Pain Management as a Fundamental Human Right - Essay Example

Nursing Introduction Person centered care involves providing patients with considerate attention to their preferences, values and needs. It ensures that all clinical decisions are guided by patient’s will in order to provide the most useful and efficient care that addresses their needs. Person centered care aids clinical process in administration of clinical services by guiding the staff to understand their patients’ needs. Person centered care is useful as an ethical strategy since it encourages respect for the needs of a patient. It ensures that the patient’s needs are met according to his profile and that he is treated with utmost respect and provided with the best care possible to keep him comfortable. For the best functionality, service providers are expected to be experienced in handling patients on an individual level. In the case of dementia we take into account their needs to be attended to for basic activities like bathing. As clinicians we deal with patients as unique in their demands and study them each time for new features which are not in the other service users and that may call for special attention. We ought to seek their consent to whatever activities we undertake for them. For purposes of ethics for example we need to ensure that our services users not only receive those services but that they are comfortable with them. When addressing the woman in this case we ensure that she likes her food and that she is comfortable taking it. She is given her bath at a nurse’s discretion and under the best hygienic facilities available. Her medication is administered to her accordingly. We make sure that she is attended to by the nurse she seems to feel most comfortable with. This we do by studying her facial expressions and the comments she mumbles to the best of our ability. We try to interpret that when addressing her needs. When necessary, service providers avail themselves at the homes of their patients to tend them there. This happens especially where the patient is not comfortable at the clinical facility and prefers to stay at home. Some service users for example require home care by clinical staff. They may demand more time in order to keep them well balanced emotionally and to avoid loneliness(Brown, McCormack, B., 2005). In the case of dementia and any other psychological treatment process are more involving than in cases of physical treatment. A psychological patient requires attention most of the time and may take longer to heal as compared to physically ailing patient. This is because psychological treatment involves the clinicians own psychological self so that their jobs become more stressful. Treating the physically frail persons only involves their physical dimensions and is thus less stressful. It is evident that we at the facility should thereforeoffer close watch on our patient from the condition of her health. Since she does not have relatives, the woman requires close company to ensure that she feels as secure as possible. Her condition is complicated further by her faith that she complies to. In the event that her faith collides with medical practices, we should respect her opinion and ensure she is treated in accordance with the codes that follow for persons under dementia. It is legally wrong to let her suffer lack of treatment for the sake of belief and the facility may be allowed to make reasonable decisions that are useful for her health. This implies as an ethical and legal fact since her condition does not dictate rational decision making. We should exercise empathy by taking the position of the patient. We should inquire from themselves what they would do in the event that they were in the patient’s situation. They use such methods to find solutions and give the best services to patients. We should lean on the patients’ side to treat them with dignity and respect. Staff should have a positive attitude in handling patients for efficiency. They should reflect responsiveness and care in order to build stronger relationships with their patients. Overall cooperation from staff eases patient’s feelings of anxiety and helplessness. The woman may portray signs of discomfort and anxiety as such since she is only used to her mother language which she has no one to communicate with in a foreign country. We should, for her sake, seek clinician who is of her descent or one who is familiar with Patois to take care of her. This ensures that the lady feels more comfortable in the company of such a person and may boost her confidence. Even in situations of query dementia, initial stages may be dealt with communicatively. Patient centered care also involves providing an emotional environment that is conducive to a caring for a compassionate experience. A significant contribution to patient control is making the environment more cordial so as to maximize privacy and comfort from beginning to completion; this can be enhanced by the colors in the room, the lighting and cleanliness of the environment. These help reduce the psychological responses to the illness like depression and anxiety. Such effects stem from psychological instability by persons receiving service especially those suffering query dementia. According to research, the most commonly guided patient centered methods are distraction. This engages the patient in chatting and playful matters that keep him/her occupied from the disturbance caused by their condition. It is temporary but may help in the long term to improve the overall well doing of patients.Positive reinforcement assures patients of love and security from the facilities where they receive these services and therefore ensures that they proceed well in treatment.Using non-invasive treatment procedures for pain, episodes of disturbance is both comforting and reassuring. It is necessary to apply all these methods in both physical and psychological therapy. Patients can be guided through breathing exercises, stretching so as to reduce discomfort(Brown, McCormack, B., 2005). We as service providers should ensure we visit patients often and try as much as possible to gain the most information they can in order to work efficiently with patients.We should offer close watch and attention for our patients so they realize care and warmth. Nurse’s background factors including age, nursing position, education, professional work experience, and experiences of earlier hospitalizations of other similar cases, significantly relate to patient perceptions on both pharmacological and non-pharmacological practices. For elderly patients, NRS is an unreliable method for assessment. The method is especially not useful in this case since the patient in question suffers cognitive impairment. On the other hand, situations of communication problems adopt observations as basis for assessment to determine the severity of symptoms of query dementia among others. Taking in to account physical behavior like difficulty in motion, restlessness, tense muscles, groaning and grimacing. The patient may injure herself unknowingly and we should therefore ensure good watch. A woman of fifty five years is therefore at risk since her health is entering the aging process. In this case titration is very vital in symptom management. Non pharmacological methods used for symptom management can be applied by family on patients. Patients should be allowed enough rest in order to regain their composure and strength. Clinicians should also ensure that patients feed well and according to their preferences. They should work all the same, to provide a useful diet to their patients’ health by streamlining their wants to clinical specifications best for their health.Care provided at most clinics can be more patient centered when preparations are made for the optimal exchange between patients and by clinicians giving him/her full attention(Barett, H. 1986). With these insights, physicians can prescribe drugs to treat moderate to severe psychological conditions. Schizophrenia and query dementia may be treated in their early stages to reduce their effects and slow development into serious conditions. They use sedatives and antidepressants to relax patients before talks can be undertaken. Clinicians should be patient persons who can comfort patients in the event they face episodes of mood swings. It must be regarded as unethical to let patients suffer from these episodes without making adequate efforts to facilitate high quality treatment. This asserts nurses awareness in that symptom management as helpful. It is in little things that nurses and other persons surrounding patients do that greatly impact patient’s experience. Clinicians may also be held by the law for neglection in the event that patients face injuries or other damages due to lack of watch by the staff. If careful attention and honest efforts are directed towards symptom management in treatment of psychological conditions, it would be within the scope of medical facility to create provision of quality treatment. During medical training given to medical professionals ought to focus on proper assessment of pain. Medical experience should ensure further that side effects are well managed. Condition management should also focus on use of adjuvant medications. A sizable population is impacted by psychological conditions. They are taken care of in both hospital and social facilities. Either way, it is important that the care we offer revolves around them for the best. Care for such people improves the quality of life they get and increases their chances of recovery and getting back to the society. This way they can be productive and add to the general economy (Gargani, Y., & Kitchen, G. 2012). Psychological disturbance is subjective to patient’s personal experience and should therefore be addressed from the patient’s angle. Some patients assert that their condition is not assessed frequently enough and that they do not receive medication enough and a sizeable percentage feel that the prescription administered does not help. Physicians focus on an objective assessment by using patient’s medical history and physical examination along with laboratory testing.Where relative strengths of the sensory components are known, useful psychological medications can be tailored more accurately. Patient-centered service provision entails guidelines aligned with patients’ needs. Person centered service management tactics may vary with patients. Patient centered approaches take in to consideration the age, sex, weight, personality of the patient coupled with information of any previous procedures. Patients should be substantially involved in the treatment procedure.All in all, symptoms of all psychological conditions should be managed efficiently for the sake of good accordingly to the law and following ethics. Such good portrays the ethical standards of services providers as it conforms to legal and other requirements. It is important that we follow these procedures while developing new methods useful in caring for patients. Moreover, that care should focus more on the patient’s needs and those of the law that protect her as a person. Ethics involves considering her basic human rights in the least during the process of service provision. Person centered care improves both the quality of health and life for a person in general. For dementia, the condition may deteriorate to acute, the aim of clinical help is that we slow the process and try to counter it. This way we provide treatment and attempt to restore a person’s psychological stability to the best that we can. Our patient may be treated to the point of regaining their literacy ability to read and write. They require us to follow them up after treatment in order to avoid cases of relapse. Such watch keeps them aware of their health condition and requires they are managed for the as long as possible until we are certain that they may be allowed to live without medication or monitoring. Our service provision therefore proceeds even after discharge from the hospital. Sources Barett, H. (1986) Modern medicine. Orthopedic disorders. Churchill Livingstone. Pg. 139 157. Brennan, F. (2007). Pain management as a fundamental human right. Analog 105; 205-221. New York. New York Press. Brown, McCormack, B., (2005). Developing postoperative pain management; utilizing the promoting action on research implementation in health services framework. (131-141). Athabasca. Athabusca university press. Chris, J., Chris, C., (2004).pain management; an interdisciplinary approach. Churchill Livingstone. Dihle, A., Helseth, S., (2006). The gap between saying and doing in post-operative management. Journal of clinical nursing 15, 469-479. Australia. Brimstone press. 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