country
$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket? Book Your Assignment at The Lowest Price Now!

The Identification Showing The Patient Is Experiencing Pain

tag 0 Download12 Pages 2,809 Words tag Add in library Click this icon and make it bookmark in your library to refer it later. GOT IT

Question:

How Pain Refers To The Physical Suffering And Discomfort?

 

Answer:

Introducation:

Pain refers to the physical suffering and discomfort that results from an injury or illness. There are various ways through which the health practitioner can identify that the patient is experiencing pain. Patients who can talk can volunteer information to the healthcare provider or can answer questions asked to enable the health provider to identify pain and its intensity. Drugs that are used for pain management include acetaminophen, corticosteroids, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs, naproxen and ibuprofen. (Gélinas et al. 2013, p160).  However, the patients do not usually volunteer information on pain since some of the patients think that if they say they are experiencing pain, the doctor’s workload may increase, increase in medication and also increase in the hospital bill. Patients can make assumptions that pain is part of the recovery and management. The health practitioners may have misconceptions that newborn, the old or people with altered mental capacity have reduced sensitivity to pain (Flor & Turk, 2015 p10). The patient can either use the verbal method to tell the health professional about the presence of pain.

There are non-verbal prompts that the patient can use to indicate the presence of pain and the exact location of the pain (Gélinas et al. 2013, p160). These cues are mostly used by patients with altered mental capacity. Non-verbal signs include; various facial expressions, the physical change of positions, variations in relational responses, changes in action designs and alteration in conceptual status. The different facial signs that the patient may show to indicate pain include; twisting, unfair expressions, scowling and quick eye blinking. There are various changes in body movements for pain indication ranging from guarding, worried, rigid, and fiddling and also anxiety. There is a change in relations nature in which the patient shows anger towards people, fighting healthcare attention as well as withdrawal. The patient experiencing pain exhibits variations in action design. Pain can make the patient have changes in mental capacity which lead to grief, bad temper, misperception as well as crying. There are also physiological signs that can be used to determine the presence of pain. When the patient is experiencing pain, there develops tachycardia and increased breathing rates. The patient can also show signs of increased blood pressure. Finally, a patient experiencing pain can have diaphoresis and dilated pupils (Hasenbring et al. 2014 p367).

 

Evidence of Therapeutic interacting (procedure)

Patient’s understanding of pain is crucial since pain is best assessed by gathering various information from the patients themselves since pain is regarded as a personal encounter. Therefore, the health care provider usually believes on the report given to the patient regarding their pain situation. This can be through verbal or non-verbal methods. The procedure of the pain assessment process relies on the mutual interactions between the patient and the care provider. Trust is created, and the patient is encouraged to give the report voluntarily without any biases.  Determining pain is a vital element in the physical assessment. Pain has been described as the fifth vital sign which represents a five-step evaluation of pain. This evaluation starts from the point of no pain (Flor & Turk, 2015 p16). The second stage is a little pain, then more pain, a lot of pain and finally the fifth stage is the unbearable pain. As seen above, pain assessment is considered as a continuous activity and not a single occasion. A detailed and more comprehensive evaluation of pain is advocated in situations where the pain drastically varies since abrupt changes usually represent an underlying pathological condition (Ballantyne, 1523). Pain is assessed at the start of physical examination to enable the clinician to know the comfort range of the patient to develop any measures needed to reduce pain.

Problem Solving Abilities

According to the nursing standards, nurses should possess certain values including ability to solve problems. Getting information on pain from the patient is not an easy task since various obstacles face the pain assessment process. These can be either patient or nurse related factors. The patient may not give the required information on pain due to fear of being seen weak, cultural beliefs, privacy issues, fear of increased medication which could lead to the rise of the medical bill. Therefore, the nurse should develop various abilities related to problem-solving (Yoo & Park, 2014, p47). Privacy of the patient during evaluation of pain is paramount since it reduces distractions and enables the patient to give information that he may regard shameful for example pain in the reproductive organs. The nurse should have extensive information the cultural beliefs of the patient to carry out pain evaluation procedure according to the culture of the people. For instance, the female nurse should know the restrictions in some cultures that does not allow men to undress in front of the women. Therefore, the female nurse should be able to ask for help from their male counterparts. The nurse should be able to explain to the patient the benefits of medication that are used in pain management for example analgesics. The nurse should be able to convince the patient that though the drug bulk and hospital bill might increase, the medication for relieving pain are important hence help on pain should be sought as soon as symptoms arise (Yoo & Park, 2014, p51).

 

Gather Equipment

There are few tools and devices in use for the pain assessment procedure. These devices need prior collection, gathering, assembly and set up to reduce wastage of time since pain evaluation process should be as short as possible since the patient is in pain and needs urgent medical attention. Gathering equipment is helpful in managing time so that the patient is put out of misery as soon as possible (Bourne et al. 2016, p73).  In assessing pain, tools required are minimal. The most important assessment tool is the nurse’s understanding of the pain, how the nurse perceives pain and the nurse’s attitude towards suffering. It is key that the nurse understands pain structures, pain theories, perceptions of pain and the psychology surrounding pain. Most of these concepts are discussed in medical books. Tools used in pain assessment range from simple scales to more complex ones. Simple levels include Visual Analogue Scales (VAS), while the more complex ones are color scales and logarithmic scales that are used in analyzing different pain facets (Bourne et al. 2016, p73). The choice of the tools or scale used depends on the type of pain experienced. The McCaffery-Beebe, the Melzack, and the VAS are adequate in assessing pain. A thermometer and a stethoscope can be used to assess the physical effects and the impact on body organs. These two equipment are straightforward and familiar but necessary in all clinical procedures (Bourne et al. 2016, p77).

Assessment of Pain under the given Guidelines

Pain assessment needs to be conducted in a systematic way. The pain evaluation procedure should always start with the patient rating the pain on a scale of 0 to 10 whereby 10 represents the most severe pain while 0 means that there is no pain at all (Perry et al. 2013, p15). The nurse or other healthcare personnel should ask on the history of the present pain which requires the patient to answer questions on when the pain started and the duration the pain has been there. The patient should be able to explain what they think started the pain and whether the pain is being referred to any other place. The location of the pain refers to the region where the patient is feeling the pain. The location is the structural dissemination of pain. The quality and character of pain can either be burning, stab, lancinating or even aggravate. The intensity pf pain can be described as either mild, moderate or severe based on various scales. The aggravating pain factors refer to what makes the pain worsen. The alleviating or relieving factors refers to what makes the pain lessen. These alleviating factors may include medications and other remedies taken.

The tool to be used in the evaluation of pain must be dependable. This tool should have constant outcomes when used in similar situations. The tool should also be valid such that it can measure pain and no other quantity which may include anxiety. The tool should also be precise and not burdensome since patients tend to give up if tired or in pain. Most of the time pain is assessed while the patient is making movements and taking deep breaths. The important method of pain assessment is through verbal communications as the patient narrates his encounter with pain to the nurse (Hadjistavropoulos et al. 2014, 1218). Various pain evaluating programs produce arithmetic data in a continuous or interval measure.

Mechanisms of pain evaluation include oral and arithmetic self-rating measures, behavioral surveillance techniques and physiological reactions. The patient offers the most efficient measure of the experience since pain is subjective. The Visual Analogue Scale together with McGill Pain Questionnaire are the most used approaches for the evaluation of pain in the general medical practice and research (Lucas et al. 2016). The McGill is usually used in cases of complex pain situations since it requires a lot of time.  The assessment tool should be very sensitive and not biased providing instant data with precision and dependability. The tool should distinguish between pain, emotions, and unpleasantness (Bourne et al. 2016, p73).The tool that is applicable in both clinical and experimental settings is preferred. The favorable device should be absolute and not relative scales.

 

Cleans, replaces and disposes of equipment

Hospitals are environments in which many infections can be acquired. Therefore, healthcare cleanliness is significant for patient’s prevention of infection, and well-being. Cleanness entails both personal hygiene and environmental purity. The health practitioner should ensure hand hygiene when dealing with the patients to reduce possibilities of infection. Patients should always handled with clean hands and gloves on all the time to reduce spread of infections.  Cleaning of material is crucial in ensuring that time is saved, the patient is safe and promotes hygiene within a unit (Whitehouse et al. 2014). This prevents reinfection or spreading of infections and diseases. It is also important as given in different ethical setups to return equipment as a matter of colleague courtesy. Proper disposal of used tools ensures reduced environmental pollution. When the used dangerous tools and equipment, for example, the needles used to inject analgesics, it serves as a safety mechanism since these harmful instruments are out of reach to the population. The containers that have medicine used for pain management and other waste products of this process can be a significant environmental risk of pollution since most of them are not biodegradable. Therefore, proper waste management and disposal methods should be employed (Hueil et al. 2014). Various policies provide the guidelines on the measures to be undertaken to enable a clean environment. The nurse should be able to clean the instruments that can be reused and properly dispose of other used equipment. The tools that are needed for the pain assessment procedure of the next patient should be replaced instantly to avoid inconvenience and delays in service delivery. The standards for the clean policy are outlined by the Center for Disease Control (CDC) which every health professional should follow (Whitehouse et al. 2014).

Documentation of Important Information

Documentation is an important tool in the delivery of medical care. The healthcare provider needs to document and record each and every detail that the patient narrates. Various documents and reports are usually prepared and contains valuable information that helps the healthcare provider to offer adequate health care services. In pain assessment, documentation is paramount since the evaluation is based on the narration of the patient (Kozlowski et al 2014, p23). Documentation warrants the continuity of healthcare as it is used as a communication device amongst clinicians. The documents help in planning and evaluation of patient’s treatment since it creates a long lasting record for future patient care needs. The records also help in the assessment of the effectiveness of the treatment. For example, on arrival, the patients report that he feels chest pains, during discharge the clinician should refer to the documents and ask if the pain is still there or gone. This help assesses if the offered services were helpful. Records acquired in pain assessment is also used in research to help come up with better pain management plans and methods (Kozlowski et al 2014, p34). The records are used to substantiate billing as well as their use to recollect a memory. Every care provider should know the importance of documentation during various medical processes including pain assessment.

 

Link Theory to Practice

Theory is acquired from the nursing schools, conferences, books, online and from other many clinical materials. A nurse should be able to connect theory and practice while carrying out their pain assessment procedure on patients (Baillie, 2014). Proper synthesis and understanding of literature, documentation, and interpretation of various methods related to pain evaluation help the clinician accurately understand and implement the pain assessment procedure. The nurse should have vast knowledge on all the aspects of pain evaluation and an explicit integration of all this information to enable exceptional performance in the pain assessment process. Since the nurse is aware of the various adverse effects that can be caused by untreated pain, he or she will act according to the urgency of the situation to avoid the physical and psychological effects resulting from constant pain. The health professional should have the necessary knowledge and skills required to operate pain assessment tools correctly so as to ensure ultimate patient satisfaction (Day et al. 2014, p.691). The learned theory about the guidelines of the pain assessment tool should be put into practice through following the set instruction to ensure better results and safety of the patient. The nurse should have an open mind to offer individualized services since pain evaluation process is patient based. The nurse should employ pharmacology knowledge and physiological of pain to come up with a medical prescription that meets all the needs of the patient (Day et al. 2014, p.703).

 

References

BALLANTYNE, J., FISHMAN, S., & BONICA, J. J. (2012). Bonica's management of pain. https://nls.ldls.org.uk/welcome.html?ark:/81055/vdc_100030753505.0x000001.

BURNS, C. E. (2013). Pediatric primary care. Philadelphia, PA, Saunders Elsevier. https://www.clinicalkey.com/nursing/dura/browse/bookChapter/3-s2.0-C20090421482.

Magee, D.J., Zachazewski, J.E., Quillen, W.S. and Manske, R.C., 2015. Pathology and intervention in musculoskeletal rehabilitation. Elsevier Health Sciences.

Perry, A.G., Potter, P.A. and Ostendorf, W., 2013. Clinical Nursing Skills and Techniques8: Clinical Nursing Skills and Techniques. Elsevier Health Sciences.

Baillie, L., 2014. Developing practical nursing skills. CRC Press.

Bourne, M., Dunn, S., Robinson, G. and Carthy, M., 2016. The identification and implementation of validated pain assessment tools to facilitate effective audit of pain management. Palliative Medicine, 30(4), p.S73.

Day, M.A., Jensen, M.P., Ehde, D.M. and Thorn, B.E., 2014. Toward a theoretical model for mindfulness-based pain management. The journal of pain, 15(7), pp.691-703.

Flor, H. and Turk, D.C., 2015. Chronic pain: an integrated biobehavioral approach. Lippincott Williams & Wilkins,pp10-16

Gélinas, C., Puntillo, K.A., Joffe, A.M. and Barr, J., 2013, April. A validated approach to evaluating psychometric properties of pain assessment tools for use in nonverbal critically ill adults. In Seminars in respiratory and critical care medicine (Vol. 34, No. 02, pp. 153-168). Thieme Medical Publishers.

Hadjistavropoulos, T., Herr, K., Prkachin, K.M., Craig, K.D., Gibson, S.J., Lukas, A. and Smith, J.H., 2014. Pain assessment in elderly adults with dementia. The Lancet Neurology, 13(12), pp.1216-1227.

Hasenbring, M.I., Chehadi, O., Titze, C. and Kreddig, N., 2014. Fear and anxiety in the transition from acute to chronic pain: there is evidence for endurance besides avoidance. Pain management, 4(5), pp.363-374.

Hueil, G.C., Hunt, J.V., Vasudevan, V.M., Nur, I. and Fanuele, G.J., Ethicon Endo-Surgery, Inc., 2014. Attachment of surgical staple buttress to cartridge. U.S. Patent 8,899,464.

Kozlowski, L.J., Kost-Byerly, S., Colantuoni, E., Thompson, C.B., Vasquenza, K.J., Rothman, S.K., Billett, C., White, E.D., Yaster, M. and Monitto, C.L., 2014. Pain prevalence, intensity, assessment and management in a hospitalized pediatric population. Pain Management Nursing, 15(1), pp.22-35.

Lucas, P.V., Mason, R., Annear, M., Harris, W., McCall, M., Robinson, A. and McInerney, F., 2016. Pain Assessment in Older Adults with Dementia: An Exploratory Pilot Study of Paramedic Students' Perceptions of the Utility of Two Validated Assessment Tools. Australasian Journal of Paramedicine, 13(3).

Turk, D.C. and Gatchel, R.J. eds., 2013. Psychological approaches to pain management: a practitioner's handbook. Guilford publications.

Whitehouse, A.B., Lynn, K.A. and Smith, S.W., Augusta ENT, 2014. Medical instrument cleaning system and method. U.S. Patent 8,816,856.

Yoo, M.S. and Park, J.H., 2014. Effect of case-based learning on the development of graduate nurses' problem-solving ability. Nurse education today, 34(1), pp.47-51.

OR

Cite This Work

To export a reference to this article please select a referencing stye below:

My Assignment Help. (2018). The Identification Showing The Patient Is Experiencing Pain. Retrieved from https://myassignmenthelp.com/free-samples/the-identification-showing-the-patient-is-experiencing-pain.

" The Identification Showing The Patient Is Experiencing Pain." My Assignment Help, 2018, https://myassignmenthelp.com/free-samples/the-identification-showing-the-patient-is-experiencing-pain.

My Assignment Help (2018) The Identification Showing The Patient Is Experiencing Pain [Online]. Available from: https://myassignmenthelp.com/free-samples/the-identification-showing-the-patient-is-experiencing-pain
[Accessed 30 March 2020].

My Assignment Help. ' The Identification Showing The Patient Is Experiencing Pain' (My Assignment Help, 2018) <https://myassignmenthelp.com/free-samples/the-identification-showing-the-patient-is-experiencing-pain> accessed 30 March 2020.

My Assignment Help. The Identification Showing The Patient Is Experiencing Pain [Internet]. My Assignment Help. 2018 [cited 30 March 2020]. Available from: https://myassignmenthelp.com/free-samples/the-identification-showing-the-patient-is-experiencing-pain.


MyAssignmenthelp.com has appointed best assignment experts who are wizards of words. Our writers know every trick of crafting high quality write-ups within a short period. With years of experiences, we have become one of the most prolific assignment help services in the USA. We deliver custom-made help to students with writing different types of assignments. We guarantee total need-based and timely service, and this is why increasing numbers of students prefer to buy assignment online.

Latest Nursing Samples

CNA344 Becoming A Registered Nurse: Practice Consolidation

Download : 0 | Pages : 8

Answer: Introduction In critical care nursing, close attention must be paid to the patient’s present status Most errors in clinical reasoning are not due to inadequate or incompetent knowledge but to the weakness of human thinking when there are uncertainty, complexity and pressure of time. To minimize such perception error we need to understand its causes. Generally nurses use clinical decision making during patient care. These decisio...

Read More arrow

MNG03217 The Positive Leader And Guide

Download : 0 | Pages : 6

Answer: Introduction It can be observed that the leaders should be positive as it can help in maintaining the engagement and performance of the employees in the workplace. Positivity can help the leader to maintain control over the activities. It is the responsibility of the leader to evaluate the overall activities in the work place and it has been examined that it is important for them to focus on attaining the positive results. Leaders ar...

Read More arrow

CNA344 Practice Portfolio Of Evidence

Download : 0 | Pages : 10

Answer: Consider the patient situation/context Provide an overview of the encounter.  What happened, how it occurred, etc what was it that alerted you to that fact that you needed to take action in the encounter. A patient was admitted to the emergency department with severe chest pain, sweating, body discomfort, palpitations, breathlessness and light-headedness. He was immediately put on supplemental oxygen therapy though nasal cannula...

Read More arrow

HSNS 365 Case Study Report Marking Criteria Method

Download : 0 | Pages : 9

Answer: Introduction:  The comprehensive patient assessment helps in the recognizing and identifying the care needs of the target patient groups, understanding the particular preferences of the patients and their family members, along with providing a benchmark for proper continual monitoring system for the progress that the patient is making in response to the care being provided (Estes, 2013). This essay will attempt to implore on comp...

Read More arrow

CNA742 Nursing Interventions For Paranoid Schizophrenia For Mental Status

Download : 0 | Pages : 6

Answer: The Mental Status Examination conducted on Julie led to the conclusion that the patient under consideration is psychotic. The fact that Julie depicts the attributes of being anxious and guarded plays a role in demystifying the fact that she is suffering from paranoid schizophrenia. Based on this analysis, the current study seeks to suggest the most effective interventions, the rationale for these interventions, an intervention plan, an...

Read More arrow
Next
watch

Save Time & improve Grades

Just share your requirements and get customized solutions on time.

question
We will use e-mail only for:

arrow Communication regarding your orders

arrow To send you invoices, and other billing info

arrow To provide you with information of offers and other benefits

1,236,324

Orders

4.9/5

Overall Rating

5,066

Experts

Our Amazing Features

delivery

On Time Delivery

Our writers make sure that all orders are submitted, prior to the deadline.

work

Plagiarism Free Work

Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.

time

24 X 7 Live Help

Feel free to contact our assignment writing services any time via phone, email or live chat.

subject

Services For All Subjects

Our writers can provide you professional writing assistance on any subject at any level.

price

Best Price Guarantee

Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.

Our Experts

Assignment writing guide
student rating student rating student rating student rating student rating 5/5

265 Order Completed

97% Response Time

Ken Campbell

MSc in Electrical Engineering

Wellington, New Zealand

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

154 Order Completed

97% Response Time

Harold Alderete

PhD in Economics

London, United Kingdom

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

234 Order Completed

100% Response Time

Samantha Ji

PhD in Chemistry with Specialization in Organic

Singapore, Singapore

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

2115 Order Completed

97% Response Time

Kimberley Chen

MPA in Accounting

Singapore, Singapore

Hire Me

FREE Tools

plagiarism

Plagiarism Checker

Get all your documents checked for plagiarism or duplicacy with us.

essay

Essay Typer

Get different kinds of essays typed in minutes with clicks.

edit

GPA Calculator

Calculate your semester grades and cumulative GPa with our GPA Calculator.

referencing

Chemical Equation Balancer

Balance any chemical equation in minutes just by entering the formula.

calculator

Word Counter & Page Calculator

Calculate the number of words and number of pages of all your academic documents.

Refer Just 5 Friends to Earn More than $2000

Check your estimated earning as per your ability

1

1

1

Your Approx Earning

Live Review

Our Mission Client Satisfaction

thank you guys i have not got grade but look vey good. you always doing good job. thank you again and again

flag

User Id: 380549 - 30 Mar 2020

Australia

student rating student rating student rating student rating student rating

Amazing work done by the expert. Would love to give more work to this team. Attention to detail

flag

User Id: 127429 - 30 Mar 2020

Australia

student rating student rating student rating student rating student rating

It was awesome and got desire score..I am very happy to work with them and I will work with them.

flag

User Id: 349582 - 30 Mar 2020

Australia

student rating student rating student rating student rating student rating

I\'m okay with the work. Took time to answer my concerns and feedbacks. Delivered within the required timeframe

flag

User Id: 382318 - 30 Mar 2020

Australia

student rating student rating student rating student rating student rating
callback request mobile
Have any Query?