Given the complexity of the pain experience, helping caregivers provide appropriate levels of pain management is particularly challenging. Many caregivers may be reluctant to provide adequate levels of opioids for pain management in the home based on fears of addiction, levels of tolerance, potential side effects of the drugs and whether increased opioid treatment reflecting disease progression (Aranda et al
For example, patients commonly are reluctant to engage in exercise for fear that it will exacerbate pain intensity and/or provoke further injury" (103). Other researchers have also identified significant misperceptions among cancer pain patients concerning medication use that adversely affected their compliance (Block et al
Indeed, according to Hunter (2000), "Pain is an experience that is common to most people, occurs in all areas of health care, and is the major reason for people to seek medical care" (379). The experience of pain, though, is highly subjective and frequently varies from person to person, even when the same pain-inducing stimuli are present and people can even experience significantly different types and intensities of pain from the same pain-inducing conditions at different times (Eccleston 2001)
A summary of the research concerning opioid barriers and misperceptions is presented in the conclusion together other important findings. Review and Analysis Pain is the most common complaint among patients presenting in primary care settings today (McCaffrey, Frock and Garguilo 2003)
In this regard, Tucker (2004) emphasizes that healthcare providers have been successfully sued for their failures to provide adequate levels of pain management. These lawsuits were based on the needless suffering that was experienced by patients given the ready availability of efficacious opioids, a failure that was due in large part to their lack of knowledge concerning pain management protocols including appropriate dosage levels (Tucker 2004)
). A cross-sectional survey study of 945 registered nurses caring for adult postoperative patients in two MidWestern hospitals was conducted if they used three evidence-based postoperative pain assessment practices, the relationships among these practices and the nurses' characteristics (Carlson, 2009)
What is this quality improvement program and how does it improve present pain management standards? 2. How does it upgrade nurses' knowledge and skills in managing postoperative pain? Review of Relevant Literature (p 1-3) The poor understanding of pain was perceived to be behind the current inadequacy in the management of postoperative pain (Guardini et al
The study revealed that nurses' poor communication with parents and the nurses' deficient knowledge about pain and its management were the obstacles to its effective management. Better education in the nurses and open communication with parents would eliminate these obstacles (Simons and Roberson)
Neither did ethnic or cultural differences nor the nurses' level of education influence their ratings. The investigation emphasized the need for more accurate assessment of patient pain (Sloman et al
). A multi-center observational study of 250 infants in 10 participating NICUs also sought to evaluate pain assessment practices and establish specific areas of improvement (Taylor et al
Pain Management Assessment WHAT it TAKES Because moderate to severe postoperative pain is a common experience among patients, pain management is an essential part of nursing care (Yuceer, 2011)
Anand and Hickey's comprehensive analysis offers the empirical support of facts and data to what had previously been a largely theoretical argument. (Campbell, 1988) One additional idea is that the preschool child's inability to effectively communicate through language their need for pain relief can alter a physicians' reaction to a need for pain medication
There seems to be a pervasive occurrence of the administration of analgesic pain medication in the very young in emergency departments.(Chan, Russel, & Roback, 1998, pp
To some experts the idea of conducting surgery on an infant without analgesia is abhorrent but it seems to occur frequently and especially on newborns. (Huston, 2002, pg
(Chan, Russel, & Roback, 1998, pp. 620-623) (Jylli & Olsson, 1995, pp
Individuals can be encouraged by the care givers through helping them to draft self-help programs which they will follow in their path to elevating their pain and discomfort. They can also be encouraged to form self-help groups where they share their experiences and come up with ideas as a group to deal with the pain and discomfort (Scott, Baluch, Kaye, 2010)
A person experiencing pain and discomfort is also not active. They can not carry out any activity since their body is not in a position to do anything as a result of the pain and discomfort (Severson, 2012)
Then offering this information to patient's in a responsible and professional manner, especially with regard to not promoting remedies or leaving them weeding through non-empirical (quackery) choices is an essential aspect of the patient nurse relationship and an essential nursing intervention. (Levin & Feldman, 2006, p
The patient and her daughter would like to know if massage, acupressure, acupuncture (if available in the home), limited movement techniques, massage and/or guided imagery or other psychological means would be effective in the development of a pain plan. (Smeltzer & Bare, 2008, pp
The study notes that prostate screenings can have an ill effect on sexual health and performance if not effectively stops sexual function in general. The study notes that multi-modal approach is a good one but also notes that are always drawbacks, obvious and not so obvious, despite the approach actually selected in the end (Aktoz et al