Monday, January 28, 2019
Pain Management Essay
Joshi, G., & Kehlet, H. (2013). Procedure-specific throe Management The Road to purify Postsurgical Pain Management?. Anesthesiology, 118(4), 780-782. .This member explained that break-dance botheration actment is cognise to produce umpteen benefits for the surgical unhurried. However, the article goes on to explain that treating postoperative bruise is still a major issue with inadequate postoperative patient ail relief remaining high. The article discussed how the Joint flush declared vexation the fifth vital sign. And that the Joint citizens committee has determined non all inconvenience could be eliminated, entirely that goal- colligate therapy whitethorn be suitable. The article concluded by explaining that there was a rent for evidence-based procedure specific ache management guidelines. I found this to be an interesting concept that the article presented. In summary the germs believed we could better manage botheration based on knowing the type and a mount of pain usually caused based on the type of surgery.Zuccaro, S., Vellucci, R., Sarzi-Puttini, P., Cherubino, P., Labianca, R., & Fornasari, D. (2012). Barriers to Pain Management. clinical do drugs Investigation, 32(S1), 11-19.This article started by showing that although there are many techniques to alleviate pain there are even more barriers to hard-hitting pain management. With these many barriers leading to a large number of patients not receiving the shell pain control. The abstract went on to give examples of the different types of barriers for patients, physicians, and wellness keeping institutions. The source believed that identifying and acknowledging these barriers was the beginning to everywherecoming them. The abstract concluded that health bursting charge providers need to be more aware of their patients as well as their own cognitive, emotional, and behavioral barriers in order to execute optimal pain management.Sinatra, R. (2010). Causes and Conseque nces of incompetent Management of Acute Pain. Pain care for, 11(12), 1859-1871.This article started off by showing that acute pain affects millions of patients every year. This author in like manner agreed that even with the increased focus on pain management patients pain control continues to be subpar. The purpose of the authors field of operations was also to determine barriers to effective pain management as well as consequences to ineffective pain control. This was achieved by completing a review of upstart literature regarding the subject of pain management. The field of composition determined that physicians and patients attitudes and cultivational barriers as well as limited available therapies lead to inadequate pain management. The authors concluded that studies on the use of multiple analgesics with different mechanisms of action could better the efficiency as well as adverse effects over the single agent approach.Schatman, M. E. (2011). The occasion of the H ealth Insurance Industry in Perpetuating Suboptimal Pain Management. Pain Medicine, 12(3), 415-426.This article started by sharing that pain practitioners component part according to medical ethics while health care insurers extend under disdain ethics of cost and profit. The authors believe that the health redress industry continues to fail at servicing those suffering from chronic pain and instead the industry stays focused on serving itself. The adjudicate focused on the different self-serve strategies used by the health redress industry including efforts to falsify chronic pain and its treatments. In conclusion the author felt that the future outlook for those with chronic pain was not good until a not-for-profit single payer system replaced the current self-serving health care damages industry.Loder, E., Witkower, A., McAlary, P., Huhta, M., & Matarrazzo, J. (2003). renewal infirmary staff association and attitudes regarding pain. American Journal Of Physical Medicin e & Rehabilitation / experience Of AcademicIn summary this article was based on a study that focused on inpatient care staff and their association related to to pain. A survey was conducted with hospital staff regarding attitudes and experience related to pain care responsibilities. This study showed the staff rated personal lack of education regarding pain management as the main barrier to effective pain management. It also showed that the majority of staff surveyed felt uncomfortable with many aspects of pain management including the use of opioids in the treatment plan. The study went on to discuss how the findings could be used to improve pain management in the hospital setting going forward including staff education.Niruban, A., Biswas, S., Willicombe, S., & Myint, P. (2010). An audit on assessment and management of pain at the time of acute hospital admission in older people. International Journal Of Clinical Practice, 64(10), 1453-1457.This study focused on pai n being more prevalent in older people and how well that pain is assessed and managed in the emergency environment. The study was performed at a hospital in West Norfolk, UK on cxl patients with acute pain hospital admissions. The pain management of these patients were evaluated for 24 hours later on admission. The study findings concluded that pain management was not optimal for these patients. The study also showed that management of pain would have been better with scheduled monitoring, education, and better assessment.Personal reviewThis review of literature has positively impacted my catch of pain management in many ways. These articles opened my eyes to how strategic of a role pain control plays in the overall conquest of the patient. The studies showed how pain management directly effects overall patient outcome. If pain control is handled optimally then positive patient outcome goes up and vice versa. Before this review I knew pain management was important, but I didnt pull in how important with it directly being related to overall patient outcome.This literature also helped me to recognize that health insurance practices play a major role in patient care. The health insurance industry sets many guidelines that determine how and when care is given to our patients. angiotensin-converting enzyme of the articles focused on how the insurance industry is guided by business ethics with profit being the most important focus. While care providers are guided by medical ethics with positive patient care being the priority.Finally, this review opened my eyes to the many barriers in the way of proper pain management for patients. I now image that there are patient, provider, and institute barriers effecting optimal pain management as well as many others. And that these barriers include educational, personal attitudes, beliefs, and more. This review helped me realize that identifying and acknowledging these barriers is the first step in overcoming these bar riers in order to provide the best pain control and best total care to my patients.ReferencesJoshi, G., & Kehlet, H. (2013). Procedure-specific Pain Management The Road to Improve Postsurgical Pain Management?. Anesthesiology, 118(4), 780-782.Loder, E., Witkower, A., McAlary, P., Huhta, M., & Matarrazzo, J. (2003). Rehabilitation hospital staff knowledge and attitudes regarding pain. American Journal Of Physical Medicine & Rehabilitation / Association Of Academic Niruban, A., Biswas, S., Willicombe, S., & Myint, P. (2010). An audit on assessment and management of pain at the time of acute hospital admission in older people. International Journal Of Clinical Practice, 64(10), 1453-1457.Schatman, M. E. (2011). The Role of the Health Insurance Industry in Perpetuating Suboptimal Pain Management. Pain Medicine, 12(3), 415-426. Sinatra, R. (2010). Causes and Consequences of Inadequate Management of Acute Pain. Pain Medicine, 11(12), 1859-1871. Zuccaro, S., Vellucci, R., Sarzi -Puttini, P., Cherubino, P., Labianca, R., & Fornasari, D. (2012). Barriers to Pain Management. Clinical Drug Investigation, 32(S1), 11-19.
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