StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...
Free

Pain Management Treatment - Essay Example

Cite this document
Summary
The paper "Pain Management Treatment" states that generally, in case the medication is ineffective and pain persists, a discussion of alternative plans for the patient must be done with the family, such as hospitalization for a more thorough assessment…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER92.8% of users find it useful
Pain Management Treatment
Read Text Preview

Extract of sample "Pain Management Treatment"

?Question According to Mick Sanders p. 491), history taking refers to details gathered during the interview with a patient. It provides information such as medical and social aspects of a patient’s life. It also has information on environmental factors which may have impacts on his condition. This procedure is crucial in the establishment of priorities when it comes to patient care. Graham Harris (n.d., pp. 7-8), in his General principles of Assessment stated that history, vital signs and physical assessment helps a paramedic in detecting signs and symptoms of underlying medical condition of a patient. He further stated that if a paramedic has a good questioning skill, further history may become available. In the case of Mr. Markantonakis, the paramedic on duty did not fully exercise proper history taking. Thorough questioning of the patient’s wife and daughter should have been done in order to be fully informed about the patient’s behaviour prior to their coming. If the patient’s wife and daughter would be believed, the paramedics did not come across as caring and professional, not introducing themselves and making sure to do anything to gain the patient’s trust. Obtaining facts about when the pain started, the severity, the medications taken and the patient’s medical history was done unprofessionally. The paramedic only learned of some of them because the patient’s family volunteered the information. With regards to assessment, like what she did in history taking, the paramedic was unprofessional. Questions such as “What provokes or relieves the pain?” Is it constant, colicky, sharp or heavy?”; “Any radiation from site?” (Harris, p. 10) and other such questions were not asked and thus, her overall impression is not credible. The paramedic based her decisions and advice only on what she has seen, and not on pertinent information that she should have obtained in the first place. From asking the proper questions to writing them down, the paramedic has failed in her duty as an attending paramedic. Question 2 Potential diagnoses, according to Richard Hogston (n.d.) are those which could arise as a result or consequence of the actual diagnoses (p. 11). In the case of Mr. Markantonakis, it was said that he was suffering from lower back pain for several days before being brought to the hospital. If I were the attending paramedic, the possible potential diagnosis that I would list down would be the following: potential risk of further muscle strain due to constant violent movement in response to severe pain being experienced by the patient The paramedics were told that the patient was also vomiting and the potential diagnosis would be: potential risk of dehydration from vomiting, and potential risk of suffering from abdominal muscle pain due to vomiting According to Beebee and Myers (p. 314), when a paramedic is faced with a situation in which there are several plausible explanations for a pain or disorder, and he cannot narrow the causes down to one disorder. Considering this, the patient should be treated aggressively and it should be assumed that the disorder can harm the patient severely. Possible clinical decisions: identification of possible neurologic symptoms with the knowledge that the patient has already taken medication and still suffers from the pain, hospitalization will be recommended take into consideration all possible scenarios and causes of the pain blood chemistry testing electro cardiogram (ECG) test continuous monitoring of patient’s vital signs such as blood pressure, respiration, heart rate and pulse Question 3 Chrisuola stated that the paramedic was “rude” (Finding of Inquest, 3.6). This shows that the paramedic was unprofessional with regards to communicating with a patient and his family. My strategies and communication methods would be: Establish a professional demeanour greet patient by name and shake hands be sensitive and courteous ensure patient safety and comfort inquire about feelings watch for signs of uneasiness ask direct, open-ended questions using understandable language use therapeutic communication techniques Knowing that the family of the patient is undergoing stress because of the patient’s condition, paramedics must show empathy and establish trust between them and the patient and his family. Behaving otherwise will only result to difficulty in obtaining relevant information. Question 4 During the handover, the paramedic should have given the triage staff all relevant information that she should have gathered during their conversation with the patient and his family. Handover is one of the most important activities in patient care. It can also be dangerous if not done properly. (Talbot and Bleetman, 2007, par. 5) If the triage nurse was told of the patient’s treatment and the suprapubic and epigastric pain he developed on the way to the hospital and the angina and heart history, the triage nurse would probably have treated the case differently and have given the patient immediate attention. The paramedic thought the patient was not in severe pain and that it was just a case of “poor me”. This and considering her irritated mood at having to go back to the patient’s house did not have the qualities a paramedic should have in terms of behaviour, patience and professionalism. Question 5 The assessment and the decisions made in the case of Mr. Markantonakis were insufficient due to the inefficiency and unprofessionalism of the attending paramedic in gathering relevant information with regards to history making and proper assessment. According to Gordon, et al. (2005), “high-quality pain management includes appropriate assessment, including screening for the presence of pain, completion of a comprehensive initial assessment when pain is present and frequent reassessments of patient responses to treatment; interdisciplinary, collaborative care planning, including patient and family input; appropriate treatment that is efficacious, cost conscious, culturally and developmentally appropriate, and safe; and access to specialty care as needed” (par. 9). Pain management treatment plan for Mr. Markantonakis: completing a thorough medical history of the patient finding the symptoms of pain in order to identify its cause pain assessment propose and give immediate pain relief medication and observation and monitoring for result in case medication is ineffective and pain persists, discussion of alternative plans for the patient must be done with the family, such as hospitalization for a more thorough assessment make sure that the patient is comfortable en route to the hospital, by giving the patient hot or cold pack Bibliography Beebe, R. and Myers, J. (2010).Professional Paramedic: Foundations of Paramedic Care. [Internet]. Clifton park, NY, Delmar Cengage Learning. Gordon, et. al. (2005). American Pain Society Recommendations for Improving the Quality of Acute and Cancer Pain Management American Pain Society Quality of Care Task Force. JAMA Internal Medicine [Internet]. 2005, 165(14), pp. 1574-1580. Graham, H. (n.d.) General Principles of Assessment. [Internet]. Available at: [Accessed 24 March 2013]. Hogston, R. (1999). Managing Nursing Care. In: Hogston, R. and Simpson, P. eds. Foundations of Nursing Practice: Making the Difference. Basingstoke, UK, Palgrave, Macmillan, pp. 2-20. Johns, M.F. (2006). Finding of Inquest. Adelaide, South Australia. PDF Sanders, M. (2011). Mosby’s Paramedic Textbook. 4th Ed. Wall Street, Burlington, MA, Jones & Bartlett Learning. Talbot, R. and Bleetman, A. (2007). Retention of information by emergency department staff at ambulance handover: do standardise approaches work? Emergency Medicine Journal [Internet]. 2007 August, 24(8). pp. 539–542. Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Assessment - Short Annswer Questions Module 2 Essay”, n.d.)
Assessment - Short Annswer Questions Module 2 Essay. Retrieved from https://studentshare.org/health-sciences-medicine/1471582-assessment-short-annswer-questions-module
(Assessment - Short Annswer Questions Module 2 Essay)
Assessment - Short Annswer Questions Module 2 Essay. https://studentshare.org/health-sciences-medicine/1471582-assessment-short-annswer-questions-module.
“Assessment - Short Annswer Questions Module 2 Essay”, n.d. https://studentshare.org/health-sciences-medicine/1471582-assessment-short-annswer-questions-module.
  • Cited: 0 times

CHECK THESE SAMPLES OF Pain Management Treatment

Pain Management in Dying

The article also mentioned that nurses were reluctant to give dying patients proper Pain Management Treatment because they were ill-trained in such practices and did not favor giving patients' medication which may lead them to a quicker death.... Running Head: pain management in Dying pain management in Dying pain management in Dying Introduction A human being is a temporary form of matter, which is born and must expire one day....
6 Pages (1500 words) Research Paper

The Initial History Taking and Assessment of Mr. Markantonakis

Markantonikas case, who was suffering from uncontrolled hemorrhage from a ruptured aortic aneurysm, could be as follows: The possible treatment for these diseases could be based on the general body health of a patient and the symptoms of the disease (Taylor, 2005).... Markantonikas but instead they ignored his pain....
5 Pages (1250 words) Essay

The Treatment of Post-Operative Pain after a Bowel Resection

This paper will analyze the benefits of epidurals in treating postoperative pain after bowel resurrection; additional methods will also be discussed that assist in pain management after this operation.... Therefore, pain management treatments are administered with an aim of improving the quality of a patient's life, allowing quick recovery, and reducing death cases.... As the paper 'The treatment of Post-Operative Pain after a Bowel Resection" outlines, post-operative pain treatment aims at providing comfort to the patient, hence enabling the patient to breathe or move easily....
4 Pages (1000 words) Research Paper

How to control and manage hospital acquired infection in a mental health setting

This is because most of the microorganisms that cause these infections are resistant and the patients have developed low immunity to fight such infections.... Some patients have cognitive.... ... ... These infections usually occur within 48 hours to four days after admission to the mental health facility....
13 Pages (3250 words) Essay

See details box

I have not only undertaken several professionals projects that added value to my resume as a professional but I also developed certain management skills that would help me The most important part of being a student was to keep up with the pace of teachers and peers.... ne of the difficulties that I faced during my college life was effective time management.... Since I am a full-time nurse with two children, time management was my biggest worry in college years....
20 Pages (5000 words) Essay

PAIN AND ALTERNATIVE THERAPIES

pain management - Treatment of Breast Cancer | Susan G.... CancerPoints | Cancer pain management.... Other management plans include infiltration of botulinum toxin to prolong muscle spam or admission under a palliative care program (Layeeque, 2004).... Most pain AND ALTERNATIVE THERAPIES What a postoperative nurse should know about mastectomy Mastectomy paints require extensive care.... Category of pain and associated descriptive termsThe nurse might prompt the patient to describe pain accurately by probing into the feelings....
1 Pages (250 words) Assignment

Coping Style Influences Compliance with Multidisciplinary Pain Management

The paper "Coping Style Influences Compliance with Multidisciplinary pain management" states that the article is useful on the part of nurses since it gives them the idea that negative emotions and aggression are factors that have to be considered when it comes to success and/or failure.... The authors used the Millon Behavioral Health Inventory (MBHI), an instrument that has eight scales that assess the coping style in a medical setting including 14 other scales to measure psychogenic attitudes, somatization, and prognosis or simply the response of the patients when it comes to medical evaluation and treatment; It is the strong patients' strong control over their emotions that contributes to the success of the treatment outcome....
6 Pages (1500 words) Research Paper

Evaluation of Neuropathic Pains

The researcher of the following paper states that the definition of neuropathic pain according to the International Association for the Study of pain (IASP) is 'all pains initiated or caused by a primary lesion or dysfunction of the nervous system' (Bouhassira, 2001).... To evaluate spontaneous ongoing pain visual analog scales (VAS) are used.... For the diagnosis and quantification of allodynia, pain threshold measurements are required....
10 Pages (2500 words) Case Study
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us