Annotated Bibliography on Pain Assessment Tools for Patients With Limited Communication Health Assessment Tammy F. Surrency Dr. Constance Morrison March 12, 2013 Introduction Pain assessment tools for patients with limited communication is the topic of this annotated bibliography. This is a topic of interest to me because for nurses, it is very important to perform a pain assessment on patients who have limitations in their ability to communicate as a result of cognitive impairment, learning disabilities, or language impairment. To identify, assess, and treat patients with complaints of pain are vital because the experience of pain may affect the perception and expression of other symptoms resulting in inappropriate treatments and management. In order to properly treat the symptoms of pain, a good pain assessment tools are used. The use of the pain assessment tool will assist in developing the plan of care for the patients.
The author’s position on this was she being manipulated by the patient, how she felt, and her feelings as she was in the nursing profession during this time. 2) McCaffery, M, & Passero, C. (2000). Pain Control: The Merits of Methadone. The American Journal of Nursing, Vol.100, No. 7, 22-23 McCaffery and Passero’s article discusses the benefits of how Methadone can manage chronic pain.
(Burkhardt, Nathaniel 2008). Patients in pain can be difficult at times. They may be angry, suspicious, scared, anxious, and depressed. Nurses may react to them with negative feelings by frustration, resentment, or even dislikes and those attitudes undermine therapeutic discussion. Patients in pain also at times disagree with a physician’s assessment or manifest characteristic unexplainable adverse events.
Amitriptyline is an antidepressant. This medication can help with chronic pain as well anxiety that the patient can be having from the state of her current condition. Albuterol is a bronchodilator used as a quick-relief agent. This medication can help with the patient’s
During my observation in placement I found it to be more applicable to older adult complaining to the nurses how constipated the feel. Therefore this project will be based on constipation among older adult with mental health. I will be discussing and analysing in line to clinical practise, followed by reflection and conclusion. I took it upon my interest to know how constipation affect older adult with mental health in line with the following; causes, medication, activities and nutrition. John (2003) reflection is a window through which I can view and focus self within the context of experience in ways that enable to comfort,understand and resolving the contradictions within practice of what is desirable and actual practise.
Being available to listen to concerns, answering questions and providing guidance on end-of-life matters that may need to be addressed such as; living wills and power of attorney for healthcare. Anger Anger is common emotion that people deal with during the grieving process. Pain and blame usually accompany the wave of emotions in this stage. Why is this happening to them, or who is to blame. Anger allows the person to focus or provide a structure to hold on to, pulling them away of the feeling of helplessness or nothingness.
Nurses are at risk of not caring due to compassion fatigue. Compassion fatigue is described as “a complex emotion that allows care-givers to hold and sustain themselves in emotional balance while holding patients’ despair in one hand and their hopefulness in the other (Bush, 2009, pg. 25). In this paper, the author will discuss warning signs for five concepts of compassion fatigue, the nature of the problems and their causes, the needs of the caregiver, and coping strategies and resources for those suffering from compassion fatigues. Warning Signs for Five Concepts of Compassion Fatigue Physical Manifestations Compassion fatigue can manifest itself through physical symptoms.
This assignment will analysis the pathophysiology of pain and the related care of severe pain in patients who may be attended by the emergency ambulance services by the use of ketamine as an analgesic agent. This assignment will also explore the pharmacokinetics and pharmacodynamics and the routes of administration and rates of absorption of ketamine. The legal issues associated with drug administration and the protocols utilised by paramedics to deliver drugs in the out of hospital setting will be discussed and how prescription drugs can have adverse effects on patients during exacerbation of illness or injury will also be analysed. One of the most vital points to consider in relation to the control of pain and the administration of analgesia in the pre hospital setting is that, in many cases, it is inadequate (Lord and Parsell: 2003 and Hennes, Kim and Pirrallo 2005). It could be said that any delay in handing a patient over to the Accident and Emergency Department, due to a particular busy period or during a major incident, thus delaying in hospital analgesia administration, amplifies the beneficial impact of adequate pre hospital administration of pain relief.
The model relates the human body to a machine that it can be repaired or restored to health through treatment that reverses the disease process. People have illnesses and physicians diagnose and treat diseases. Disease is the malfunctioning of the body/part of the body, which is diagnosed on basis of signs and symptoms whereas illness is the subjective experience of pain, discomfort and disorders. (Taylor, S. and Field, D. (2005). People express their view on health in narrative form, which allows good patient-centred care.
It is impossible to draw a clear boundary, as it pertains to the anticipated end results (Rogers 75). It can also be viewed that both the patient and the therapist are interested in a positive end result and both work towards finding the best way to address the patient’s pathology. The relationship between the patient and the therapist can thus be viewed as one of mutual benefit, but one which aims at the patient’s eventual recovery. In either case both physical therapy and occupational therapy, the therapist takes on the leading role and guides the patient through provision of pertinent information which would lead them in making informed choices and in turn lead to the attainment of the best possible outcomes (Rogers 91). A major dissimilarity between the two forms of therapy that is generally alluded to, is that while physical therapy aims at achieving healing for the patient through actions directed at the patient, occupational therapy seeks to attain the same wellbeing of the patient, through modification of their work environment (Bateman and Holmes 66).