Shepperd, J. R., & Hale, S. E. (2016). Nurse Practitioners in the World of Pain Management: A Cautionary Tale. The Journal for Nurse Practitioners, 12(2), 102-108. doi:10.1016/j.nurpra.2015.10.006 This work has the purpose of informing Nurse Practitioners of the potential dangers and pitfalls within prescribing pain medication to patients. It uses a methodology of first giving an example of a case where a nurse practitioner was charged with running a pill mill due to her numerous prescriptions for opioid pain medication.…
Marie C. Louis M4D1 Assignment Response 1. My assigned patient's priority diagnosis label related to pain: Risk of discomfort due to chronic cancer pain 2. Three nursing interventions for my assigned patient: a.…
If you knew you were going to die, would you want to live your final days in pain and humiliation? Brittany Maynard was 29 years old when she was diagnosed with brain cancer. She went through many surgeries to try and rid herself of her brain tumor; until she learned that not only was it back, but also it was far more aggressive then before. It was then that Brittany was told she only had six months to live and was prescribed full brain radiation in attempt to keep her alive as long as possible. The full brain radiation would inevitably destroy Brittany’s quality of life.…
This study was conducted to assess initial effectiveness of the Effective Management of Pain: Overcoming Worries to Enable Relief (EMPOWER) intervention. This study included four hospices, which included hospice staff education, staff screening barriers to pain management upon admission, and addressing misunderstandings of pain management with the family caregivers and end of life patients, majority (59%) with a primary diagnosis of cancer. The trial included 126…
UNJUST PAIN MANAGEMENT For the African-American Community As nurse, we seek to aide all of those who seek our help. However, not everyone is treated justly when it comes to pain management and pain control. An example of this disparity would be the case Dominique Oliver, an African American male, received a compound fracture to his lower leg while attempting to steal a soccer ball from a player on the opposing team while playing sports in high school.…
Risk management Patient falls would specifically fall within the outcome indicators of quality in the Donabedian’s quality indicators. In this case, the subjects of interest are the staff and particular within the clinical care settings including nurses and the physicians offering direct care. The interdisciplinary team would comprise of the nurse leaders, nurse manager, nurse supervisors, the nurse administrators, the lead physicians, the quality assurance department representatives and the representatives of the top level management (Forster & van Walraven, 2012). The Fourteen Forces of Magnetism are the basis along which healthcare facilities are ranked and afforded the magnet status based on significant improvement in patient outcomes and…
Ethnic, Genetic, and Cultural Considerations in Prescribing Providers are accountable to be culturally competent, empathetic and knowledgeable with treatment options for patients. The following paper addresses pharmacotherapeutics, client compliance and advanced nursing practice. Also highlighted will be resources available to clinicians and how to educate a client on the identification or prevention of potential pharmacodynamics or pharmokinetic problems. Ethnic, Genetic and Cultural Considerations More than 1000 medications have ingredients that may be prohibited in various religions and cultures (Hoesli & Smith, 2011). In addition to religious beliefs, other factors may play a part in medication use such as a vegetarian lifestyle…
For the nurse, ANA Code of Ethics states nurses are to prevent suffering in dying patients ( (Fowler, 2010, p. 148). The administration of palliative sedation medications, per a physicians order, and monitoring the patient for pain relief is well within the ANA…
Identification of Controversial Health-Related Issue Affecting a Vulnerable Population Across the United States, thousands of patients are diagnosed with a terminal illness and given a prognosis of less than six months to live. In 2015, it is projected by the American Cancer Society, that about 600,000 people will die from cancer (ACS, 2015). The term terminal illness refers to a disease, infection, or illness that is incurable resulting in death. Residents of California who are facing terminal diseases do not have the option to end their lives when they decide it is too painful to continue living. Treatments can cause unbearable painful and deteriorate the quality of life, and patients report they lose their sense of autonomy.…
How do the parts of the theory relate to each other? Does the theory “make sense” to you before you begin applying it to any specific client situation? This theory revolves around the concept of balance between the use of analgesics and their side effects for adult patients with moderate to severe pain (Good, 1998). It outlines the role of the nurse in administering pharmacological pain relief as well as non-pharmacological pain relief methods.…
Physician assisted suicide, euthanasia, and withdrawal of life support are the topics of a controversial discussion in the medical field. Many physicians do not believe in PAS because it is against their morals. The patient’s family may also advocate for end of life care, but that is ultimately the patient’s decision. There are now five states that participate in the Death with Dignity act within the United States. Physician assisted suicide is a highly controversial topic since it was first made legal 1997.…
A job title is given to an individual, and it is that individual's responsibility to meet the guidelines of that role. To help make my point I would first like to clarify the role of a registered nurse. The role of a nurse is to primarily provide ways to help assist with positive patient health, minimize patient illness, and care for all (Taylor, C., 2015, p. 8). The one point I would like to go into great detail is the registered nursing error when pertaining to the administering of opioids. I will be discussing how to prevent this from happening by having a great understanding of the six rights of medication administration as well as educating the patient about the safety of opioid medication.…
With the Right to Die Act passing here in Colorado we as future nurses will be part of this change and need to have a solid foundation. Part of nursing is the relief of suffering and when we witness our patients in pain it can hinder our rationales. Nurses are either unclear about what the right thing to do is or the nurse can see what should be done but can not perform the task. Nurses can face moral distress when their actions violate their own personal beliefs. The impact of moral distress on nurses can have personal and professional effects if not handled properly.…
The purpose of this paper is to look at high quality, accountable care in medical communities and the high priority placed on increasing quality and safety among patients who suffer from preventable medical errors each year. “Medical errors kill enough people to fill four jumbo jets a week”. (WSJ. Makary) Thus the skills, knowledge and attitudes of nurses must be used to drive and sustain culture changes around patient and family centered care is driving medical process and procedure changes to increase the quality of care.…
Data, Information, Knowledge, and Wisdom Continuum Nursing informatics is the integration of computer science and data science of nursing to recognize, manage and process significant information to cultivate knowledge that foster nursing practice (American Nurses Association, 2015). The development of innovative technology has bestowed nurses with wider ability to research quandary areas to make intelligent judgments for their patients through evidence-based practice principles. According to American Nurses Association (2015), data, information, knowledge, and wisdom, (DIKW) are imperative for a quality health care. The DIKW continuum is a structure that channels nurses through a four-step process of research. The intent of this paper is to cultivate a research question and illuminate researching databases to acquire data, knowledge, information, and wisdom to answer the scientific question.…