Affordable Pain Assessment

Considerable evidence demonstrates substantial ethnic disparities in the prevalence treatment progression and outcome of pain-related conditions. Elucidation of the mechanism underlying these group differences is of crucial importance in reducing and eliminating disparities in these pain experience. Over recent years, accumulating evidence has identified a variety of processes, from neurophysiological factors to structural elements of Healthcare system. That may contribute to shaping individual difference in pain. For example, the experience of pain differentially activate stress- related physiological response across various ethnic groups appear to use differing coping strategies in managing pain complaints treatment decision vary as a function

DOI: 7/27/2011. Patient is a 53-year-old female jobber who sustained a work-related injury to her lower back while she was throwing away a bad batch of buns and she felt a pop in her low back, causing numbness in her leg which gave out. As per OMNI notes, the patient also fell to the floor. Urine drug screen obtained on 12/17/15 is negative for hydrocodone and is positive for nordiazepam, Diazepam, oxazepam, temazepam, cyclobenzaprine, methamphetamine, and ethyl sulfate. Based on the medical report dated 01/06/17, the patient continues with neck and low back pain. She had a fall last week when her back spasmed and ended up cutting her foot.

In this crosspost, the author will elaborate on the original threaded discussion by Ellerbee Mburu, Vail, and Barlow and add additional information on pain assessment and management. Healthcare providers are the major group of healthcare professional who perform crucial functions in delivering and providing nursing care to inpatient and outpatients. As mentioned in the threaded discussion by Ellerbee, Mburu, Vail, and Barlow, undertreated pain causes unnecessary distress and negatively affects the quality of life. In additional to the original threaded discussion, pain is a factor that is thought of differently by many. It has been added as the fifth vital sign and is considered to be subjective.

Since life after surgery is stressful and painful, all the patients had some sort of pain medication, with a majority on opioids. Although they were on all sorts of medications, many complained of intense pain and expressed their frustration as they were a 10 on the pain scale and demanded they be given more, all while smiling. Granted, some of those patients really needed the opioids to control their pain, but in my opinion, most were claiming to be so high on the pain scale as they believed that by doing so, it brought out stronger medications more and more often, even if it wouldn’t be safe. An article in Scope, published by Stanford Medicine, acknowledges this phenomenon, “Today’s cultural ethos of ‘all suffering should be avoided’ encourages patients to believe that any level of subjective pain is unacceptable, and that doctors have a responsibility to remove the pain, lest the patient, in addition to being in pain, is psychologically traumatized by having to experience pain” (Scope Blog). However, in an attempt to change this cultural view, Utah Department of Health has begun to campaign and educate the citizens of Utah about the opioid abuse epidemic in the state with the slogan, “Stop the

Observations made demonstrated how patient experience within the department is affected by the environment in which patients are cared for including the cleanliness, the security and how well managed the department is; the interactions that occur involving compassion, being listened to and being treated with dignity and respect. The author has recognises that the environment can provide patients with a visualisation of the organisation values. The observations made have reaffirmed that patient experience is an equal element in achieving high quality care. The author acknowledges that the experience may have been different if the activity was undertaken at a different time e.g. not in the school holiday period or later in the morning which

Some patients prefer not to take pain medication because they fear addiction or may have a history of substance abuse. Educating the patients on their right to be free of pain and having their pain managed aggressively is a priority in the recovery phase. The goals that I hope to achieve during this clinical practicum

The upswing in prescriptions stems from a report in 2000 that said doctors didn’t treat patient pain properly. The report went on to recommend doctors check on patient pain at every appointment. The problem is that the only way to assess pain is to ask patients about their pain level. If a patient says he’s in terrible pain, the doctor is encouraged to prescribe something.

1. Discuss the age specific physical assessment/s properly completed this week. State techniques you used in completing the physical assessment of your patient. Often these techniques will differ from an examination of an adult. * B. was an 16 year old male.

Organizational Analysis An organizational analysis is a critical component in identifying problems or insufficiencies a business or organization may have. The organization’s culture, mission, values, and beliefs are evaluated. By performing an organizational analysis, one may be able to strategically develop a plan to correct issues. This paper will discuss healthcare systems as complex adaptive systems (CAS), evaluate Baptist Health System (BHS) as an organization, and explore BHS’s readiness for change.

The patients experience within the hospital is collected from a survey done randomly among patients. Each hospital must have at least 300 survey responses per year. After collecting the data, the data is submitted to the survey data warehouse, where it is analyzed and adjusted to truly reflect the hospital’s conditions. The Centers for Medicare and Medicaid Services along with the Agency for healthcare research standardize the survey results with the hospital consumer assessment of healthcare providers and systems survey. This survey has only thirty-two questions which are analyzed each year.

Psychological Assessment and Management of Chronic pain Evaluating a chronic pain condition from a biological perspective is limiting, and often fails to fully explain the patient’s symptoms. In contrast to the biomedical model, which explains pain purely in terms of pathophysiology, the biopsychosocial model views pain, suffering and disability, as the result of dynamic interactions among biological, psychological, behavioral, social, cultural and environmental factors. Consequently, assessment requires not only the examination of the biological dimension, but of the psychological and social dimensions as well. A patient’s experience of pain and response to any treatment for pain are affected not only by biologically determined nociceptive (nervous system transmission) processes, but also by psychological factors such as mood (for example, depression, anxiety) and appraisals (thoughts and beliefs about the pain), as well as by psychosocial factors such as the responses of others (for example, family, friends,

One of their patients, John, has been diagnosed with late-stage lung cancer and is experiencing chronic pain. John's pain is subjective, and he describes it as a constant ache that varies in intensity. As a healthcare professional, the team faces the paradox of pain as subjective versus objective. They need to classify John's pain to determine the appropriate treatment approach while also recognizing the subjective nature of his pain.

We appraised the strength of the evidence across published SRs and MAs of MMRPs for prevalent clinical pain conditions and our primary analysis found that among 134 associations less than half produced significant results at P-value ≤0.05 under random-effects modelling. The proportion of significant results shrunk to almost 11% when a more strict threshold was applied (P-value <0.001). Additionally, none of the statistically significant results presented either convincing or highly suggestive evidence. Only a trivial quantity was supported by suggestive evidence. These pertained to MMRPs associations merely for LBP and mainly for short-term outcomes.

Next, from 0 to 5 rate the pain management and dizziness level morning or night effects, 0 being the lowest and 5 the greatest. The goal is to evaluate the client’s anxiety attack and the levels it matures to and the degree. In addition to, documenting the intervals as to when the episode 's take place, rating the pain level or level of dizziness when it occurs. Nevertheless, the scale provides important data for the therapist, to take notice of the client’s symptoms so that he/she can adequately diagnosis and determine their needs

The most common strategies used were medication, rest, mobility, distracting activities and talking about pain. Respondents chose strategies by balancing the advantages of the activities against the disadvantages these brought for their daily living. This study indicates that characteristics of the older people, such as their way of experiencing themselves, how pain affects their daily life and how they perceive effects and side-effects of pain management are areas that need to be identified when staff assess pain and plan pain