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The Pain Management Discussion Paper

The Pain Management Discussion Paper

  1. How will you use the knowledge you have gained from this module to improve your patient’s pain management in various settings to improve their pain outcomes?

Pain management is a topic that is frequently discussed and debated. The big question has always remained whether healthcare professionals have the adequate knowledge to promote proper pain management. Studying this module has given me an insight into the different types of pain and their management protocols. This knowledge with helps me to be able to diagnose or identify the correct type of pain in a different patient. Since proper treatment follows proper diagnosis, I can adequately manage pain, resulting in better health outcomes. Understanding various etiologies of pain will also be during the education of my patients concerning their pain, how to manage it, as well to prevent it from occurring. I have also learned about the assessment of patients for pain. It will help me to ask the right questions relating to patients’ pain, which will lead to proper diagnosis and treatment The Pain Management Discussion Paper.

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  1. What content in this module made the most impact on the way you think about pain management and possibly effecting your practice? 

Studying this module made me understand a lot of things. It made me want to change the healthcare professionals’ perception and approach regarding pain. For instance, there exist myths that healthcare professionals, as well as families, strongly hold. These myths present a significant barrier to pain management. For instance, the concept that professionals should treat first what could easily kill the patient is a total myth. Enhancing patient comfort through alleviating suffering plays a crucial role in reassuring, relieving anxiety, and promoting comfort. As nurses, we are obliged to enhance patient comfort, and therefore, pain management should not be compared with other treatments. I will, therefore, utilize this knowledge to maximize patient comfort. This is because the patient should be comfortable before the commencement of any treatment, and it is also important to enhance the participation of patients in their care The Pain Management Discussion Paper.

Response to Gretel D

Hello Gretel, I have read your post, and I have to say that you have gained something substantial from the module, and I am happy for you. For instance, you have mentioned acquiring knowledge to manage pain across different settings (PAMI., n. d). It is very important to nurses that they can manage pain in any setting, in whichever conditions. Nurses are caregivers, and promoting comfort to all patients is important. To ensure that you can manage the patients across different settings, you need to understand the different types of pain, as well as their etiologies. You have also mentioned the various myths associated with pain management, and I agree with you that such myths present a challenge to pain management and should be done away with The Pain Management Discussion Paper.

References

Pre-hospital Pain Management for Adults, Children, and Special Populations. University of Florida College of Medicine – Jacksonville Department of Emergency Medicine, Pain Management and Assessment Initiative (PAMI): A Patient Safety Project. Retrieved from http://pami.emergency.med.jax.ufl.edu/.

Response to Carol De

Greetings Carol! Your post is fantastic. It is incredible how you have discussed barriers to pain management. I agree with you that some of the barriers are merely baseless claims like the example that you have stated of opioid dependence. Of course, it is important to take precautionary measures when administering opioids, but it does not necessarily mean that the client would develop opioid dependence (PAMI., n. d). It is important to weigh the available options, depending on the situation you are faced with. Again you have mentioned the various aspects that should be taken into consideration during pain management, and I think that all the nurses need to take them into consideration.

References

Pre-hospital Pain Management for Adults, Children, and Special Populations. University of Florida College of Medicine – Jacksonville Department of Emergency Medicine, Pain Management and Assessment Initiative (PAMI): A Patient Safety Project. Retrieved from http://pami.emergency.med.jax.ufl.edu/The Pain Management Discussion Paper.

  1. How will you use the knowledge you have gained from this module to improve your patient’s pain management in various settings to improve their pain outcomes?

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Many times, we find ourselves having some pain. Pain has varying degrees. It may either be mild, moderate, or severe. Treatments are formulated according to the intensity of the pain. After reading module seven, I have learned that several aspects need to be considered before using non-pharmacological treatments. For instance, the intensity of the pain needs to be considered. Mild or moderate pain may be, managed using non-pharmacological methods, but severe pain needs immediate attention with pharmacological methods. I will utilize this knowledge to manage pain for patients with mild or moderate pain, as well as in cases where patients have severe pain, but in combination with pharmacological methods. I will also assess the effectiveness of the methods to determine if the patient is relieved.

  1. What content in this module impacted the way you think about pain management and possibly effecting your practice?

The subject of poor pain management has not left my mind since I studied this module. I can only imagine how disturbing it is to have unrelieved pain. The sleeplessness and anxiety could be overwhelming. It is up to us as nurses to assess the patient for signs of distress resulting from pain since most patients may not speak out about it. This calls for a deeper understanding of the non-verbal cues that patients may present with, when they have pain, and how to categorize the pain for effective management. Non-pharmacological methods alone cannot relieve pain effectively. Therefore, a multifactorial approach is needed in conjunction with the former to ease the pain. Just a point to note, it is important to know what non-pharmacological pain relief methods the patient uses at home to prevent overdosing since some homemade drugs may contain active compounds similar to the conventional drug prescribed The Pain Management Discussion Paper

Response to Adrienne

Hi there Adrienne! What an interesting discussion about both chronic and acute pain! There are several classifications of pain depending on different factors, but I agree with you that the major types are chronic and acute pain (PAMI 3.0, n.d). I believe distinguishing them is a significant aspect of determining what treatment can be effective. For instance, the pain associated with joint arthritis differs from a joint sprain. Although both may be similar in some ways, their management is completely different. Poor pain management by clinicians may result in legal action since they violate the rules and ethical principles governing healthcare delivery. Healthcare professionals need to conduct a thorough assessment of patients to identify whether their pain is resolved or not.

References

Nonpharmacologic Management of Pain in Adults and Children. University of Florida College of Medicine ‐ Jacksonville, Department of Emergency Medicine. Pain Assessment and Management Initiative (PAMI 3.0): The Pain Management Discussion Paper Multimodal Approaches to Improve Pain Outcomes and Reduce Opioid Risk, [date retrieved]. Retrieved from http://pami.emergency.med.jax.ufl.edu/

Response to Christine

Hello Christine, I like your answer is simple and straight to the point. I agree that non-pharmacological interventions are effective (in most cases when combined with pharmacological interventions) in managing pain. It turns out that one barrier to the use of these methods is the factor of time. It is time-consuming, so clinicians are too busy for them (PAMI 3.0, n.d). When caring for patients, it is important to consider their whole selves. Most of the non-pharmacological interventions, such as relaxation and imagery, not only help to relieve pain but also help to alleviate anxiety and stress. Clinicians can choose the best intervention depending on the client’s tolerance and pain severity, whereby the latter is the greater determinant.

References

Nonpharmacologic Management of Pain in Adults and Children. University of Florida College of Medicine ‐ Jacksonville, Department of Emergency Medicine. Pain Assessment and Management Initiative (PAMI 3.0): Multimodal Approaches to Improve Pain Outcomes and Reduce Opioid Risk, [date retrieved]. Retrieved from http://pami.emergency.med.jax.ufl.edu/ The Pain Management Discussion Paper

How will you use the knowledge you have gained from this module to improve your patient’s pain management in various settings to improve their pain outcomes?

Mental health is a very sensitive topic, just as mental health disorders are as sensitive. This module has given me one big advantage of getting adequate knowledge concerning substance use disorders. It is true that few people may know about substance use disorders, yet they are so pronounced in today’s youths, particularly. Management of substance use disorders is challenging, and relapses are more often reported. From this module, I have gained a deeper insight into properly assessing substance use disorders and their management. Since substance use disorders commonly co-occur with other mental health disorders like depression, I have learned to assess for such co-occurring disorders. It could also be related to traumatic experiences experienced in the past. A comprehensive history of the illness, as well as the psychiatric history of the family, should be obtained to help narrow down the diagnosis. The Pain Management Discussion Paper

What content in this module impacted the way you think about pain management and possibly effecting your practice?

The alarming increase in the rate of both suicides and homicide cases has left me thinking, “what should be done that has both been done?” In such a case, I think that most psychotherapies are either not being done or done incorrectly, or the client refuses to participate. Either way, there is a need for an intervention to reduce this Surg. Both patent and provider must be willing to agree to set therapeutic goals and work together to attain them. Collaborating with other professionals on different folds to help with the management could also be important to facilitate full recovery and prevent relapses. Continuous suicidal and homicidal risks must be assessed frequently, with appropriate psychotherapy.

Response to Valerie

Good day Valerie! I have just read your post on opioids, and I can’t resist the urge to respond. I think opioids are highly abused drugs when compared to other drugs. I think substance users deny patients the full scope of care. This is because most like them for the euphoria effects that they have. Since opioids are among the controlled drugs, they may sometimes be used to manage chronic pain, such as cancer-related pain (SAMHSA, n.d.). Apart from patient abuse, there have been cases of abuse among healthy healthcare professionals. I think the greatest hope is that we all develop the responsibility for ourselves so we may drop all that negatively affect our health. In pain management, clinicians need to assess the risk of opioid abuse of the client before beginning the therapy since they may develop dependency. I agree with you on the part you mentioned about professional practitioners who will only concentrate on the physical symptoms, ignoring other aspects of the patient’s manifestations. The Pain Management Discussion Paper

References

SAMHSA. (n.d.). Search SAMHSA publications and digital products. Search SAMHSA Publications and Digital Products | SAMHSA Publications and Digital Products. https://store.samhsa.gov/?f%5B0%5D=issues_conditions_and_disorders%3A5083&f%5B1%5D=issues_conditions_and_disorders%3A5124

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Response to Dare

Hi, Dare! I feel your post speaks the fact. I agree that anybody may be affected by mental health disorders, and numerous patients arrive with a background of mental disease that necessitates pain treatment or vice versa. As clinicians, we should be able to recognize clients with psychiatric disorders and control and manage them appropriately. Pain and mental health may overlap, and doctors mustn’t undervalue or undertreat pain just because a client has a history of mental health concerns. In fact, they need to conduct a comprehensive assessment to help them diagnose and manage the pain (MentalHealth.gov, 2019). Providers must understand the interactions between psychiatric drugs and pain medications. Patients with mental health problems should get appropriate and safe pain treatment.

References

MentalHealth.gov. (2019, March 22). Mental health and substance use disorders. https://www.mentalhealth.gov/what-to-look-for/mental-health-substance-use-disorders The Pain Management Discussion Paper