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The Gate Control Theory (GCT) helps to explain the relationship between pain and emotion, and Julia’s patient suffers from chronic pain (McEwen, 2014b). Julia can utilize this theory to help her patient’s pain management and guide improvement when necessary. McEwen (2014b) identifies a key point, “Pain management is a vital part of nursing practice; nurses are continually researching how to improve pain management” (p. 351).…
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…
References: Berry, P, PhD, RN, CRNH, CS, & Dahl, J, PhD. (2000). The new JCAHO pain standards: Implications for pain management nurses. Pain Management Nursing, Vol 1(Issue 1), 3-12. Retrieved from http://www.painmanagementnursing.org/article/S1524-9042(00)04110-2/abstract…
Making the nursing staff aware of the neglect of postoperative pain management in the patient population would be a step in the right direction to making a change. Ensuring the staff that doing bedside reporting would not take any longer to accomplish than report at the nursing station. The nursing staff will also have to be made aware that getting the parents involved while reporting and confirming the plan of care they had during the day and what the plan of care is for the evening will make for a smoother shift. This also alleviates the ever so present accusations from one shift to another.…
Before using any of the methods to manage pain, the client needs 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.…
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.…
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…
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.…
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.…
Do patients who administer their own pain medication have lower pain ratings than patients whose pain medication is administered by a nurse? Who administer IV, Pain rating DV…
This essay will discuss the plan of care I developed for Mr X while he was under my care in a post anaesthetic unit. It will discuss my nursing assessments, and what diagnoses I developed from this. It will then discuss the rationale behind my nursing interventions using relevant literature. My plan of care will be analysed throughout while identifying how my nursing care meets best practice guidelines.…
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…
As nurses we all know how to measure a patients vital signs and what they are used for.…
Briggs E (2002) The nursing management of pain in older people. Nursing Older People. 14 (7); 23-29.…