    • 1146 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    Pain management is a major concern for nursing care. Not only does controlling pain help the patient rest and heal, it also improves patient satisfaction. Pain management involves more than providing the patient with pain medication, it is an entire nursing process that starts at the time of admission. “A thorough pain history and shared goal setting are critical components of effective pain management that leads to beneficial outcomes” (Glowacki, 2015). Pain history includes past experiences of pain, current and past pain methods that have managed pain effectively, a tolerable level of pain, triggers of pain, and so on. Obtaining this history is imperative for the nurse in order to meet the patient’s pain management goals. This may just be…

    • 156 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    The main focus of patient care was to control the patient’s pain. Also the patient experienced nausea, vomiting, and constipation .These symptoms were unwanted side effects of the opioids he was taking. During my placement the condition of the patient worsened. Pain increased, along with the side-effects of the medication taken by the patient. Some of the activities that the patient was able to perform independently became difficult, such as getting to the toilet and maintaining personal hygiene. The patient became restless at night time due to the increase of pain. At this point the amount of opioids taken by the patient was increased by the doctor, so that as well as the medication in the syringe driver the patient could take a set amount of strong opioids when required by mouth to relieve the pain. I will relate this care issue to the research article I have chosen to critique and discuss. These oral opioids where always administrated by his wife. The patient was unable to do it himself due to his physical deteriorated condition. However was always the patient that asked to take the medication when he felt he needed it. I have chosen…

    • 3442 Words
    • 14 Pages
    Powerful Essays
  • Good Essays

    Pain Assessment

    • 1176 Words
    • 5 Pages

    The majority of the nurses that were surveyed utilized the verbal pain assessment tool at almost 90%. Ninety-two percent of the registered nurses assessed pain on each patient in their care, and the notifications to the physician of uncontrolled pain is at a 90% rate. The conclusion that can be drawn from this study is that the different populations of patients were assessed, was and could be done so by different assessment tools pertinent to that patient. The findings of this particular study have significant implications for registered nurses in using evidence-based practice to adequately treat patient’s pain. The study suggested that for nurses to properly treat the pain, the populations at hand should be taken into consideration. In learning how different populations perceive pain, nurses were then able to use evidence pain practice to adequately control patient’s…

    • 1176 Words
    • 5 Pages
    Good Essays
  • Good Essays

    The opioid epidemic. It is deadly and has risen over the past decade or so to become one of the leading causes of death in America. It is an issue that we as nurses are uniquely situated to make a defining impact on. As nurses, it is our duty to educate patients, families, and anybody else we can. It is a nurse’s responsibility to teach the people who we meet about all the ways they can recognize an improperly proscribed pain medication or potential opioid addiction, an overdose, and what to do if they find themselves in a situation where someone is overdosing on an opioid drug.…

    • 434 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Opioid Analysis

    • 129 Words
    • 1 Page

    While it is true that opioids provide some type of pain relief after an operation or an injury, one of the reasons opioids have become such a big challenge for current treatment programs is because of the fatal side effects they cause. It has been reported that death tolls have increased due to overdose. Recovery from chronic pain is also less likely to occur. Moreover, Gounder explains the side effects of such prescribed narcotics include “constipation, sexual dysfunction, cognitive impairment, addiction, and overdosing.” Constant intake of narcotics can also lead a person to become more sensitive to the pain, which is known as hyperalgesia. Gounder also explains that medications don’t fully work to relive pain. There’s also no proper evidence…

    • 129 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Opioid Misuse

    • 538 Words
    • 3 Pages

    The objectives for the change is to avoid opioid misuse and to effectively manage opioid risk in patients treated for chronic pain. The proposed articles were reviewed to evaluate various methods available to…

    • 538 Words
    • 3 Pages
    Good Essays