Wednesday, May 6, 2020

A Reflection on the Tools Used in the Assessment of Pain...

A reflection on the tools used in the assessment of pain in the elderly Pain is a phenomenon which is defined as an unpleasant as well as emotional experience is a very common phenomenon in older adults. The level of pain in adults should therefore be controlled at levels that are acceptable to these patients in order to allow them to maintain their optimal level of performance as possible. Pain is however not a normal part of the aging process and it is associated with various chronic (such as osteoarthritis) as well as acute (such as surgery and cancer) conditions. I my view as well as the view of the evidence-based academic literature, pain is a common and yet subjective experience for several older adults and despite its prevalence, the existing body of evidence suggests that it is poorly assessed and managed in the older patients. The cognitive impairment as a consequence of delirium and dementia represents a big challenge to the management of pain in older adults since they render these patients unable to verbalize the level of their pain. It is therefore the responsibility of us the Nurses as an integral element of a larger interdisciplinary care team to comprehend the myths that are associated with the management of pain as well as use the right tools in the assessment of the nature of pain being experienced by the older adults. In the next few paragraphs, I present my views of the four main tools of assessing pain the older adults. These include the Revised FacesShow MoreRelatedQuality Improvement Plan For The Elderly With Dementia And O ther Forms Of Cognitive Impairment1413 Words   |  6 PagesMeasurement and Assessment Healthcare organizations throughout Canada are focusing more and more on the delivery of quality care to its patients and families. However, it is not enough to simply state this dedication, it must be proven with a plan that outlines clear aims, targets, and initiatives that implement evidence-based research (Sadeghi, Barzi, Mikhail, Shabot, 2013). The purpose of this paper is to outline a quality improvement plan to address the rates of worsening pain in the elderly with dementiaRead MoreGibbs Reflection Essay3129 Words   |  13 Pages In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008). Reflection is an important tool for all health care practitioners. It can improve our skills and help us understand the choices we make while in practice. Williams (2001) states that â€Å"Reflective learning involves assessment and re-assessment of assumptions and critical reflection occurs whenever underlying premises are being questioned†. Critically reflectingRead MoreWound Management Essays3949 Words   |  16 Pagesdays previously, after suffering from a stroke. Patient X has a history of a mild stroke and has slow mobility and uses the aid of a frame to mobilise. Patient X is obese, a heavy smoker and now has right-sided hemiplegia. Patient X resides with his elderly wife, son and daughter-in-law in a first floor flat, being cared for by his wife and daughter-in-law. Incontinence of urine has become an issue following admission with patient X failing to make staff aware of his need for the toilet. He has lossRead MoreSkill Development Essay3112 Words   |  13 PagesSkill development. This assignment will concentrate on one psychomotor skill in which competency has been achieved, as well as reflection. This assignment will also outline the rationale for the choice of skill and will describe the model of reflection and skill acquisition chosen, development of the process and reflection on the effect for future learning in terms of knowledge and skill acquisition. The evidence for the accomplishment of this skill has been documented within the skill DevelopmentRead MoreCase Study Essential Care Needs2402 Words   |  10 Pagesprovide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008). Mrs Gale is a 70 year old widow andRead MoreManagement of Challenging Behavior in Elderly People4786 Words   |  20 Pagescontext of the communication of pain, using a case study to illustrate this. This assignment will describe challenging behaviours, the behaviours associated with pain, and the management strategies employed by nursing staff, using a person-centred approach to care. Finally, ways of improving the care provided will be explored and recommendations made. The rationale for choosing to discuss this issue is that I currently work as a staff nurse on an organic assessment ward, and am frequently involvedRead MoreOutline Of A National Legislation That Has An Effect On Care Homes3193 Words   |  13 Pages Assessment Objective – AO2 I will research a national legislation that has an effect on care homes, which is a service that my elderly service user uses. Care Standard Act I have chosen to research the Care Standards Act 2000. This Act came into effect in April 2000 and set up a new system of national minimum standards for services such as private and voluntary sector residential and nursing homes. Its primary function is to promote improvement in social care. (Social Care Institute for ExcellenceRead MoreIndependent Prescribing Case Study6166 Words   |  25 Pagespractitioner (e.g. doctor, dentist, nurse, and pharmacist) responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions and for decisions about the clinical management required, including prescribing. In partnership with the patient, independent prescribing is one element of the clinical management of a patient. It requires an initial assessment, interpretation of that assessment, a decision on safe and appropriate therapy, and a process for ongoing management. TheRead MorePatient Autonomy And Health Care2241 Words   |  9 Pagestreatment is beneficial to the patient. The Code of Ethics, by the Canadian Nursing Association in 2008, (CNA, 2008, p.4) outlines ethical principles for nurses to follow. It begins with a short prologue indicating admittance that the guidelines cannot be used as a template because scenarios will vary in practice and may call for a different course of action. Directly underneath this â€Å"autonomy† is listed and the first principal defined. The CNA promotes the premise that informed consent and respecting theRead MoreA Case Study on Clinical Pastoral Education Essay7178 Words   |  29 PagesMINISTRY B. PATIENT’S BACKGROUND INFORMATION C. FIRST ENCOUNTER (VERBATIM) D. PRELIMINARY REFLECTION a. my initial reaction b. main issues c. my plan of action d. psychological theory at work e. spiritual assessment f. theological reflection E. SECOND ENCOUNTER (followed by preliminary reflection including session a-f) F. THIRD ENCOUNTER (followed by preliminary reflection including session a-f) G. CONCLUSION A. INTRODUCTION AND THEOLOGY OF MINISTRY:

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.