Pain is the most famous member of bodily feelings including orgasms, tickles, itches and tingles among others. These feelings are normally attributed to the locations of the body and seem to have several features like duration, intensity and volume which are attributed to quantities or physical objects. For most patients seeking for clinical help, pain is often the most common problem and the most common nursing diagnosis. Generally, pain can be defined as the distressful, unpleasant and uncomfortable feeling that affects the quality of a person's life especially if it's unrelieved. Unrelieved pain may cause both physical and emotional effects, affect families and increase health care costs on the individual and society. Consequently, pain has become the most serious problem in the health care industry and a significant interest of many philosophers. This has led to paradox of thoughts that pain is a condition that we perceive in the body…… [Read More]
As such, a person may be injured in one location, but perceives pain in another location of the body (Voscopoulos & Lema, 2010). eferred pain can be both acute and chronic, depending on the injury or sickness which causes it in each patient case. The one major difference is that referred pain "is experienced at some remove from where the pain actually begins" (Complimentary Therapists, 2013).
There are a number of patient factors that affect the physiology of pain experienced by each unique individual. Essentially, "chemical, mechanical, and thermal receptors along with leucocytes and macrophages, determine the intensity, location, and duration" of various types of pain (Voscopoulos & Lema, 2010). A number of patient factors, like diet, age, and medical health history can influence the type of pain experienced. Additionally, emotional states of patients can also impact the type of pain experienced, along with the ability to heal…… [Read More]
Pain Management of Obstetric Patients
DEALING WITH IRTH PAINS
Causes and Management Intervention
Two Sources of Pain
Pain is classified into nociceptive or neuropathic (ICEA, 2014). Nociceptive pain develops from tissue, muscle or bones. It is dull, aching, burning, stretching or beating. It crosses through mylenated nerve fibers. Neuropathic pain, on the other hand, emanates from the nerves when some damage has been inflicted on them (ICEA, 2014). It may be chronic when it is numbing, tingling or burning. Over-stimulation of the nerve fibers can damage them as in a burned-out state (ICEA),
The three stages of the birth process are antepartum or before birth, intrapartum or during delivery, and postpartum or following childbirth or delivery (ICEA, 2014).
Antepartum -- These are visceral and somatic or perineal (ICEA, 2014). Visceral pain emanates from the internal organs located in the abdominal and pelvic cavities and spreads and referred to nerve pathways.…… [Read More]
Pain Issues ith the Dying Process
Palliative care for the terminally ill has spurred multiple analyses of the Nursing Profession's commitment to relieve pain endured by terminally ill patients. Though intently examining numerable aspects of palliative care, the most of the literature shows a logical gap in its apparent assumption that medication hastens death. Some healthcare professionals have challenged that assumption, undertaking studies of carefully assembled data from groups of terminally ill patients and have found that palliative care is not the "slow euthanasia" evidently inferred by most medical theorists.
"Pain Assessment and Management in Palliative Care" by Nessa Coyle and Mary Layman-Goldstein (Coyle & Layman-Goldstein, 2001), discussing AACN capacities in the assessment and treatment of pain, particularly in peri-death treatment;
b. "Symptoms and Attitudes of 100 Consecutive Patients Admitted to an Acute Hospice/Palliative Care Unit" by K. Ng and C.F. Gunten (Ng & Gunten, 1998), reporting the results of…… [Read More]
Pain & Pain elief Following Hip eplacement Surgery a Qualitative Study
Qualitative research Assignment
esearch design relies on the appropriateness of either qualitative or quantitative methods in achieving the objectives of the study. In the study, two research studies that use these different methods to accomplish their objectives are evaluated. One of the studies uses descriptive qualitative approach while the other exploits cross-sectional survey.
The analysis in this section requires that the analyst compares the article to quantitative articles he/she read - in general (the difference between the two types of studies) (LoBiondo-Wood and Haber, 2014). The differences in these two methodologies in the studies are evident. For instance, the descriptive qualitative approach is explorative in nature since it offers detailed explanation for the research topic while the cross-sectional survey focuses on enumerating and categorizing features through statistical figures in order to explain its observation (Explorable.com, n.d). The qualitative and…… [Read More]
Shakespeare is pointing out how normal these two are. They find love and they experience the good side of love. They bask in the passion and desire more.
The truly sad aspect of love is that it cannot be good all of the time. In fact, many would argue that love would not be as good as it is without pain. Love does not stay good all the time for everyone, especially Romeo and Juliet. Shakespeare brings us to the pain of love rather quickly in the play as the couple begins to encounter trouble at almost every turn. They will do anything to be together and if this means faking death and running away, they have no problem doing it. The risks are strange and compelling and while Juliet is wise to stop and weight everything before she drinks the potion, she still puts all of her faith in…… [Read More]
Pain Assessment Tools: The Brief Pain Inventory and the Initial Pain Assessment Tool
Using the Brief Pain Inventory and the Initial Pain Assessment Tool to assess a friend who was complaining of sore muscles, I was immediately struck by the superiority of the Initial Pain Assessment Tool. It seemed to gather all of the information that the Brief Pain Inventory obtains from a patient, as well as other information that would be helpful in a treatment scenario. However, the Brief Pain Inventory has some minor advantages over the Initial Pain Assessment Tool. The main differences in the two assessment tools are: the inclusion of a pain scale; the ability to assess how and when the pain began; a space for a qualitative, rather than just a quantitative, description of the pain; and whether or not the patient finds the current pain level tolerable. After looking at all of the factors,…… [Read More]
There are graphics as well as characters on the scale, making it easier for younger patients to use the scale. In addition, the Pain Sensory Tool appears to be more accurate than other tests, such as the Poker Chip Tool.
However, the Pain Sensory Tool does have drawbacks. Some patients may not know how to mark their pain on the Tool. Younger children had a difficult time understanding the instrument, which requires greater work by the healthcare provider to use the tool as a means for assessing and treating pain. In addition, younger children may be unable to understand a visual analogue scale. Furthermore, while more accurate than the Poker Chip Tool, the Pain Sensory Tool is not that accurate.
The Pain Sensory Tool seems like a well-designed instrument, as long as it is used as part of a healthcare provider's means of determining how much pain is being experienced…… [Read More]
Pain in the (Supply) Chain" focuses on the Exceso company in its attempt to meet wildly ambitious sales goals at the end of the quarter through the integration of an extremely aggressive promotion strategy. The question that comes into play is simple: is this strategy worth following through with? In looking at the case study in detail, one can see that there are certain areas of strategy that could stand to be improved upon.
First, CEO R. Foley Vinton notes that the machines which are running for production have provided a 98% yield, but hesitates to mention the fact that the machines are only running at a 60% capacity. The machines are also dealing with unexplained breakdowns that can essentially halt or destroy production should another breakdown occur. In looking at this scenario there are at least two areas for improvement. First, a running of the machines despite faulty machinery…… [Read More]
Best Practices for the Pain Management of Broken Hips
Achieving the Institute of Medicine's goal of ensuring that 90% of health care decisions are evidence-based by 2020 will require identifying current gaps between research, findings, and practice implementation. One practice identified in the Agency for Healthcare esearch and Quality (AHQ) comparative effectiveness research site concerns pain management for broken hips. This paper examines a gap that currently exists between research findings and the implication of those findings in this practice, followed by a summary of the research in the conclusion.
Discussion of the practice
Although anyone can break a hip, broken hips are more common among the elderly and can be caused by a fall or simply by the weakening of the femur with age (Managing pain from a broken hip, 2011). For instance, the AHQ reports that, "[The incidence] of hip fractures increases substantially with age, rising for men…… [Read More]
Severe abdominal pain with bloody diarrhea at a frequency of twenty times per day can be a sign of a serious condition. In fact, the healthcare team should treat the issue as a medical emergency given the possibility of a life-threatening illness (Holtz, Neill & Tarr, 2009). Immediately I would question the patient regarding her medical and family history, including questions related to whether or not this was the first time she has experienced these symptoms. I would also inquire about the patient’s recent travels because it is possible the symptoms point to an infectious disease or a food-borne illness. Whatever the situation, the patient must first replenish the depleted fluids and electrolytes immediately during the administration of diagnostic procedures and patient monitoring. Also, it would be important to find out if the patient is on any medications including antibiotics, and whether or not she was pregnant. Some medications can…… [Read More]
Public Health: Countering Opioid Overdoses
The opioid epidemic is a severe public health crisis that must be attended to with urgency in the U.S. It has spread in due part to the problem of care providers over-prescribing strong and addictive opioids or pain relief to patients, who in turn become long-term opioid addicts (Brummett et al., 2017). Illegal opioids are also hitting the streets from other sources, compounding the problem; however, since many health care providers are unable to impact what happens on the streets (in terms of keeping drugs out of the country), they can make a difference by intervening in their facilities. It is true that patients have a right to expect pain relief, but the short-sightedness of health care professionals who prescribe opioids to patients is often a major setback for the fight against opioid abuse. One solution is to cut back on the strength of…… [Read More]
Causes and Treatments for Sciatica
One of the harsh realities of the frail human condition is the fact that most people will suffer from some degree of low back pain at some point in their lives. Even people with relatively sedentary lifestyle can experience debilitating injuries to their lower back, and the potential for such injuries is exacerbated further when individuals engage in various sports activities. One such lower back and hip problem is sciatica, which is caused by spinal nerve root compression. Fortunately, there are a number of evidence-based interventions available for treating this condition, including both pharmacological and psychotherapeutic modalities. The purpose of this paper was to provide a review of the relevant peer-reviewed and scholarly literature concerning the common mechanisms of injury, anatomy of the injury (which structures are involved), presenting signs/symptoms, diagnostic procedures and/or special tests, and the basic healing process, rehabilitation, or surgery that needs…… [Read More]
The problems at the work place were detected over a long period of time and are a part of the history of development. The development of technology was very rapid which must also have brought in the needed changes in the workplace functions and norms. Unfortunately the basic structure of health protection came to be discussed only in the beginning of 1960s. The occupational medicine became a separate field of study since then and the occupational health service was born. The motto which the service wanted to achieve was an ergonomic system that could fit the job and the worker and simultaneously identify and eliminate health hazards. (Wilkinson, 50) There were many statues passed that created safety at the workplace. The greatest step in this regard was the OSHA regulations.
The OSHA act of 1970 was the single piece of legislation that gave an impetus to the work…… [Read More]
fuse the content of the third chapter from the class text and a selected article. The salient and primary point to be taken from the chapter reading is concept analysis and frameworks. The important point from the article that will be focused on is aggression in the emergency department. To be certain, the emergency department of any hospital or other medical institution is a place where the presence of aggression can emerge in some instances. While some may say that concept analysis and frameworks are just a lot of navel-gazing, this is far from the truth so long as the practice is taken serious and is done as needed.
As explained by the class text, it is important to have proper concept development and research because there is a common language that must exist. To use a simpler example, three widgets to one person should always be three widgets to…… [Read More]
The procedure appears to have been rushed forward faster than was entirely necessary, which contributed to several other factors that had a direct impact on Mr. B's health and condition. This issue marks the intersection between human resource issues and medical issues in the case as described (Hoot & Aronsky 2008).
Over-administration of sedation clearly occurred, and the patient's potential nervousness might have contributed to increased blood pressure and thus led to a greater quantity of sedatives being administered than were needed. This is in part due to the speed with which the procedure was performed.
The patient's history does not appear to have been fully considered before sedatives were administered and other actions were taken. This at least in part a result of the lack of adequate staffing in the emergency department and the rush with which the procedure was accomplished. A better understanding of Mr. B's initial condition…… [Read More]
Combining these two methods is one effective strategy in mitigating pain in children (Cohen).
Additional strategies that involve both the patient and family are evident, particularly when dealing with chronic pain. Children sometimes internalize pain, believing that they must restrict their activity, particularly when parents worry and hesitate to allow them to be active. Parents see play as worsening of the situation or a relapse, contributing to an overprotectivness. This, in turn, reflects on the self-image of the child. In any case, experts recommend that parents not react in a negative way -- either by thinking the child is faking pain or becoming so overprotective that the child is a virtual prisoner. Instead, the psychological strategy should be to set realistic and evolving strategies so that there is not a continue pessimism regarding future health outcomes. This, for adolescents, is critical since there is also a self-esteem issue that goes…… [Read More]
Non-Cardiac Chest Pain
Background- Chest pain is one of the most common reasons people call for or visit the Emergency Room for help. Heart attack education has brought to light the urgency of seeking immediate medical treatment if one suspects they are having heart issues. However, chest pain does not always signal a heart attack, and may be totally unrelated to issues with the cardiovascular system. Often no clear reason for such pain presents itself during examination, but understanding the perception and pain experience can help medical professionals understand different experiences that lead to patient panic about chest pain (Jerlock, Gaston-Johansson, & Danielson, 2005). Typically, if chest pain is related to a cardiac issue it is usually associated with one of the following symptoms: 1) pressure, fullness or extreme tightness in the chest; 2) crushing or searing pain that radiates to the back, upward through the jaw, and especially through…… [Read More]
Ingenious Pain Andrew Miller
prompt: One major themes discussed Alain de
One of the central philosophical components of Friedrich Nietzsche's varied stance is the fact that pain is integral to providing meaning to the human life. This basic tenet is echoed in Andrew Miller's Novel, Ingenious Pain, which chronicles a protagonist who is born with a marked inability to perceive suffering or physical pain -- whether it is his or that of someone else (Barnard). Although the life of James Dyer -- the protagonist -- is highly eventful and full of action, it is curiously devoid of much meaning from Dyer's perspective, until a change encounter with a woman named Mary bestows upon him the capacity to feel pain. The sudden transition for the young man, and the fledgling empathy he eventually develops as a result, eventually overrides his life and leads to his death. Yet in the process, Dyer's…… [Read More]
According to the text by Sanders (2011), the Venturi Mask is likely to be the most appropriate assistive device in this process. Sanders indicates that this particular apparatus is "advised for patients who rely on hypoxic respiratory drive. This includes, for example, patients with COPD. The main benefit of the Venturi Mask is that it allows precise regulation of the FiO2. It also permits the paramedic to titrate oxygen for the patient with COPD so as not to exceed the patient's hypoxic drive while allowing enrichment of supplemental oxygen." (Sanders, p. 422)
In addition the Venturi Mask which can help to normalize pulmonary activity, the patient is also experiencing a productive cough with thick yellow sputum. The presence of excessive mucus is also likely contributing to Mr. Hay's airway blockages. This would be an appropriate place to use the Yankeur sucker in order to help remove fluids that might be…… [Read More]
Perception of Pain
Uses of Pain in nursing
Definitions of Pain from Dictionaries
Uses of Pain in psychology
Antecedents and Consequences
CONCEPT ANALYSIS OF PECEPTION OF PAIN
The aim of this paper is to increase the understanding of the perception of pain. The researcher purpose to clarify describe the characteristics of pain and recognize antecedents that effect the idea of pain and the likely outcomes of pain by utilizing Avant's and Walker (2005) theory of study. Also, a model case shows how pain is connected to these serious characteristics contrary case and a borderline case are shown to distinguish the perception of pain from other notions. Empirical referents show the current point-of-view of the perception of pain. (Akyol & Salmond, 2009)
Concept Analysis of Characteristics of Pain
The goal of this paper is to expand the understanding of the concept of…… [Read More]
reduce the amount of pain perceived. Many people have the ability to reduce perceived pain through psychological thought and understanding. Not all people can handle their pain in this manner, but it can help many chronic pain patients deal with their illnesses and their constant pain.
One technique is using positive coping mechanisms to deal with the pain, and the psychologist may be able to work with the patient in developing these coping mechanisms. Experts note, "People who feel that they have a number of successful methods for coping with pain may suffer less than those who behave and feel helpless, hopeless, and demoralized" (Turk, Monarch & Williams, 2004, p. 222). If the patient has a history of coping well with other stressful events, then they may be a good candidate for using coping mechanisms. Some of these coping mechanisms include relaxation, pain medication, and psychological counseling to help increase…… [Read More]
suffer anymore: Access to pain treatment as a human right, Human ights Watch author Diederick Lohman discusses the issue of pain management as a human rights issue. Lohman addresses the fact that it has long been established that pain relieving drugs, particularly narcotics, are an essential element of healthcare. In fact, he points out that in 1961, the world community adopted the 1961 Single Convention on Narcotic Drugs, which instructed countries to make pain relieving medications available to people (Lohman, 2009). However, the reality is that, even now the majority of the world's people lack access to pain-relieving medication. This is particularly true in low and middle income countries. Moreover, the lack of access impacts patients at all levels, even those whose conditions are terminal, so that they literally die in pain.
In the article, Lohman cites an extraordinary amount of facts and figures to back up his assertion that…… [Read More]
Acute Abdominal Pain -- Assessment
Nurses are very often the first medical aid providers that most patients see. In today's interprofessional healthcare set up, a nurse's approach in collecting a patient's history and diagnosing if the pain is acute or non-acute would assuredly help in providing the patient with appropriate treatment. It is therefore primary that nurses be fully equipped to diagnose the various ailments and start on the care to be provided. Nurses are also the first information gatherers and it is vital that they acquire the patient's past medical history. The importance of a structured approach in gathering this information is very vital as it forms the basis of analysis and also influences the care provided. Abdominal pain is one of the most common ailments that people complain of and seek medical care for. In most cases the pain's primary cause of pain may be ascertained almost immediately…… [Read More]
Music and Pain
The use of music in relation to relaxation and pain control is universal in application. Many cultures use music, tones, chanting, drums, or other forms of biofeedback to treat patients in acute pain, women in labor, recovery, and now, most recently, in pre- and post-operative care. In fact, the therapeutic value of music has been recognized as vital and powerful since Ancient Times; archaeological evidence shows flutes carved from bone in pictures of physicians healing patients, Greek physicians used music and vibration to heal, aid in digestion and induce sleep; the Early Egyptians used musical incantations to help with the healing process; and certainly, numerous native tribes use singing and chanting as part of their healing rituals (Nilsson, 2008).
Further, most postoperative patients have pain, despite the use of analgesia. Nurses are constantly trying to be more effective in delivering pain medication. One study showed that patients…… [Read More]
Chronic musculoskeletal pain necessitates the maintenance of good extensibility in order for normal functioning to be enhanced. This enhancement results in improvements in strength, endurance, fitness, and psychological well-being (Law et al., 2009). Programs promoting the improvement of movement for people with chronic musculoskeletal pain usually include stretching components. Stretching helps to improve functioning through improved range of motion within joints, and therefore muscle extensibility (Law et al., 2009).
The study by Law et al. (2009) emphasized the importance of tolerance and extensibility for individuals with chronic musculoskeletal pain. The purpose of the study, which was clearly outlined in the report, was to explore whether stretch affects either or both of these factors. The researchers hypothesized that individuals with chronic musculoskeletal pain may respond to stretch differently than individuals who do not experience chronic pain. Further to this suggestion, the researchers suggest that individuals with chronic musculoskeletal pain may show…… [Read More]
Lower Abdominal Pain
Patient: Patient is a 30-year-old female presenting with lower abdominal pain, beginning approximately 48-hour previous to her exam. Over the last few days, her pain has increased, and she reports vaginal bleeding that is scanty. She did have a normal menstrual period that ending two-weeks prior, and she indicates this was normal and lasted about 4 days. She is Gravida 2, Para -0, Miscarriage -- 2, and has been attempting to conceive with her husband. In addition, she denies dysuria or urinary frequency.
Vaginal bleeding after sex; inflammation of cervix from friction during sex, usually harmless and clear up quickly. It is possible that the issue could be something more serious (cervical dysplasia or cancer), but more likely inadequate lubrication or foreplay, possibly injury to the uterine lining. Vaginitis is another possible cause, all of which require a vaginal examination (Mayo Clinic, 2014).
Pseydocyesis (False pregnancy). This…… [Read More]
43). The pain assessment guidelines set forth in this article will have an immediate effect on my first encounter with a patient, particularly if that patient is a chronic pain sufferer or end-of life patient. The sixth defined responsibility in the INPA is also of particular importance in regards to the information contained in this article; this is the responsibility to "evaluate with the patient/client the status of the goal achievement as a basis for reassessment" (INPA, 2007, p. 43). The evaluation of pain and the assessment of necessary and reasonable care in end-of-life patients is a complex task, as this article points out, so the implications of this article's information on this task of the registered nurse are huge.
Its affects on the practical nurse are similar, though heightened. Many of the basic responsibilities of the registered nurse and the practical nurse are the same; for instance, the language…… [Read More]
The changes in the age demographic of the U.S. As well as the need to reduce overall spending in health care are significant reasons why advanced practice and specialty provision practitioner's skill sets and demands have changed. It is for this reason as well as for patient efficacy that such a subspecialty should be offered at a postgraduate level to AAs. These advanced practice alternative providers can be successfully and efficiently trained to provide services at a significantly lower rate, creating a potential opportunity for more people to receive advanced pain management care in a broader setting. This could only improve outcomes for chronic pain sufferers and broaden the scope of opportunity for AAs and possibly other advanced practice alternative providers. As need continues to rise alternatives must be sought within the system to provide care to patients who will likely need pain management service in growing numbers in…… [Read More]
History of RSD
The history and the discovery of RSD (Reflex Sympathetic Dystrophy) Syndrome and its symptoms have typically been associated with wars. While there is no doubt that RSD from physical stress and injury existed earlier, it was left up to war physicians to assign pathology to it. Silas Weir Mitchell, an army doctor during the Civil War, described the symptoms of "burning pain" left in soldiers long after the bullets have been removed. He attributed these residual and long lasting pains to major nerve injury. Weir was the first to call RSD causalgia (currently, specifically known as CRPS-2), which is Greek for "burning pain." He wrote that, "Under such torments, the temper changes, the most amiable grow irritable, the soldier becomes a coward, and the strongest man is scarcely less nervous than the most hysterical girl." Weir accurately reflected the symptoms. (PARC, 2004). Mitchell accurately described the symptoms…… [Read More]
Alternatives to Pain Medication
Given the growing concerns over opioid addictions in recent years and the potential for tolerance, clinicians continue to search for efficacious alternatives to convention pain medications (Moore & Anderson, 2016). Fortunately, a number of alternatives to conventional pan medication are readily available, including cannabis, yoga, hypnosis, mind-body meditation, therapeutic touch, herbal remedies, acupuncture, biofeedback, massage therapy, homeopathic practices (Tan & Craine, 2007) and aromatherapy (Esposito & Bystrek, 2014). To learn more about these alternatives, this paper provides an initial reference list of ten relevant peer-reviewed and scholarly sources concerning pain medication alternatives, followed by a description of clinical guidelines and an implementation plan for these alternatives. A discussion concerning the manner in which the implementation of the intervention should be tested is followed by an assessment of potential barriers and strategies intended to gain cooperation from individuals who will be implementing the change. Finally, a timeline…… [Read More]
Pain and Suffering
Pain is an abstract and complex topic, which is influenced by a serious of psychological and environmental variables. We all have experienced pain although at varying intensities. Since the psychological factors play a great role in influencing how we perceive pain, therefore, it renders pain a highly subjective experience. esearchers have tried to differentiate between physical and mental pain (Campbell & Edwards 2012). In this essay, I describe physical pain from mental pain. I also show how various people respond to pain, contrast two different responses to pain. I also highlight how Asian culture compares with Hispanic culture in responding to pain.
Describe physical pain from mental or soul pain.
The two major types of pain can be classified as physical and mental. Since physical and mental pains are subjective, complex phenomenon, defining them seems to be a challenge. The International Association for the Study of Pain…… [Read More]
Assessing the Abdomen
Abdominal pain has proven to be a major issue facing emergency room doctors since the diagnosis process is relatively complex. Meisel (2011) contends that doctors in emergency rooms do not fancy diagnosing and treating abdominal pain because it entails dealing with bodily fluids, complex internal examinations, and a wide range of diagnostic tests and therapies. This comes at a time when abdominal pain is one of the major reasons American patients visit the emergency room (ER). Caring for abdominal pain is characterized by a high chance of misdiagnosis unlike other health issues. ER doctors are faced with challenging and time-consuming processes when trying to determine the actual cause of abdominal pain. This is a case study of a woman who visited an emergency room for severe abdominal pain and was diagnosed with diverticulitis. The case study entails an analysis of SOAP (Subjective, Objective, Assessment, and Plan) factors…… [Read More]
feasible to measure pain because it is located in the thalamus. Is pain able to be measured objectively? Just as a blood pressure of 220/110 will give us some information about the cardiovascular system, assessing the peripheral pain pathway can help in the diagnosis and treatment of a patient's pain. Part of this paper will discuss the pain problem. People tend to view reports of pain with suspicion and disbelief. How is pain assessed at this time? Are there any objective markers of pain? How efficient are the current measurements of pain? Is the electromyography (EMG) test a good measurement of the nerve pain pathway? The pain pathway from the free nerve ending in the amydala hypothalamus will also be reviewed. The following section will discuss various instrumentations that currently exist, and how the pain sensory of the a-delta fibers can be measured. Another section will discuss the pathophysiology and…… [Read More]
Mindfulness Meditation Training on Experimentally Induced Pain" by Zeidan et al., (2010), published in the Journal of Pain, presents the results of research to investigate
The research addresses a gap in the research examining the benefit of meditation in attenuating pain symptoms. The research problem is clearly articulated, with the title clearly stating the content of the paper and the introduction expressing and justifying the issue. Past research has demonstrated that meditation programs, such as mindfulness-based stress reduction (MBS) programs have been correlated with positive health outcomes, including pain attenuation. The most common form of program is the MBS. In the context of pain management the eight-week length of the program renders it difficult for some patients, such as suffers of chronic pain, as they may not have the ability, or the time, required to complete the course. The research undertaken by Zeidan et al. (2010) addresses this problem, implementing…… [Read More]
Patient: 66-Year-Old Black / African-American Female With Complaint of Sudden Onset of Mid Upper Epigastric Pain
During the initial medical exam, it is critical to gauge the severity of the pain. The healthcare practitioner should inquire as to the presence of previous medical conditions such as colitis, Crohn's disease, and IBS which could be the cause of the sudden onset. In the instance of abdominal pain, the provider should determine the precise location of pain as much as is possible even though referent pain is often an issue. Even though the pain is located in the upper abdominal quadrant, greater specificity is needed to eliminate possible causes. For example, "pain in the patient's right-upper abdomen can indicate gallstones or inflammation" or "duodenal ulcers, acute pancreatitis, acute cholecystitis, and acute hepatitis" (Lipman 2009; Karnath & Mileski, 2002, p. 46). In contrast, pain in the right mid-upper abdomen, may indicate…… [Read More]
A Caucasian Man with Hip Pain
Decision Point One
The patient presents physical, social, and psychological complications. He is experiencing pain in his hip but is considered to be an unsuitable candidate for a hip replacement because of his age. The initial diagnosis was torn cartilage but the patient has also been diagnosed with complex regional pain syndrome (CPS). He previously worked as a machinist but has since been unemployed and has a conflicted relationship with his girlfriend who has accused him of being a junky. The patient does exhibit some symptoms of depression.
The patient has previously complained about the negative side effects of some of the drugs he has been given to address his pain symptoms, including constipation and sleepiness. Given this, the use of the tricyclic antidepressants like amitriptyline would seem counterproductive given that these drugs often produce similar side effects ("Amitriptyline," 2016). However, Savella…… [Read More]
Therefore, the research offers reliable data supporting the emerging medication.
The sample included 878 patients with low back pain or pain from osteoarthritis of the knee or hip. Patients were randomly assigned to Tapentadol or control drug oxycodone and took their medications for 90 days Doses for Tapentadol were flexible with either 50 or 100 mg offered every 4 to 6 hours, up to a maximum of 600 mg/day. Instances of nausea, vomiting, and constipation were significantly lower in the Tapentadol group vs. The oxycodone group. Doses were flexible and mimicked real life administrations of the medications.
However, the control group was given 10 mg or 15 mg of oxycodone IR every four to six hours. The lack of standardization of doses and the flexible administration of the drugs compromise the reliability and validity of the study. Nurses should also take note that rates of other side-effects such as drowsiness…… [Read More]
Also, when this option is not used, the number and nature of other types of pain management methods will be investigated. The sample size will be in the range of 100 patients in addition to their primary care-giving family members, which might range between 100 and 200.
A power analysis will be done to determine the divergence of choices from the ones that are expected. In cases where pain management in hospitals have been relatively effective, it is expected that fewer patients and families would opt for sedation, for example, whereas those who remained with their families for as long as possible before the end stage, as well as those for whom pain medication has stopped functioning adequately, are expected to more readily choose this form of pain management.
End-of-life care is a very emotional stage in the lives of both sufferers and their families. Ethical research will be ensured…… [Read More]
Certainly in nature, one who was too ill to move would not last long. They would certainly not be placed on a feeding tube, having a machine breathing for them, mechanical devices doing all but forcing their heart to beat. Does having the power to extend life mean that physicians then have a duty to do so? According to Lachs, "Medicine does not surrender its vocation in serving the desires of individuals: since health and continued life are among our primary wishes, its career consists in just this service." If the primary duty of a physician is to honor their patient's wishes for health, then if a patient desires death as an end to suffering, that physician does not have a duty to prolong that patient's life. Rather, prolonging life against the wishes of the patient breaches the duty of the profession.
hy, then, do physicians continue to take incredible…… [Read More]
Patient’s chief complaint: A man aged 69 comes to the emergency room with a sharp pain to his chest’s left side, lasting between 30 and 40 mins and then subsiding.
History of present illness: The pain has woken him up thrice in the last 7 days. He claims the pain first started roughly six months ago. Initially, however, the pain used to surface only occasionally, commonly while he was doing gardening. The patient’s past medical history reveals a diagnosis of hypertension twenty-five years back.
Precipitating/alleviating factors: The patient has been smoking a half-cigarette pack daily for the last forty-five years.
Family History: The patient has lost two brothers and his dad to heart disease. The patient does not report any other significant illness history in the family.
Social History: His typical pastimes include sharing a drink with pals and gardening.
Review of Systems: From a physical examination of…… [Read More]
Interventional Pain Clinic (IPC) as part of PeaceHealth Southwest Washington Hospital, located in Vancouver, Washington. This descriptive essay will be used to assist in developing focus on future projects with this class. This essay will give a background and history of this institution before investigating some of the specific purposes of the pain clinic. This community need will be explained and how this need does or does not specifically address the population this facility is attempting to serve.
PeaceHealth Southwest Medical Center has deep roots within this pacific northwest community. The original building was established in 1858 and the hospital was called St. Joseph Hospital. This hospital was originally founded by Mother Joseph Pariseasu and it is the oldest hospital in this part of the country. The other side of this merger began with Clark General Hospital which opened in 1929 to honor and serve military veterans and later changed…… [Read More]
Pilot Study of elationships Among Pain Characteristics
Mood Disturbances, and Acculturation in a Community
Sample of Chinese-American Patients With Cancer
Edrington, J., Sun, A., Wong, C., Dodd, M., Padilla, G., Paul, S., & Miaskowski, C.
This study is a pilot study to determine how level of acculturation and mood affect the intensity and functional aspects of pain in Chinese-American cancer patients. The purpose of the study is to determine if the pain perception of Chinese-American cancer patients is consistent with some past research on other ethnic groups (particularly Hispanic and African-Americans) that find that the level of acculturation is negatively related to the patients' self-reported pain intensity and the relief from pain associated with cancer. The researchers use the definition of acculturation as the process by which immigrants take on or embrace values, beliefs, customs, norms, and the lifestyle of the mainstream culture. Thus the Americanized the group is the…… [Read More]
Reavey, P. (010). Spatial markings: Memory, agency and child sexual abuse. Memory Studies.
According to Reavey (010), a critical component of recovery from childhood sexual abuse is reasserting the victim's sense of agency and control over her own life. All too often it is common when treating survivors to encourage them to see themselves as passive victims. The focus of Reavey's text is the spatial component of memory: women experience the trauma of abuse again and again because of the parallels between their current physical situation and that of their past, abusive histories. Reavey suggests that viewing the self as constantly in flux and changing and creating a new narrative linking past and present in a more positive way is a far more helpful concept to instill over the course of therapy. One of the challenges many women experience in dealing with abuse is that it takes place in a…… [Read More]
Assessing the Abdomen
The chief complaint of JR is that his “stomach hurts” and he is experiencing diarrhea, from which he has been unable to obtain any relief. His pain in his abdomen started 3 days earlier and he has taken no medication for it. The pain is midrange, though it was very high today when it began. He ate but experienced nausea afterwards. JR is 47, suffers from hypertension, diabetes and had an issue of gastrointestinal bleeding four years ago. He is on a number of medications to address his high blood pressure and diabetes. He has no known drug allergies, no history of colon cancer. His father and mother both had hypertension; his father has type 2 diabetes; his mother suffered from Gastroesophageal reflux disease and high fatty concentration in the blood (hyperlipidemia).
JR occasionally imbibed alcohol. He is overweight at 248 lbs with a 5’10” height. He…… [Read More]
The existence of human suffering poses a unique theological problem. If God is omniscient, omnipotent, and all-loving, then why does suffering exist? Indeed, this difficulty is confronted in scripture itself: perhaps the most important look into the problem of suffering comes in the Old Testament story of Job. Mainstream Christianity continues to have a variety of ways of approaching this theological question, although historically Christians had a much broader spectrum of responses. For example, today's mainstream Christianity is a result of the establishment of orthodoxy in the face of Gnostic Christians, who used the existence of suffering as a way of questioning whether God was indeed omnipotent or all-loving. Gnosticism instead posits a "demiurge" or "alien god" that created this world and its suffering without being omnipotent or good. ut the oldest mainstream form of Christian orthodoxy today -- represented by the Roman Catholic faith…… [Read More]
Turner resented the boy's efforts, and accused the members of Homer's Rocket Club of starting a bomb club, much the same way Homer's father's friend Doc warned the boys that they would blow themselves to kingdom come. Mr. Turner only begins to look differently at what came to be known as the Rocket Club after the high school's football season was threatened, because of the school's poor academic record. Homer's instincts and his mother's wise words were correct -- Sputnik changed everything, and America's leaders agreed that America had to look to the future. Homer was a defiant boy of conventional wisdom, a rebel, but not because of the clothes he wore or because of his anger, but because of his determination to look beyond the confines of Coalwood and to use his mind.
Homer's efforts were encouraged by his teacher Miss Riley, a rebel in her own right. She…… [Read More]
Banks Find New Ways to Ease Pain of Bad Loans describes the various ways banks holding large amounts of bad, or soon to be bad loans are, in effect, hiding these bad assets. For instance Astoria Financial Corp. extended the number of payments a customer had to miss before the loan would be listed as "nonperforming." By extending the number of missed payments from two to three, Astoria wiped close to $40 million off it's books. Well Fargo did a similar thing by extending the number of days a customer had to miss payments from 120 to 180 before writing these loans off. Bank Atlantic Bancorp tried something a bit different, they created an entirely new subsidiary and transferred $100 million of troubled loans to this new subsidiary. They managed to simply erase the bad loans from their books while avoiding federal regulators by creating a new subsidiary that was…… [Read More]
Emotions of Love and Lust in the orks of Victor Hugo
Victor Hugo is easily one of the major figures of world literature. Hugo has been responsible for painting some of the most compelling portraits of the struggle of the human condition and how certain emotional conditions continue to subsist among untold levels of depravity and suffering. One can examine The Hunchback of Notre Dame and Les Miserables as portraits of not only human suffering but as literary demonstrations of how even lust can continue to subsist throughout the human condition even when under intense strain. This paper will examine how Hugo is able to showcase the carnal longings of humanity throughout those works.
The Hunchback of Notre Dame demonstrates two different types of lust, emotional lust and sensual lust (Chris, 2010). Emotional lust in this case is first represented by the words and actions by the gypsy Esmeralda and…… [Read More]
theories on motivation that relate to an employee switching from salary to commission. The Maslow "Hierarchy of Needs" theory is applicable and appropriate; Maslow believed that people are motivated to fulfill basic needs first, then they move on to other needs. He presents five levels in his hierarchy of needs and the first is "physiological needs": these are survival needs -- food, water, air to breathe and sleep. The motivation to earn more money covers the ability to buy food and to have fresh water. The second level of Maslow's Hierarchy of needs is the most applicable to the switch from salary to commission; that second on the hierarchy are "security needs" -- steady employment, access to healthcare, a safe place to live and shelter from the environment. The other needs (social, esteem, and "self-actualizing") fit into the change from salary to commission, but of those "self-actualizing" is particularly germane…… [Read More]
Morgan, Edmund S., Joseph
Birth of the Republic, which was written by the late professor Edmund Morgan, is extremely ambitious in scope. Its purpose is to recount the history of the initial founding of the United States -- which was originally envisioned as a republic. As such, the author covers the approximate 25-year period that began with the end of the French and Indian ar and which ended with the formulation and ratification of the Constitution. During this tumultuous time period which included the Revolutionary ar, the rise and fall of the Articles of Confederation, and the increasing dissatisfaction with the British government, the mores of the men who would found this country were exuded and tested. The author's central premise is that those mores were more than simple political rhetoric that disguised a need for personal gain, and instead represented a dedication to values that likely has not been…… [Read More]
Participants filled out a Short-Form McGill Questionnaire, an Arthritis Self-Efficacy Scale, and Fibromyalgia Impact Questionnaire in order to measure their levels of pain over the past few weeks. What the researchers found through statistical analysis was self-management strategies that reduced pain over time were most effective in the group that was exposed to guided imagery techniques. The level of guided imagery therapy was not itself significant, but more of the fact of whether or not it was present in the patient's therapy or not. This helps illustrate the effectiveness of guided imagery in managing long-term chronic pain when there are no fundamental cures present within traditional therapeutic practices. Pain management symptoms improved, but the symptoms overall remained. This shows that guided imagery is not a cure in and of itself, but rather an effective way to reduce and manage the pain that is present in chronic conditions like fibromyalgia.
Weydert,…… [Read More]
Her life has been a hard one. She raises the children, walks half a mile to a well in rural Mexico to fetch water every day. When she leaves three days a week to serve as a domestic in a nearby motel, her oldest daughter, 11, looks after the children.
Maria makes tortillas every morning and boils the water for purification. Her hands are strong, her skin is leathery, the result of a lifetime of hard work and painful experiences. Her husband is working in the fields in California so she doesn't see him very often, but he sends her money through Western Union so she can pay the rent on their little home. He knows a baby is expected but the grape crops in California must be picked when they are ready, so he can't leave to come home and be with his wife. His back is permanently painful…… [Read More]
The practice of manipulative thrust therapy can be dangerous and cases of injuries and tragic events have been recorded. Cases of vertebral artery dissection (VAD) have been recorded in people that had the cervical spine manipulation technique done and research on the cases from 1966 to 1993 concluded 30% could be attributed to the procedure (Cleland 2007). VADs are spontaneous and can be normally present at the initial onset of headaches or neck pain. This represents the conclusion that the VAD was present before the technique is performed on a patient complaining of neck pain. The debate over the truth is still being waged. Even authors have joined the debate but they are touted as biased and do not support the evidenced based in research (User's Guide 2008).
Other debates rage as well. The risks of the manipulative thrusts therapies are actually no worse the risks from NSAIDs and cervical…… [Read More]
Healing Touch Annotated Bib
Bardia, A., et.al. (2006). Efficacy of Complementary and Alternative Medicine Therapies in elieving Cancer Pain: A Systematic eview. Journal of Clinical Oncology. 24 (34): 457-64.
Anecdotal evidence abounds regarding the use of complementary and alternative medicine therapies when dealing with issues of pain. One of the clear issues is that there is a lack of rigorous and well-developed scholarly literature on the subject. In this study, 18 trials were reviewed totaling 1,499 patients. Seven trials reported significant benefits using CAM, seven reported intermediate or short-term benefits, and four studies reported no benefits. The researchers conclude that there are a number of variables and a number of types of CAM, all which require more methodologically sound studies in order to determine actual efficacy of individual interventions.
Jones, T., Glover, L. (2012). Exploring the Psychological Processes Underlying Touch:
Lessons From the Alexander Technique. Clinical Psychology and Psychotherapy. EPub:…… [Read More]
This strength, however, comes at the price of an explanation of the detailed mechanisms by which abdominal pain is created by each of the identified illnesses. The article's primary strength is found in its directness and its effective summary of necessary information, in the brevity through which this is achieved necessarily limits the scope of the article. Though the article would perhaps have been more interesting with more in depth explanations, it was still a highly interesting read and provided an effective and concise review of some knowledge already obtained as well as presenting new knowledge.
The health assessment strategies described in this article would be highly beneficially in any practice not already using similar assessment methods. The efficiency and reliability of the methods the authors describe would be of great benefit to patients and staff alike, saving abundant time, energy, and resources that can then be devoted to treatment…… [Read More]
MacPherson, Thorpe, and Thomas (2006) reported an interesting qualitative study on the use of acupuncture in the treatment of low back pain. They report the results of a qualitative study nested within a large quantitative study (there were actually tow qualitative studies performed but the current study only addresses one of them). The quantitative study design was one of a large randomized controlled trial that compared acupuncture against typical general practitioner care. The study was carried out York between the years 1999 and 2003. The acupuncture treatment for the study was founded on the principles of Traditional Chinese Medicine (TCM) using six acupuncturists who all had a minimum of three years of post-qualification clinical experience. The acupuncturists were encouraged by the researchers to provide their typical treatment so that the study would evaluate the effect of routine care for lower back pain, each acupuncturist making meticulous notes of the aspects…… [Read More]
Both Margery Kempe and the woman who can be called her mentor, Julian of Norwich, highlight the roles that women have played in Christian history. Although the Roman Catholic Church has officially canonized neither of them, the Anglican Church recognizes and honors both. Margery Kempe and Julian of Norwich both wrote extensively, and their writings have survived as testimony of the hardships women especially endured given their low social status, and how religion helped women to attain personal power and peace. Moreover, their writings reveal a mature theology that can be considered humanist as well as feminist. Margery Kempe and Julian of Norwich both share in common experiences of hallucinations related to near death experiences. Their both having near-death experiences linked the two women and anchored them to Christ as well. Kempe eventually came to visit Julian of Norwich, and the two shared in common a visionary love…… [Read More]
mith, CA & Crowther, CA (2009) Acupuncture for induction of labour, Cochrane Database of ystematic Reviews, 1, 1-26
The pregnant woman is induced when the pregnancy is becoming dangerous either for herself or for the unborn child. Generally done by drugs, mith and Crowther (2009) reviewed the effects of induction that has been impelled by acupuncture which has been historically used to help induce labor and to reduce labor pain. mith and Crowther (2009) conducted a review that included three trials involving 212 women. They concluded that clinical evidence of the effectiveness of acupuncture as applied to this situation is limited, although some qualitative small studies do suggest that women who receive acupuncture receive fewer methods of induction than do women who receive the standard care of induction.
This article is particularly significant given that we are living in a period when increasingly more people turn to holistic or alternative…… [Read More]
Nursing Case Study
The first concern is that Mrs. Baker is taking a new drug that has side effects such as she is experiencing. Although the other high blood pressure medication has similar side effects (Drugs.com, 2012), she has been taking it for a long period of time and should not be experiencing as much difficulty. It seems germane to ask her how long she has been taking the hydrochlorothiazide though. One of the first thoughts is how well do the two medications work together, which is something her doctor understands, and if she can have an increase in side effects because of the increase in medication. The second question the symptoms, especially the fact that she seemed "confused and beside herself" on the phone, is to determine if there are other symptoms of stroke. Her breathing difficulties could be a symptom of the medication, and so could the confusion,…… [Read More]