Uncontrolled Pain In Postoperative Care

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.

The pre-operative stage is an important phase in patient’s surgery process. This is the time where the patients is experiencing a lot of anxiety issues and have questions regarding the impending procedure. To help ensure good patient outcomes, it is imperative to provide complete preoperative instructions and discharge instructions (Allison & George, 2014). It is the nurses’ duty to safe guard and protects the patient’s welfare during the surgical experience. Effective preoperative preparation is known to enhance postoperative pain management and recovery. Health professionals need to be cognizant of the contextual factors that influence patients’ preoperative experiences and give context appropriate care (Aziato & Adejumo, 2014).

The practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse. Some of the benefits of PCA include improved pain management, improved use of nursing resources, increased patient satisfaction, and reduced pulmonary issues (Hicks, Sikirica, Nelson, Schein & Cousins, 2008). Some of the safety

According to surveys, up to 80% of patients reported moderate to severe post-surgical pain, which can sometimes be left undertreated (Sinatra et al., 2005). Postoperative pain is generally managed with opioids, which carry numerous side effects. Side effects can be bothersome and possibly cause a delay in the postoperative healing process (Beard, Leslie, & Nemeth, 2011). IV acetaminophen can possibly decrease opioid consumption, minimize side effects, increase patient satisfaction, and decrease costs (Wininger et al., 2010). The purpose of this paper is to dive further into the research to present data on the effectiveness of IV acetaminophen in decreasing opioid usage and whether it produces an additive effect causing more effective pain management in the postop patient.

Postoperative pain is the most undesired sequence of surgery, and if not treated properly, can lead to increased hospital stay and delayed return to daily activities (10).

Septoplasty, for symptomatic deviated nasal septum, is a commonly practiced surgery in ENT. After septal operations, nasal packing helps to minimize the dead space and bleeding from surgery site. In addition to prevent nasal bleeding, these materials also support the septal mucoperichondrial flaps and minimize the risk of formation of septal hematomas and adhesions.2

Pain and anxiety are commonly experienced by people in the hospital setting. In fact, pain is the most common reason people of all ages, race, and socioeconomic class seek medical attention (Hinkle and Cheever, pg. 214). Anxiety, a psychological disorder, is often present in patients suffering from pain (Liu & Petrini, 2015). According to Hinkle and Cheever, even with the many advances in management, including pharmacologic interventions as well as adjuvant therapies, pain continues to be left untreated (pg. 214). Untreated pain and anxiety can cause fatigue, sleeping disturbances, cardiac problems, increased stress, and depressive tendencies which may lead to delayed recovery time (Liu & Petrini, 2015). There are many pharmacologic interventions

Postoperative anxiety among patients is very common and is often ignored. Anxiety is best described as subjective unpleasant feelings such as unease, worry, dread, and apprehension over something that is unlikely to happen (Sigdel, 2015). Patients may be anxious during the postoperative stages because they are facing the unknown and have a lot of uncertainty about the outcome of surgery, financial loss during recovery, separation from loved ones, and dealing with postoperative complications (Goldsworthy, Goodridge, & Lewis, 2013). Postoperative anxiety can occur in any patient undergoing surgery and can cause increased stress levels within the patient which can cause an increased difficult time with postoperative healing and pain management

Postoperative pain with open heart surgery patients is a common concern for patients and their families, as well as members of the health care team. Poorly-managed pain may slow recovery or lead to postoperative complications, some of which may be serious. Music therapy as a complementary alternative to analgesic medication is a low-cost and risk-free nursing intervention that may be helpful in managing the postoperative pain of cardiac surgical patients. This is a review of literature about the effectiveness of music therapy on postoperative pain. It includes 10 primary studies as

At first it seems difficult to understand why hospitalized patients’ pain is not well controlled. After all, nurses want to relieve suffering – to do good without causing harm and to treat each individual justly without

Anxiety is the most common concern for patients undergoing cardiovascular surgery everyday in the United Sates. Nurses have issues pertaining to the postoperative care of cardiac surgery patients. Nursing has a very extensive meaning, from promoting good health in society to preventing the occurrence of ill health. Also, nurses provide advice and emotional support to patient family members. Being a nurse with the post-cardiac surgery patient requires special training. There are many means of patient care. I will investigate pain management of postoperative care for cardiovascular surgery patients.

For patients, there are many safe options to help with pain and the process of healing. Users can choose between a number of pain therapy options that fits their needs. When choosing an item to help with pain management, users should consider these things...

Managing acute pain in patients, along with post-operative recovery pain, is an essential part of nursing. Because it can affect each and every part of the human body, managing pain is important for the health and safety of patients. Effective pain management can increase patient satisfaction and overall well-being, fulfilling the role of a nurse. A nurse must be able to look at ways to manage patients’ pain, the ethical aspects of managing pain, along with how to educate patients on the matter.

[3] The presence of high-quality analgesia in the postoperative period is very important, to relieve post- surgical pain and improve well-being, and also because inadequate pain control may increase morbidity, lead to prolonged hospital stays, and increase medical costs. [4] Patient-controlled epidural analgesia (PCEA) is a widely used postoperative analgesic strategy because it is very effective and safe method of acute postoperative pain relief. [5] In these surgeries Epidural analgesia may effectively applied to improve perioperative pain; epidural analgesia was coupled with improved analgesia, earlier extubation time, better haemodynamics, less respiratory complications, and superior left ventricular function.

Pain management is a critical component of surgical care. Untreated or inadequately treated pain pre and post operatively intensifies the effect of trauma on nearly every system of the human body including respiratory, cardiac, hemodynamic stability, renal, gastrointestinal and neurological function. Poorly treated pain significantly increases the risk of complication, patient suffering, morbidity and mortality. Neurological sequelae can result from the bodily response to repeated painful stimuli which can result in chronic pain syndrome (CPS). CPS is a complex and poorly understood condition that can provide a major challenge to health-care professionals in terms of management. Thus, it stands to reason that surgical pain should be aggressively