Response to Dr Foreman’s questions a. Discuss the nociceptive mechanisms, including the postsynaptic receptors of the spinal neurons, transmitters, pathways and nuclei that are activated when the injury occurs. Also include in your answer the explanation for the sharp pain and the long lasting pain that you experience with this injury. Nociceptors are specialized peripheral sensory neurons that are activated by noxious stimuli. These nociceptors are the free nerve endings of primary sensory neurons. Upon tissue injury, in this case the stomping on the big toe, the noxious stimuli causes tissue damage.…
Why We Hurt: The Natural History of Pain is written by neurosurgeon, Dr. Frank Vertosick, who transforms the vast subject of pain into an exciting and enlightening discussion that is highly engaging. Dr. Vertosick examines many types of pain including migraines, phantom limb pain, tic douloureux, ruptured discs, rheumatoid arthritis, carpal tunnel syndrome, angina pains, and cancer. Each chapter presents a clinical case, the different ways in which cultures viewed the disorder and the biology related to the disorder. The clinical cases of each patient give a personal touch and depicts just how these disorders can affect patients not only physically, but emotionally and spiritually as well. Dr. Vertosick introduces his response to pain by challenging C.S. Lewis’ statements involving the inseparability of religion and pain and how God intended for the pain of individuals as to create a way in which he was worshiped and looked upon to end suffering.…
Trigeminal neuralgia is a rare nerve disease that causes excruciating unilateral pain in the face. It is brought on by a light touch, cool breeze, eating, or vibrations. Often this disease goes misdiagnosed as a toothache and people have had needless, expensive, and sometimes irreversible dental work done to their mouths with zero relief of symptoms. Trigeminal neuralgia can disrupt the normal activities of daily living that many people commit suicide.…
Annotated Bibliography Cagle, J. G., Zimmerman, S., Cohen, L. W., Porter, L. S., Hanson, L. C., & Reed, D. (2015). Empower: An intervention to address barriers to pain management in hospice. Journal of Pain and Symptom Management, 49(1), 1-12. doi: 10.1016/j.jpainsymman.2014.05.007.…
Orofacial pain is an individualistic live experience, no single pain assessment method can comprehensively represent such an experience. The experience varies in different individuals and within the same individual across different conditions at different times. ,, Consequently, inadequately managed chronic pain will negatively impact on patient’s biological and psychosocial well-beings. ,,,, The pain assessment assists clinician and researcher in defining differential diagnosis, in evaluating the effectiveness of interventions, and importantly, offering greater insights into patient's biological and psychosocial well-beings. Common orofacial pain assessment methods depend on patient’s ability to reflect the pain experience through questionnaires,…
Statement of the Problem Health care facilities are consistently looking for new ways to improve patient satisfaction in all aspects of the hospital experience (Gebremedhn, Chekol, Amberbir, & Flatie, 2015). Patient satisfaction is important for both improving patient recovery and for improving hospital ratings and overall atmosphere of the facility (Gebremedhn et al., 2015). Because of this, hospital staffs are considering different ways to ameliorate the experience of patients, especially in the aspect of pain relief in anesthesiology. Anesthesiology is the practice of medicine dedicated to pain relief. Health care professionals are currently studying further the role of anesthesiology in improving patient satisfaction.…
One of the most common chief complaints that pediatric patients report in the emergency department is pain. The overall purpose of this systematic review, was to not only examine what type of nonpharmacological methods Emergency Departments’ (ED) are using to manage pain in pediatric patients, but also to examine the benefits of using these methods. After reviewing studies in the CINAHL, PubMed, and Cochrane databases, only fourteen articles met the criteria for this review. Records were excluded if the study was not conducted in the ED, if the study was conducted more than eighteen years ago, if they were not published in English, if the study included adults, and if the study only included pharmacological methods for pain management. Some examples of nonpharmacological interventions implemented to manage pain in children in the ED that were discussed in the article included music, guided imagery, breathing techniques, distractions, the application of hot and cold, massage, swaddling, suckling, temperature regulation, rocking, and transcutaneous electrical nerve stimulation.…
overdoesBeing responsible with your pain killers is super important. Just because you have strong pain killers and you don't get addicted doesn't mean someone else won't. If you break your arm and the doctor prescribes a painkiller to help with the pain for the next few days, you need to keep them in a high place or locked up. Esspecialy if you have children or family members with you. Not saying that you can't trust your family.…
agreement between rater 1 and 2 were average with 0.89percentage of 60 items on the scale. The Pearson correlation coeffient score (0.83) demonstrated a strong inter rater reliability of PACSLAC (p<0.00) of the Doloplus-2 scale after 1 year demonstrated a notable decrease in symptoms of pain. This study marked the importance of pain management by using an observational pain assessment tool for the patients with advanced dementia who are unable to self-report. The study results emphasised that the Doloplus-2 scale is strong enough to identify pain in patients with severe cognitive impairment. The nurses reported that this scale is handy to use in daily practice, but may be more suitable for people in care homes.…
Modulation of pain occurs by different ways in order to inhibit the pain sensation. First, the endogenous opiates system, the naturally occurring opioids present throughout the central nervous system (CNS). Second, the descending system which is a pathway from the brain for natural pain modulation (inhibition) at the spinal cord, consist of descending neurons that synapse with the ascending neuron lead to releasing of the neurotransmitter such as endogenous opiates, serotonin, and gamma amino butyric acid (GABA) that suppress the pain signals and this explain the use of antidepressants and opioids in the treatment of chronic pain. Under normal condition, balance presents between the excitatory (glutametergic) system and the inhibitory (GABAergic)…
Chronic pain defined as pain that lasts longer than six months. Chronic pain can be mild or excruciating, episodic or continuous, merely inconvenient or totally incapacitating. Due to the trouble of categorizing a patient with chronic pain, I would complete comprehensive health history assessment. This will provide subjective and objective data from the patient along with the examination of the patient.…
Analyzing Chronic Pain as it Pertains to Affecting a Whole Person Chronic Pain is experienced by a large population of individuals and often affects every aspect of one's existence. Kirkham, Smith, and Havsteen-Franklin, in referencing an analysis from the Institute of Medicine, state, "about 100 million adults in the United States suffer from chronic pain" (2015, para. 2). Pain is often hard to describe, making the experience of chronic pain an isolating experience for some individuals. When pain is chronic and affects everyday functioning it can have major implications to one's psychological and social functioning. Chronic pain is a major issue in the United States and may be better handled if the emotional affects, affects to one's view…
I Don’t Know What It’s Like To Be Pain Free I interviewed Jerry, my father-in-law, a 50 year old, Caucasian male, in his home in Bonnerdale, Arkansas, on Sunday, November 6, 2016. He is in a committed relationship with his first wife, Connie, and has four children and two grandchildren. He is a homeowner, a Christian, and is self-employed. Jerry is comfortable answering my questions and he responds well to them, although he is clearly tired.…
1. Identify which author and theory you are using: I am going to use a middle-range theory of acute pain by Marion Good Ph.D, RN. After reading your chosen articles on nursing theory, write a paper that answers the following points/questions: 2. Describe the theory and its components?…
Pain Relief Preoperatively and Postoperatively Everyone experiences pain differently, and you have the right to have your pain evaluated and managed. If you have questions, problems, or concerns about pain that you may feel before surgery (preoperatively) or after surgery (postoperatively), tell your health care provider. Severe pain after surgery—and the fear or worry associated with that pain—may cause extreme discomfort that: • Prevents sleep. • Decreases the ability to breathe deeply and to cough.…