References: Smith, Nathalie, RN, MSN, CNP. Grose, Sara, MSN, RN, PHN, CNL, CLE. August 2010. Pain Assessment in Older Adults. Retrieved from http://www.ebscohost.com/uploads/poc/pdf/NRC_skillPaper.pdf…
Both scales positively enhanced nursing care in an acute setting and were both as equally valuable in assessing pain for patients with dementia (Bird, 2005). When evaluating and comparing one against the other, it was felt that both scales enabled pain assessment for dementia/cognitively impaired older people to be more individualised and person centred. However it was found that The Abbey Pain Scale was the preferred choice but it did require the assessor to be trained to use it and was formatted with nurses and doctors when being produced (Abbey, 2004). The PAINAD scale was found to be confusing due to the vocabulary used, but with the needed adjustments of breathing pattern vocabulary, it would be as highly credited as The Abbey Scale (Coker, E. et al, 2008). PAINAD did help educate family and caregivers to understand what were pain associated signals easier enabling recognition of which behaviours to look out for and how to compare what was normal to what was a sign of pain (McClean W,…
“Pain Free: A Revolutionary Method For Stopping Chronic Pain.” Pete Egoscue. Bantam Books, New York. 2000. Print.…
Having a personalised and holistic approach to a person’s pain and discomfort needs good teamwork. E.g. Nurses and care workers may be able to help to support the person with physical pain. By using effective communication skills verbal and non-verbal, including active listening will help to support people holistically. Supporting people is looking at the person as a whole, and considering all of their needs…
References: burdens, chronic pain is a burden to the healthcare system (Opsina & Harstall, 2002).…
This article explains what pains the elderly suffer from. Musculoskeletal pain in mentioned to be the most common. It mentions the causes being rheumatic pain, different types of arthritis, and non curable conditions such as tendonitis and bursitis. It states that pain management can either be treated with pharmaceuticals or non pharmaceuticals. Education of the patient of treatment is important in order to maintain good health with non pharmaceuticals. With pharmaceuticals are also offered but are mentioned to be “cost-effective” and since they contain “NSAIDs” there is less risk for harmful effects with effective relief of symptoms.…
Perioperative use: control of nausea and vomiting as adjunct to analgesia pre-op and post-op, to allow decreased opioid dosage. (pg 466)…
This literature review will be looking at an assortment of scholarly articles available online in order to investigate the effects of different kinds of chronic joint pain, their causes and different methods of treatment with varying levels of effectiveness and acceptance by the medical community.…
Unusually great pain or a terminal condition or an irreversible coma or advances senility or extreme degradation is the disqualifying quality of life that pleads –choice or no choice- for merciful termination (Kass, 1989). Even though the number of people who are dying with a large amount of pain is low, that does not mean that there are people who are not comfortable. Doctors are only able to give so much pain medication to a person. If given enough medication, one may be so drugged they are not even themselves. That is no way to live. Dr. Balfour Mount, from the College of Family Physicians, once said, “People do not have to die with pain” (Palliummia, 2011). To me, this means that people have a…
In just four weeks, participants in a study of Harbor-UCLA Medical Center reported that need less pain medication. Seniors can find that participating in a physical activity reduces pain, and can even see the psychological benefits of social interaction of a yoga class.…
One of the overarching goals of Healthy People 2020 is to help Americans achieve longer, quality lives—unencumbered by preventable diseases, disabilities, injuries, and premature death (U.S. Department of Health and Human Services [USDHHS], 2010). Debilitating or chronic back pain is a public health concern as it is often associated with negative health consequences and status. As such, reducing the prevalence of chronic back pain is a health topic identified and prioritized by Healthy People 2020 (USDHHS, 2010).…
“Chronic pain affects about 100 million American adults-more than the total affected by heart disease, cancer, and diabetes combined. Pain also costs the nation up to $635 billion each year in medical treatment and lost productivity. “Pain is a public health problem. Pain patients are not ”druggies.” Undoubtedly, there are those who abuse prescription medication, but there are those who genuinely suffer from chronic pain and require prescription medication in order to manage their pain so they can live normal lives. Pain patient advocacy is important to these people and I want to be one. I want to be the…
Unfortunately, many clinicians and older adults wrongfully assume that pain should be expected in aging, which leads to less aggressive treatment. Older adults have additional fears about becoming dependent, undergoing invasive procedures, taking pain medications, and having a financial burden. The most common pain-producing conditions for aging adults include pathologies such as arthritis, osteoarthritis, osteoporosis, peripheral vascular disease, cancer, peripheral neuropathies, angina, and chronic constipation.…
Philp I. (2007). The assessment of pain in older people. British Pain Society National Guidelines. No 8. Available at http://www.britishpainsociety.org/book_pain_older_people.pdf. Accessed on 1st May 2012.…
Under supervision, I administered instant (STAT) injections as well as set up syringe drivers for symptom control. I looked after individuals from different age ranges and different walks of life, some being in their late 40s up until late 90s. However, I encountered most elderly individuals, and as a result, I decided to target my artefact towards the older population. I witnessed and learnt that everyone experiences death and suffering differently, some wish to acknowledge while some don’t want their family members to know. I felt that something more can be done to ensure these people feel supported. Thus, my chosen topic for the artefact is Advance care planning (ACP), also known as Advanced care directive (ACD). According to the World Health Organisation ACDs are “a mechanism by which a competent individual expresses his or her wishes should circumstances arise in which he or she no longer is able to make rational and sound decisions regarding his or her medical treatment.” (Cornally et al., 2015). Evidence suggests, that advance care planning reduces stress, anxiety, and depression in surviving relatives. (Detering et al,…