This study elucidates the exact prevalence of pain in the post-surgical ward (CTVS), and the type of pain affecting the patients. It identifies the percentage of patients suffering from unbearable pain influencing the quality of life in the post-surgical ward…
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The research paper “Assessment of Pain in Post Surgical Patients” focuses on a subjective and objective assessment of pain in post-surgical patients of cardiothoracic surgery. Pain management includes the various types of pain experiences throughout an individual’s life cycle and alleviating the same through interventional measures. Pain experiences may include acute and chronic in nature. Pain has physiological, spiritual, emotional and psychosocial dimensions, it is for this reason managing pain through multidimensional observations, and assessments are extremely important. Due to the various advances in the field of pain management (including assessment tools, newer guidelines on pharmacological and non-pharmacological interventions), nurses may land up into incomplete or inadequate domain knowledge leading to ineffective pain management. These include the failure to identify types of pain (neuropathic or nociceptive or psychopathic?), how it will be assessed objectively and subjectively? If the type of pain is screened properly, it will create a roadmap to treat the pain in a patient whether with non-steroidal anti-inflammatory drugs (for nociceptive pain) or drugs that reduce neuropathic or psychopathic pain like Pregabalin or Sertraline respectively. With these observations it will help to design a proper care because if the patient is suffering from neuropathic pain NSAIDs will be ineffective and if the patient has a more nociceptive component , then neuropathic drugs like Pregabalin will not mediate cure. Materials and Methodology A total of 75 patients will be evaluated as per the current admission beds in the CTVS ward. Both male and female patients would be evaluated. Inclusion Criteria Patients undergone CTVS surgery in past 7 days Patients expressing some sort of pain. Exclusion criteria Patients without pain. Patients with chronic diabetes mellitus Patients having pain from fall, arthritis, fibromyalgia, spondylosis, disc prollapse, chronic low back pain prior to CTVS surgery. The reason for the exclusion criteria is that we wanted to find whether the sole component of CTVS surgery causes post operative pain in patients. The variables were due to the fact that diabetes, fibromyalgia, chronic low back pain, disc prollapse can all have a neuropathic component of pain and will interfere with our findings whether CTVS surgery is the cause of neuropathic pain. The assessment tool that will be used is based on Dr Freynhagen’s Pain Detect Tool which comprises of a set of questions that gives each component of observation a individual score.( Freynhagen et al, 2009). The scores are assigned a weighted point of +1, -1,0, or +2. For example, if a patient complains of a pain that is radiating to both his hands from the point of origin ( heart in this case), a +2 is assigned in that criterion score. The final score of all the criteria are summated and put on an assessment scale to determine the objective component of pain as given below in the format below: Results evaluation The summated pain score is placed in a pain scale given in the attached appendix (A) from a 0 to 38 point scale. If the score of the patient is 0-12 a neuropathic component is unlikely and it can be inferred the patient has chiefly nociceptive pain component, if the total score is 13 to 19 then the pain has both nociceptive and neuropathic compo
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Nevertheless, efficiency of its application in patient care still needs to be continuously evaluated and monitored. Thus, review of relevant studies and previous researches are presented in this paper to create a collaborated idea of pain management in post-cardiac surgery patients, its application in nursing care, and suggested strategies to improve future nursing care practice.
The study population size will be made up of 249 nurses with at least two years of nursing experience working with adult medical and surgical inpatients ward. The study findings are however applicable to any nurse working in a hospital setting dealing with patients in pain.
Our primary aim in this paper is to establish an effective care plan to be implemented to address identified health issues and promote wellness to this patient. The implementation of this care plan is an important role of a nurse especially in critical situation such as this case at present.
Pain, considered as the most common symptom and as the most tangible sign of distress among patients should thereby be understood among all. Pain should be treated as the ultimate enemy and therefore needs to be perceived and studied jointly in order to alleviate or limit its tenacity.
The proposed surgical intervention to be carried out on Mrs. Maxshall is not without attendant risks since it could be classified in major surgery category. Therefore, her doctors need to deliberate on all aspects of this case before arriving at a consensus on the issue and determining what benefits would accrue by adopting this method.
The author states that patients handle post-operative pain in high individualized ways. It has been theorized that patients with stronger support systems and better attitudes actually perceive less pain than others. Some health care professionals have even speculated that extreme pain was not real in many cases, but was a way to seek attention.
The main goal of the perioperative care is to provide better and healthy condition for patient in the period before, after and during operation.
Perioperative nurses are the registered nurses (RNs) who work closely with the surgical
Technically, pain is a neurophysiological response to physical stimuli (Jay, 2007). Generally, most pain is caused by damage to tissues and is physiological in nature. Different tissues have dissimilar capacity for
This Study will expound on the surgical nurse’s assessment of the post-operative patients with the patients recorded experience of pain thereafter. This is because many of the patients were victims of pain after undergoing operations. Any difference or