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.…
Nurse Laura receives bedside shift report on her post-operative patient, Mrs. Jones, who underwent lumbar surgery this afternoon. The patient’s husband is at the bedside and the patient is complaining of nausea and 7/10 pain to her back. The off-going nurse explains that she educated Mrs. Jones on how to properly use her Patient Controlled Analgesia (PCA), but the off-going nurse reports that Mrs. Jones has upper extremity weakness and may not be physically able to use the PCA efficiently. To ensure Mrs. Jones is not in pain, the off-going nurse has administered Percocet 7.5mg by mouth to Mrs. Jones, which was effective for about three hours. Mrs. Jones’ adult daughter was at the bedside most of the shift because Mr. Jones was at work.…
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.…
Majority of doctors have taken the Scope of Pain certification course. Several doctors will not prescribe opioids to patients who are taking antihistamines and muscle relaxants. The consensus is that both combination should be avoided. The combination has been linked to an increase in emergency room visits especially for older…
There is a degree of ambiguity concerning what situations constitute a true emergency and physicians must sound clinical judgment and carefully document their reasoning (Glezer A, Brendel R.W. 2010). In addition, the patient has the right to be free from restraint and seclusion, in any form, imposed as a means of coercion, discipline, or retaliation by staff. Restraints should not be used for convenience (Annas GJ.1999). This ensures that we are taking all steps necessary before using restraints.…
The practice would cause the patient to be in complete isolation, due to their…
During my time in clinicals on a pediatric floor, I have participated in the discharge of patients and their parents. Pain management and comfort were two of the few topics that parents expressed concern about after discharge teaching. While the nurse attempted to address these issues, it felt as though the parents left the hospital without full confidence in how to manage their child’s pain. It became clear that parents needed further, specific discharge education on pain management when their children were prescribed at-home analgesics.…
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.…
The way we go here is that pain management cannot be determined by doctors is it however the patients feel that we must go by. Drug companies drug representatives have convinced Doctors that opiates such as Vicodin, OxyContin are not addictive drugs. Back in the days according to Dreamland by Quinones, Doctors try to refrain from giving narcotics pain medications to patients because they know how addictive these drugs can be. It is better for patients to abstain from those medications because patients can become dependent on these drugs. Opiates, Vicodin, narco, hydrocodone, oxycodone, Percocet and heroin, morphine, hydromorphine, are all made from the opium plants.…
Primary diagnosis: Affective disorders. Secondary diagnosis: Chronic pain. Code 2480- but that code is “Diagnosis established – no predetermined list code of medical nature applicable. Did not find code for pain or chronic pain.…
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.…
Introduction Pain catastrophizing is defined as a tendency to exaggerate and interpret pain-related experiences in a negative way, and it is associated with the expectation of negative outcomes in ambiguous situations (Parkerson et al., 2013; Sharpe, Johnson, & Dear, 2014). Considering the association between pain catastrophizing and pain-related fear, it is likely that pain catastrophizing can be also considered responsible for persistence of chronic pain (Khatibi, Schrooten, Vancleef, & Vlaeyen, 2014). In addition, pain catastrophizing may have a communal coping function that is chronic pain patients may catastrophize about pain to elicit more support from their significant others, for instance, their spouses (M. J. Sullivan et al., 2001).…
Chronic pain has a multidimensional effect on a person’s life and ultimately changes life completely. Pain that is chronic and debilitating can cause stress & anxiety, sleeping problems, family/relationship worries, financial stress, and can lead to unemployment. Chronic pain is defined as, “any pain that lasts for more than three months. The pain can become progressively worse and reoccur intermittently, outlasting the usual healing process. After injured tissue heals, pain is expected to stop once the underlying cause is treated, per conventional ideas of pain”.…
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 see this being done when the person declares they cannot continue with the strain of treatment/illness…