Dashboard Analysis and Nursing Plan for Pain Response
NURS 4005 Section 04, Topics in Clinical Nursing
09/21/2014
Dashboard Analysis and Nursing Plan for Pain Response
In information technology, a dashboard is a user interface that, somewhat resembles an automobile's dashboard, organizing and presenting information in a way that is easy to read. Healthcare dashboards are designed to show the performance of key activities that directly or indirectly impact patient satisfaction, such as length of stay and lab test turnaround. This paper will take at look at pain response and breakdown why it is important and ways to improve it.
Analysis of the data
In 1998, the National
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On January 1, 2001, pain management standards went into effect for Joint Commission accredited ambulatory care facilities, behavioral health care organizations, critical access hospitals, home care providers, hospitals, office-based surgery practices, and long term care providers (The Joint Commission, 2014). The standards require the nurses to recognize the right of patients to appropriate assessment and management of pain, to screen patients for pain during their initial assessment and, when clinically required, during ongoing, periodic re-assessments, and educate patients suffering from pain and their families about pain management.
A proper assessment needs to be completed upon admission, and the physician needs to be contacted to ensure proper pain management is in effect. There are several different pain scales to be used based on the patient's alertness and cognitive ability. The 0-10 Numeric Scale is the most widely used scale for patients who are alert and oriented. Wong-Baker FACES scale is used more with younger pediatric patients or mentally challenged. The FLACC scale is used for patients who can't verbally or visually report their pain level.
Once a patient has been assessed and proper treatment has been established, follow up is very important to maintain a proper level of pain control. It is the nurses responsibility to return to ask the patient how their pain is
2. One of the important factors that you need to establish is how much pain the person is feeling. This can be difficult as we all have different pain levels. Several methods have been developed to measure pain but the most common one is to ask the person to describe it on a scale 1 to 10, with 1 being the mildest to 10 being the worst pain they have ever felt. It is about individual experience and you need to react to the level at which that person describes their pain as one persons pain thresholds may be different to another.
JCAHO (2011) also stated that patients and their families needed to be educated about pain and how the patients’ pain is going to be managed. Every patient perceives and exhibits pain in a different manner and if nurses do not assess the patient thoroughly they can miss it. For instance, Engebretson et al. (2006) acknowledged that, patients manifest pain in different ways and this resulted in nurses performing an inadequate assessment of their patients’ pain. Also, Engebretson et al. recognized that patients often conceal their pain because they do not want to be viewed by staff as complainers or addicts, and if patients decide to speak up the nurses frequently view their patients’ statements from their own cultural, moral and ethical belief system and not their patients which leaves the patients’ pain untreated.
Nursing assessment is a substantial way of gathering physiological, psychological, spiritual, and emotional condition of the patient. It creates a whole picture of an individual and assist the health care providers to formulate a diagnosis. Assessing the comfort of the patient is equally important as taking the blood pressure or temperature. Pain is the fifth (5th) vital sign that is subjective in nature when performing an assessment of a patient. Various studies were conducted in finding the most appropriate evidence-based nursing practice in assessing and managing the pain of a cognitively impaired patient, whether it is acute or chronic or the underlying cause is cancer or post-operative incision. As emphasized by Song, Eaton, Gordon, Hoyle, and Doorenbos (2015), it is vital to ensure that “pain management is based on the best evidence” (p. 456). Perhaps knowing the causes of inability to assess and manage the pain in a cognitively impaired patient would give a clearer understanding of the practice.
To provide the best care for their elderly patients, nurses must incorporate pain assessment into their daily care of patients. Pain assessment is a key aspect of the nurse’s role. There are many factors to consider when assessing patients’ pain such as if they are verbal or non-verbal, what language they speak, their age and their cultural background. There are many tools that a nurse can use to assess a patient’s pain but one of the most common tools is the 0-10 scale. This tool can be asked verbally by asking what
Safety is a small measure that can make a big impact on a patient in the clinical setting. In some cases, it can even cost patients their lives. According to the Online Journal of Issues in Nursing, safety is defined as a tool to minimize risk of harm to patients and providers through both system effectiveness and individual performance (Barnsteiner, 2011). Safety problems can range from the nurse not knowing how to work certain equipment, or the nurse recording values wrong because he or she is distracted. Either way, these safety issues impact the clinical setting in a negative way. In order to have a functional, safe clinical environment, time and money must be spent to keep the hospital in working order and the nurses in the correct mindset.
This article appeared in the Patient Safety section of Nursing a monthly publication for nurses offering current and practical content to its readers.
: In a similar research on cancer patients, Cohen, Ellis, Ownby, Rude, & Bailey (2003) performed a retrospective study to determine whether application of JCAHO standards has been followed while caring for the patients with pain or not. The study was performed in 5 hospital in a large city in Southwest, USA. A total of 150 patients were selected both from inpatient and outpatient department. All patients were from diverse population with a mean age of 57 years. The sample consisted total of 117 charts, 80 from inpatient and 37 from out patients. Data was collected between August and November 2000. Review of charts were done to check for followed documentation criteria for assessment, management and reassessment of pain in patients with cancer. This
Intervention #1: My nurse and I assessed pain intensity level in the patient using a valid and reliable self-report pain tool, such as the 0-10 numerical pain rating scale.
In conclusion pain management is an important impact on patient practice as well as education and knowledge. Although the study did prove to have been beneficial I found the results to be inconclusive as they were generally biased according to the perception of the patient on the individually nurses’ influence and actions toward the management of pain. Every nurse in each generation can learn the same information and the same execution it is what the nurse chooses to apply of his or her own attitude that will determine how the patients will perceive their care and this is with any study being performed on the nursing practice with patient.
Michele Habich works for Central DuPage Hospital in Winfield, Illinois, as a Pediatric Clinical Nurse Specialist. Mari Jo Letizia works for the Loyola University Chicago School of Nursing in Chicago, Illinois, as a Professor and Associate Dean. In this article, they conducted an experiment that examined the efficiency of pediatric pain assessment. To investigate this problem, they used an education program and examined the pediatric protocol in a community hospital.
The purpose of this study was to examine the nurses ' clinical judgments of patient pain and sedative requirements after the implementation of assessment tools.
2. Analyze current pain management practices in your care setting. An individualized organizational analy- sis is essential to assure buy-in from all involved and clearly differentiate between actual organizational needs and individual interests. In addition, having data relevant
The first nursing diagnosis to address with the client is the chronic pain related to his posterior back as evident by his level of pain over the course of several months. The client has been complaining of pain upon initial assessment on 10/17/17. According to the client’s MAR he was diagnosed with nonspecific pain and was prescribed hydrocodone-acetaminophen PRN to help alleviate pain. In order to avoid under treating the client’s pain, the goal of the nursing interventions is to improve his quality of life by managing and treating his pain more effectively. Vital signs collected on 11/29/17 revealed that he had a pain level of 7 on a scale of 0 to 10. Over the next week the objective is
Moreover, increased knowledge on pharmacological and non-pharmacological pain management results in better patient outcomes. Also, these nurses should be given ample time to be able to follow the pain management guidelines to ensure proper pain management. My report aims at analyzing from the relevant peer reviewed articles on nurses ' role in management of post-operative pain and nursing issues relating to management of pain during postoperative period putting my experience in the unit into consideration.
Mcgill-Melzack Pain Questionnaire. Another form of pain assessment questionnaire that, “contains 3 major classes of word descriptors: sensory, affective, and evaluative which are used to specify a patient’s subjective pain experience. It also contains an intensity scale and other items to determine the properties of pain experience” (Brook et al, 2011) Therefore, I conclude that, using any methods of pain assessment is soundly appropriate in practice. HCPC standards of proficiency of ODP guidelines stated that OPD’s should “be able to assess and monitor the service user’s pain status and as appropriate administer prescribed pain relief in accordance with national and local guidelines”. For image, see appendix