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Tuesday, March 12, 2019

Pain Management Essay

Joshi, G., & Kehlet, H. (2013). Procedure-specific suffer counseling The Road to Improve Postsurgical Pain counseling?. Anesthesiology, 118(4), 780-782. .This oblige explained that good suffering in the ass focusing is known to produce numerous benefits for the operative forbearing. However, the article goes on to explain that treating postoperative torment is still a major issue with inadequate postoperative patient pain succor remaining high. The article discussed how the Joint Commission decl atomic number 18d pain the fifth vital sign. And that the Joint Commission has determined not either pain could be eliminated, save that goal- relate therapy may be suitable. The article cogitate by explaining that there was a need for evidence-based procedure specific pain management guidelines. I found this to be an interesting concept that the article presented. In summary the authors believed we could give manage pain based on knowing the type and amount of pain usually ca employ 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 Drug Investigation, 32(S1), 11-19.This article started by presentation that although there are many techniques to alleviate pain there are even more barriers to in force(p) pain management. With these many barriers leading to a large number of patients not receiving the better pain control. The pilfer went on to give examples of the different types of barriers for patients, physicians, and wellness guardianship institutions. The author believed that identifying and acknowledging these barriers was the beginning to overcoming them. The abstract concluded that health care providers need to be more alert of their patients as well as their own cognitive, emotional, and behavioral barriers in order to achieve optimal pain management.Sinatra, R. (2010). Causes and Consequences of Inadequate Management of Acut e Pain. Pain Medicine, 11(12), 1859-1871.This article started off by showing that astute pain affects millions of patients every year. This author also agreed that even with the change magnitudefocus on pain management patients pain control continues to be subpar. The purpose of the authors news report was also to determine barriers to effective pain management as well as consequences to ineffective pain control. This was achieved by complemental a review of recent literature regarding the subject of pain management. The sketch determined that physicians and patients attitudes and educational barriers as well as limited operational therapies lead to inadequate pain management. The authors concluded that studies on the use of twofold analgesics with different mechanisms of action could improve the efficiency as well as adverse effects over the single agent approach.Schatman, M. E. (2011). The Role of the health Insurance Industry in Perpetuating Suboptimal Pain Management. Pa in Medicine, 12(3), 415-426.This article started by sharing that pain practitioners function according to medical ethics speckle health care insurers operate under moving in ethics of hail and profit. The authors believe that the health amends industry continues to fail at service of process those suffering from degenerative pain and instead the industry stays cogitate on serving itself. The essay focused on the different self-serve strategies used by the health insurance 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 establishment replaced the current self-serving health care insurance industry.Loder, E., Witkower, A., McAlary, P., Huhta, M., & Matarrazzo, J. (2003). reclamation hospital round knowledge and attitudes regarding pain. American Journal Of Physical Medicine & Rehabilitation / intimacy Of AcademicIn summa ry this article was based on a involve that focused on inpatient care rung and their knowledge related to pain. A survey was conducted with hospital staff regarding attitudes and begin related to pain care responsibilities. This exact showed the staff rated personal want of education regarding pain management as the main barrier to effective pain management. It also showed that the majority of staff surveyed feltuncomfortable 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 pain being more prevalent in older people and how well that pain is asses sed 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 aft(prenominal) 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 spirit of pain management in many ways. These articles opened my eyes to how cardinal of a role pain control plays in the overall triumph 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 stool how important with it directly being related to overall p atient 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. adept 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 look 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 barriers in order to provide the best pain control and best total care to my patients.Referenc esJoshi, 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. Clinica l Drug Investigation, 32(S1), 11-19.

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