Acute and Chronic Pain Management Order Instructions: how are you today
Thank you so much for helping for this industry reflection assignment. The topic is mentioned in the topic.
• APA Referencing
• At least 20 genuine references from 2010 to 2016 study based,
• 90 % references have to be research-based Journal article AND books
• Australian and New Zealand based study articles are preferable.
• Please have a look Rubric guideline for a given topic, I need good grades in this assignment so please do me a favor and try to make a good reflection using
The 5Rs Framework for Reflection
You have to think about an incident related to pain and follow the rubric guideline, please.
Please use heading event (incident), action, result and subheading related to 5 R’s of reflection such as reporting, responding, relating, reasoning, reconstructing.
Assessment Task 1: Written Industry Reflection
All students are required to attend an interview when applying for a New Graduate Program or a Registered Nurse Position. As part of the interview process, you will be required to reflect on your past clinical experiences when answering interview questions. For this assessment task students are required to answer the following interview questions:
1. How would you handle a patient who constantly complains about pain?
Using the E.A.R (event, action, result) interview method and your reflective skills provide a written (800 word) summary to this question.
You are also required to refer to the criterion-referenced rubric on page 13 of the unit outline. This rubric will also form the basis of your feedback for this assessment item
The length and/or format: 800 words
Assessment criteria: The criterion-referenced rubric on page 13 of the unit outline should be used to guide your reflective writing. This rubric will also form the basis of your feedback for this assessment item.
Acute and Chronic Pain Management Sample Answer
Introduction
Acute and chronic pain management are essential facets of the treatment process and overall recovery process of the patient. If not properly assessed and handled, the physical, psychological and emotional well-being of the patient can be negatively affected by lowering the chances of complete, timely recovery. The benefits associated with pain management are accrued not only by the patient but also by the caregivers since they can offer medication quickly to the patient amongst other benefits (Dijk, FM, Vervoort, van Wijck, Kalkman, & Schuurmans, 2016).
Proper assessment of the patient in pain forms the cornerstone of optimal pain management. The success of the assessment will not only depend on the quality of the assessment tool, but also on the healthcare provider’s ability to focus the patient (Mcintyre et al., 2014; Joshi et al., 2014). Listening and a strong understanding of the patient’s pain is critical in knowing the cause of the problem and the best formula to handle the problem. Following these guidelines firmly ensures that the patient is allowed access to the best level of pain relief mechanisms available (Dougherty, Lister, & West-Osam, 2014).
Event
Reporting
I have previously dealt with cases of patients in pain, with the most notable case dealing with a middle-aged man. Recently having undergone lung surgery, the patient was experiencing a considerable amount of pain, with difficulties in breathing. The patient did not report this and thus adequate treatment was not given. Proper clearance of the lungs was not possible due to dry coughing associated with severe pain. He thus developed pneumonia over time.
Action
Responding
In treating postoperative pain, various analgesics (e.g. acetaminophen, anti-inflammatory, non-steroidal, and opioids) can be prescribed (Henderson et al., 2013; Schug et al., 2016)). The desired effect and the patient’s pain scores dictate the choice of medication, as each drug has a differing mode of action. Improving pain control should not, in any case, jeopardize the safety of the patient. Unnecessary administration of opioids and overdosing should be avoided to reduce the possibilities potentially fatal respiratory depression, or increasing the patient discomfort (Dijk, 2015).
Reasoning
In the scenario mentioned above, I conversed with the patient with the aim of making him feel at ease and open up to his problem. With sympathy, I listened as he explained how the pain had started shortly after the surgery and grown steadily. Starting as the standard after-surgery pain, the pain had increased to a sharp stab in the chest. Coughing was minimal and easy in the first instance, but as the pain increased this had changed to a strained cough due to chest pain. After some assessments, I detected some symptoms of pneumonia in the patient. After the chat, I assured him I would do my best to intervene and help control the developing condition and ease the associated pain (Twycross, 2013).
After the patient was reassured of the best care, I duly notified the doctor of the situation. Together with the doctor, we conducted an assessment of the patient to determine the levels of discomfort he was experiencing. This also assisted in identifying the best primary interventions that could be applied to alleviate the patient’s pain and discomfort. Opioids were administered to reduce the pain levels of the patient while other more efficient intervention methods took the course (Mettens, Goossens, Verbunt, Koke, & Smeets, 2013).
Relating
This case is similar to the one I had encountered. Since I am equipped with the excellent conversation skills and know-how of the medical field, my first action will be to identify the cause of the pain experienced by the patient. By being sympathetic and listening keenly to the patient, I will be able to decipher the type of discomfort the patient is in and the possible causes. Employing my knowledge in healthcare, I can be able to predict a treatment course that can be most effective in the short run if necessary.
Since the doctor is the one with the ability to prescribe the right medication, I will confer with the attending physician and notify them of the patient’s condition. In a follow-up, I will then ensure that the patient’s pain is being managed in the right ways by the tasked personnel. Finally, I will take on to reassure the patient that they have the best medical care, and everything possible which can help their condition is being done to ease their pain (Abraham, 2014; Butow & Sharpe, 2013).
Result
Julian showed a great response to medication. After the intervention, the patient showed slow progression and after a period of one week, he no longer complained of the pain. I continued closely monitoring the patient to identify the possibility of further complications, but the patient seemed okay. The treatment for pneumonia was also effective in the condition easing ultimately. The relationship of Julian with the care providers also improved and was no longer reluctant to express how he was fairing medically.
Reconstructing
Nurses are especially important in the health care setting as they provide the much needed psychological care to the patient (Lrsson, Sahlsten, Segesten, & Plos, 2011). Apart from the medical service rendered to the patients, nurses also give verbal, and written advice given to the patients help in the overall patient recovery (Ontario Hospital Association, 2011). This of great importance especially to patients that are newly diagnosed with terminal ailments and need constant care and attention facilitate the control of symptoms and progression of the disease (Caudill, 2016; Gifford, 2013). The close relation enables patients to better understand the facts of the illness based on facts and not the anecdotes and misinformation widely voiced by the public (Melanie, 2016).
Acute and Chronic Pain Management References
Abraham, J. L. (2014). A Physician’s Guide to Pain and Symptom Management in Cancer Patients (Vol. 3). Baltimore, Maryland.
Caudill, M. A. (2016). Managing Pain Before It Manages You (Vol. 4). New York, London: The Guilford Press.
Dijk, J. V. (2015). Measuring Postoperative Pain. Utrecht: CPI Wohrmann.
Dijk, V., FM, J., Vervoort, S., van Wijck, A. J., Kalkman, C. J., & Schuurmans, M. J. (2016). Postoperative patients’ perspectives on rating pain: a qualitative study. International journal of nursing studies, 53, 260-269.
Dougherty, L., Lister, S., & West-Osam, A. (2014, December 8). The Royal Maraden Manual of Clinical Nursing Procedures, 9, 9-30.
Lrsson, I. E., Sahlsten, M. J., Segesten, K., & Plos, K. A. (2011, February 20). Patients’ perceptions of nurses’ behavior that influence patient participation in nursing care: A critical incident study. Nursing Research and Practice,
Melanie, J. L. (2016). What is psychosocial care and how can nurses better provide it to adult oncology patients. Australian Journal of Advanced Nursing, 28(3), 62-66.
Mettens, V.-C., Goossens, M. E., Verbunt, J. A., Koke, A. J., & Smeets, R. J. (2013). Effects of nurse-led motivational interviewing of patients with chronic musculoskeletal pain in preparation for rehabilitation treatment (PREPARE) on societal participation, attendance level, and cost-effectiveness: study protocol for a randomized control. Trials Journal, 2-11.
Ontario Hospital Association. (2011). Leading Practices in Emergency Department Patient Experience.
Twycross, A. (2013, April 23). Nurses’ aims when managing pediatric postoperative pain: Is what they say the same as what they do? Pediatric Nursing, 19(1), 17-27.
Mcintyre, P. E., Schug, S. A., & Scott, D. A. (2014). Australian and New Zealand College of Anaesthetists: 2010 Acute Pain Management: Scientific Evidence. Melbourne, Australia: Australian and New Zealand College of Anaesthetists; 2010.
Joshi, G. P., Schug, S. A., & Kehlet, H. (2014). Procedure-specific pain management and outcome strategies. Best Practice & Research Clinical Anaesthesiology, 28(2), 191-201.
Hogg, M. N., Gibson, S., Helou, A., DeGabriele, J., & Farrell, M. J. (2012). Waiting in pain: a systematic investigation into the provision of persistent pain services in Australia. Med J Aust, 196(6), 386-90.
Joshi, G. P., Bonnet, F., & Kehlet, H. (2013). Evidence‐based postoperative pain management after laparoscopic colorectal surgery. Colorectal Disease, 15(2), 146-155.
Gifford, L. (2013). Topical Issues in Pain 5. Author House.
Butow, P., & Sharpe, L. (2013). The impact of communication on adherence in pain management. PAIN®, 154, S101-S107.
Henderson, J. V., Harrison, C. M., Britt, H. C., Bayram, C. F., & Miller, G. C. (2013). Prevalence, causes, severity, impact, and management of chronic pain in Australian general practice patients. Pain Medicine, 14(9), 1346-1361.
Schug, S. A., Palmer, G. M., Scott, D. A., Halliwell, R., & Trinca, J. (2016). Acute pain management: scientific evidence, 2015. The Medical journal of Australia, 204(8), 315-317.
