Objectives
Upon completing this course, the dental professional should be able to demonstrate knowledge of the following:
1. Identify the multidimensional aspect of pain.
2. Discuss the Fifth Vital Sign as part of pain management program.
3. Compare the Pain Assessment Tools.
4. Name the four phases of nociceptive pain.
5. Discuss the Fifth Vital Sign as part of pain management program.
6. Name the dental professional’s potential biases toward pain.
7. Components of a quality, pain management program.
Introduction The purpose of this educational activity is to introduce pain as the fifth vital sign and increase the dental professionals’ understanding of pain intensity rating scales.
Understanding Pain
Understanding Pain. Pain is subjective in its measure, self-reported by patients and defined by the individual. There is evidence that pain is under assessed and under treated, especially in highly sensitive people and vulnerable populations such as the elderly, individuals who ‘English is a second language’ and people with disabilities.
Pain affects all aspects of life, physical, emotional, psychological, social and spiritual. Clinicians in order to be effective need to understand these many aspects of pain management.
Definitions:
Pain is whatever the experiencing person says it is, existing whenever he says it does. (McCaffery, 1968).
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in
1. It is important that we take into consideration, areas other than physical pain and have an holistic approach. Pain is whatever the person who is suffering it feels it to be. Physical pain can be experienced as a result of disease or injury, or some other form of bodily distress. For example childbirth. Although not associated with injury or disease, but can be an extremely painful experience. Pain can also be social, emotional and spiritual as well as just physical.
Research has shown that there are several organizations and active advocates who are working on pain management problems to face this public health issue. The following establishments involve: The American Academy of Pain Medicine, Institute of Medicine, and American Pain Society and many for-profit and nonprofit organizations are also working at different level towards pain management. Most specifically, the IOM has been devoted to studying pain and its consequences on individuals, the healthcare system, as well as on government (IOM, 2011).
Pain not only involves the physical reaction to damaged tissue, but also involves an emotional and cognitive response by the person experiencing the pain (Backer, 1994). A person's prior experience will influence how pain is managed. Pain is a signal that something is not
First pain is an everyday experiences that is expressed through the use of language and is then legitimized (Waddie, 1996). If a patient as a history of depression or chronic pain they have pain every day and the concept is used to help explain their pain. As nurse we use the concept of pain to find a base line of the pain and to assess new pain. In surgical patients they may have multiple types of pain from the incision, emotional, and history. The concept educates the nurse of the different form that pain can present itself. Pain can also guide how we treat the patient. Emotional pain would not be treated with the “so know pain pills”, but with talking or listening to patient. Concept of pain also address the different form of patient and how the nurse and patient response to it. If a patient is having somatic pain from an incision the nurse could react by applying heat or ice. Pain is what the patient says it is.
“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,
To most people, pain is a nuisance, but to others pain controls their life. The feeling discomforts us in ways that can sometimes seem almost imaginable. These feelings can lead to many different side effects if not dealt with or diagnosed. These effects can include depression, anxiety, and incredible amount of stress. The truth about pain is that it is vital to our existence. Without the nervous system responding to pain, we would have no idea if we were touching a hot stove, being stuck by a porcupine’s needles, or something else that could leave a lasting effect upon our bodies without us even knowing anything about it.
Pain: one of the most crippling emotions that the human can experience. Pain is caused in many ways. There is emotional pain and physical pain. The soldiers of the Vietnam War felt both of these types of pain during their one
‘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’.
Meaning that pain can have a very high impact and affect someone in different ways, whether it is feeling it first hand or knowing about pain from someone else. Pain usually comes from a strong attachment to something that is later
I choose to do my power point teaching on problems with pain. Pain is the number one problem among patients in all hospitals and community’s settings. Pain affect almost every one including babies. Pain is a universal experience occurring in all age groups and is the most frequent reason why people seek health care (Daudet, 2002). Research shows that most patient continue to experience unnecessary pain and that most patient receive inadequate pain management. Therefore, effective pain management is very important in health care, and it is a good indicator that quality care was provided to the patient. Nurses play an important role in patients’ pain management because they interact more with the patients. Based on my experiences as LPN, Nurses
Pain literally affects all levels of psychophysiological capabilities and influences almost every aspect of a patients’ life, including relationships with others, activities of daily living, as well as their job performance abilities. Pain accounts for an estimated cost of 90 billion dollars in economic resources as a result of disability, lost time from work, and reduced productivity as whole [5].
Research conducted by, (Landman, Oswald, Sanders & Diab, 2011; Bastrom; Marks; Yaszay & Newton, 2013), both aimed to isolate possible personality factors that could influence a patient’s pain perception. Landman et al (2011), evaluated 1433 preoperative participants between the ages of 8
I’m in pain! those are three words that mostly everyone uses at some point in their lives. Pain can affect a persons’ well-being whether it is physical or psychological. More over not everyone deals with pain in the same way. Pain can affect a persons’ function because they will be unable to perform daily tasks at the level of physical and mental capacity they are use to performing at. With that said the question still remains, what is pain? According to Frazier (2015). Pain is subjective individualized and perceived only by the individual experiencing it, but Cultural beliefs plays a significant role when it comes to dealing and treating pain for some people.
Pain is something that connects all of us. From birth to death we can identify with each other the idea and arguably the perception of it. We all know we experience it, but what is more important is how we all perceive it. It is known that there are people out there with a ‘high’ pain tolerance and there are also ones out there with a ‘low’ pain tolerance, but what is different between them? We also know that pain is an objective response to certain stimuli, there are neurons that sense and feel pain and there are nerve impulses that send these “painful” messages to the brain. What we don’t know is where the pain
The most common reason that people seek medical care is pain, and pain is the leading cause of disability (Peterson & Bredow, 2013, p. 51; National Institute of Health, 2010). Pain is such an important topic in healthcare that the United States congress “identified 2000 to 2010 as the Decade of Pain Control and Research” (Brunner L. S., et al., 2010, p. 231). Unfortunatelly, patients are reporting a small increase in satisfaction with the pain management while in the hospital (Bernhofer, 2011). Pain assessment and treatment can be complex since nurses do not have a tool to quantify it. Pain is considered the fifth vital sign, however, we do not have numbers to guide our interventions. Pain is a subjective expirience that cannot be shared easily. Since nurses spend more time with patients in pain than any other healthcare provider, nurses must have a clear understanding of the concept of pain (Brunner, et al., 2010). Concept analysis’ main objective is to clarify ideas, to enhance critical thinking, and to promote communication (Rodgers & Knafl, 2000). This paper will examine the concept of pain using Wilson’s Steps of Concept Analysis (Rodgers & Knafl, 2000).