Postoperative pain in Petients in a Kuwait hospital: a study of how nurses know if the patient is in pain - Essay Example

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Research Design NURS60018 78837160 Word count: 3660 Postoperative pain in Patients in a Kuwait Hospital: A Study of How Nurses Know if the Patient is in Pain 1. Question Formulation and Theoretical Perspectives Background The Kuwait health care network is deemed to be the best in the entire gulf region and even amongst the finest in the world often comparable to those of the health care systems offered in European countries (WHO 2011)…
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Download file to see previous pages All over the world it has been acknowledged by researchers that a significant exists in the field of pain management. (Ebert, 2010, p.438). Researchers also agree that the cornerstone to quality care in this area is pain assessment. (Ebert, 2010, p.438). A study of hospitalized patients in Kuwait’, in 1993, found that the pain estimates made by nurses who participated in the study were lower than that of the corresponding patients (Harrison,1993). There are also a number of studies carried out in other nations that suggest that usually health professionals underestimate pain in health care situations (Solomon, 2001; Remington and Footrell, 2005, p.269; Amery, 2009, p.103). Hence it is assumed that one specific aspect of health care service that needs improvement is pain assessment and management and also from working in Kuwait health care setting for many years, this researcher personally has an anecdotal impression that pain assessment is poor in Kuwait hospitals. In this context, this study envisages finding out, how nurses know whether the post operative patient is in pain, by carrying out an investigation in a Kuwait hospital Pain being a subjective experience,“self-report is the single most reliable indicator of pain” (Ebert, 2010, p.5). Pain is defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” (International Association for the Study of Pain, 2011). Pain may be classified into either acute or chronic (Ebert, 2010, p.6). The difference between the two can be understood by the following definitions. The definition of acute pain proposes that it “is associated with strains, sprains, fractures, surgery, diagnostic procedures, or trauma, and has a short time course as it gradually diminishes as healing occurs” (Ebert, 2010, p.6). Chronic pain is on the other hand, “continuous or intermittent pain and is arbitrarily defined as pain that pasts longer than 3-6 months” (Ebert, 2010, p.6). For the purpose of this study, it is acute pain that is dealt with just because it is that post operative pain (that comes under the category of acute pain), that is discussed. There are several health care professionals who are directly involved in pain management but no other health-related profession comes as close to the pain experience of the patient as the nurse. Various studies have also suggested this because basically it is the nurses’ duty to give care and show compassion to their patients who are in pain. (Ebert, 2010; Solomon, 2001, Ball, 2000). No other health care profession has more interaction with the many facets of patient care than the nursing profession (Ball 2000). At the centre of the duty towards better pain management is the improvement in nursing. This is because pain management is now considered to be a natural component of the duties of nurses while different nursing organisations acknowledge the need for prompt, safe and effective pain management (CAPRCE 2011). Post operative pain, which is an acute pain, is an “expected phenomenon” in health care field and which should be assessed and documented (Coll et al, 2004, p.124). This is an important issue ...Download file to see next pagesRead More
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