Patient Pain Assessment

In order to establish a treatment, plan it is important to set goals for this patient. In general goals for RA include early recognition and diagnosis, referral to a rheumatologist, and tight control and low disease activity (Cohen & Cannella, 2017). There are also scales that need to be completed by the NP and patient to determine how the treatment is working for a patient. When setting goals, it is important to determine a successful way to evaluate this patients' pain. In the older population it is common for pain to be under treated and part of the cause of this is because the assessment for pain is not matching the patients' needs. Once a successful evaluation has been chosen for this pain it would be important to use this same

“Pain is much more than a physical sensation caused by a specific stimulus. An individual's perception of pain has important affective (emotional), cognitive, behavioral, and sensory components that are shaped by past experience, culture, and situational factors. The nature of the stimulus for pain can be physical, psychological, or a combination of both.” (Potter, Perry, Stockert, Hall, & Peterson, 2014 p. 141) As stated by Potter et al, the different natures of pain are dealt with differently depending on many factors. Knowing this, treating pain can be very difficult as there is no single or clear cut way of measuring it; “Even though the assessment and treatment of pain is a universally important health care issue,

As a first part of the holistic assessment process the nurse collected the subjective data, which are the data from Anne’s point of view during the interview (delaune).the nurse gathered information regarding present medical history, past medical history and activities of daily living. Anne mentioned that she was diagnosed with oesophageal cancer one year before. She also added that she was suffering from pain and swallowing difficulty for few days and that was the main reason for her admission in the hospital. On observation the nurse noticed that Anne is very anxious and fragile. The pain assessment carried out and Anne was scoring six on the pain chart .marmo Liza suggest that pain is an unfavourable experience and each persons perception

Conceptual analysis is integral in understanding nursing theory. According to Walker and Avant (1995), concept analysis allows nursing scholars to examine the attributes or characteristics of a concept. It can be used to evaluate a nursing theory and allows for examination of concepts for relevance and fit within the theory. The phenomena of pain will be discussed in this paper and how it relates to the comfort theory.

One way to assess pain behaviours is to observe them in a clinical setting (although pain is also assessed in a natural setting as the patient goes about his or her everyday activities). Keefe and Williams (1992) have identified five elements that need to be considered when preparing to assess any form of behaviour through this type of observation. • A rationale for observation: it is important for clinicians to know why they are observing pain behaviours. One reason is to identify ‘problem’ behaviours that the patient may be reluctant to report, such as pain when swallowing, so that treatment can be given.

Eula Biss’s The Pain Scale is written metaphorically about pain, both emotional and physical, and what defines pain. Biss presents her composition in the structure of a scale a patient would use to tell a doctor how much pain they are in. The pain is ranked on the scale of zero to ten; zero being no pain and ten being the worst pain imaginable. However, Biss asks the question of how much pain is someone is in. Everyone experiences pain differently so how can you put pain on a scale? Throughout her composition, Biss tries to answer this question with metaphors using style and structure. These two very important parts, both structure and style, are essential in this composition and are something the reader should note while reading this essay.

The participants recorded their pain during activity using the numerical rating scale (NRS) during the initial examination. The participants received three IASTM treatments a week

‘Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage’ (International association for the study of pain 2014). Pain can be made up of complex and subjective experiences. The experience of pain is highly personal and private, and can not be directly observed or measured from one person to the next (Mac Lellan 2006). According to the agency for health care policy and research 1992, an individuals self-report of pain is the most reliable indicator of its presence. This is also supported by Mc Caffery’s definition in 1972, when he said ‘Pain is whatever the experiencing patient says it is, existing whenever he says it does’.

One of the most physically painful days in my entire life was March 10th 2015, it was the day I found out I had appendicitis. That morning I woke up to my lower right side hurting pretty bad and throughout that day it continued to get worse. I wasn’t sure what was wrong at the time and my parents thought it may have been my appendix, so I looked up the symptoms I had on the internet which came up with appendicitis. Needless to say that was absolutely terrifying. After many hours in the Emergency Room, lots of blood work, and a CT scan, I did indeed have appendicitis and would need to have surgery that night.

Being in pain isn't fair to the individual who is having the pain. It is complex involvement that's altogether tuned by your brain. The outcomes are frequently interesting and counter-intuitive, like quantum material science. But, like science is evident, so is each agonizing sensation is made from the brain and there is no torment without brain. The sense organs are comprised of what the body can do. It also, includes a person's muscle control, how a person can take air in and if the individual can feel hot or cold objects. When a person is harmed, the natural response would be that of torment. Be that as it may, there can be times for occurrence, that you get a cut or scrape, but don't feel torment until you see the actual spot of harm.

The NRS for pain is a unidimensional measure of pain intensity in adults including those with rheumatic arthritis. Just like VAS and VRS, it is a pain assessment method to assess pain intensity in persons who are able to self-report. In this case, self-report of pain is defined as the ability to indicate presence or severity of pain verbally, in writing, or by other means such as finger span, pointing, head movement, or blinking eyes to answer yes or no questions (Hadjistavropolous et al, 2007) .The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent will require to select a whole number (0–10 integers) that best reflects the intensity of their pain (Hawker et al, 2011). Similar to the pain VAS and VRS,

However, culture such as beliefs, family influence, and previous experience of pain cannot be ignored. Assessing pain relies on excellent communication between the child, family, caregivers, and healthcare professionals in the multidisciplinary team. Out of the many tools to assess pain, it is paramount to use validated and reliable tools appropriate for the age, cognitive level, culture, language, and ethnic background. Care personnel and parents of a child with an injury can help a great deal by providing vital interpretation of facial expressions and body positions because they are familiar with the child’s normal behavior. This type of practice is vital and effectively used with a cognitively impaired child who cannot self report their

In an article entitled Pain Assessment Using Self-reported, Nurse-reported, and Observational Pain Assessment Tools among Older Individuals with Cognitive Impairment

Estimating the intensity of the detected pain might provide better pain assessment and lead to better pain management. Several pain recognition methods were extended to include pain intensity estimation. For example, Gholami et al. \cite{5415598} presented a method to estimate infants’ pain intensity using RVM, which is an extension of SVM (See Table II, 3rd row). RVM is a sparse Bayesian model that provides posterior probabilities (i.e., uncertainty) for class memberships through Bayesian inference. Unlike SVM, RVM classifier outputs the probabilities of the class memberships or labels. Gholami et al. used RVM uncertainty for each class membership to estimate infants’ pain intensity. For validation, RVM posterior probabilities were compared with the results of estimating pain intensity by experts and non-expert observers. The agreement between RVM and human observers, measured using kappa coefficient, was 0.48 for experts and 0.52 for non-experts.

If the pain is not controlled at early age, it has a negative effect on the nociceptive processing response for the rest of their lives. Pain assessment is the tool to detect pain early and a means to prevent or reduce its episodes. Assessing pain in a prompt manner, and in the right way, should identify the presence of pain, its severity, effectiveness, and right interventions. These may be based on self-reports or observational/behavioral and physiological reports. In self-reporting, pain is subjective and based on the cognitive development of the child. A pre-verbal child in pain will need to be assessed through observational/behavioral and physiological clues such as the CRIES acronym (Crying, Requires oxygen administration, increased