8). A number of alternative treatment modalities have been used in an effort to avoid these adverse side effects, including various mind-body and therapeutical techniques that may prove efficacious in some orthopedic patients, but many healthcare providers remain unaware or untrained in their use (Lukas, 2004). For instance, one orthopedic nurse reports that, "In today's fast-paced surgical environment, perioperative nurses face many challenges to meet the needs of outpatients in helping to alleviate their pain and anxiety. Most nurses have not been taught non-pharmacologic methods for control of pain and anxiety" (Lukas, 2004 p. 8).
Besides this lack of training in providing adjunct treatment modalities for pain management in the orthopedic patient, there is also a pronounced lack of training concerning efficacious treatment modalities for younger orthopedic patients. For instance, Bennett-Branson and Craig (1999) emphasize that, "Despite advances in pharmacological approaches to pain control, most children who undergo surgery continue to experience moderate to severe postoperative pain. Children and their parents are forced to rely on personal resources to cope with this severe stressor" (p. 355). As noted above, individual manifestations of pain exist along a continuum that differs from time to time and place to place, but most adults are better able to communicate their level of post-operative pain to their healthcare team, while children under 5 years may be at a distinct disadvantage in this area. For orthopedic patients 5 years and over, though, McGrath (1996) reports that there are several self report measures of pain for children available, as well as observational measures such as facial action scales which appear to be most sensitive to children's post-operative pain. Despite the availability of these measures, many authorities suggest that children's parents should be actively involved in this formulation of pain management approaches, before, during and following surgical interventions. In this regard, Bennett-Branson and Craig (1999) add that parents are a reliable source of accurate information concerning the pain levels being experienced by their children, but that their children's anxiety level corresponded to the parents', suggesting that a family-oriented approach to pain management in the post-operative orthopedic pediatric patient is most appropriate (Bennett-Branson & Craig, 1999).
Implications for Practice
The research to date indicates that postoperative pain management following orthopedic surgical interventions remains less than completely effective, indicating that many of the readily available pharmacological alternatives that are safe and effective for postoperative pain management continue...
Patient Safety Through Medication Reconciliation The adoption of the Affordable Healthcare Act has assisted an increasing number of Americans to have access to health insurance. Despite the benefits associated with the new law, the quality of health delivery is still low because of the issue such as medication errors. The poster recommends an implementation of medical reconciliation to improve the quality of healthcare delivery in the United States. The method of
The ability to resolve conflicting patients is also an appreciable quality. Research is an integral aspect of every subject that requires quality improvement. Research on Orthopedic nursing is required for overall development in the care and assistance provided to improve health conditions of orthopedic patients. ("Orthopedic Nursing Standards," 2007) Orthopedic nurses currently require developing their knowledge on relevant issues regarding neuro-muscular and skeletal challenges of a patient and the response
diagnoses, pain is a common complaint among inpatients. In the U.S. alone, approximately 100 million patients experience chronic pain (Alaloul et al., 2015). Pain negatively affects numerous aspects of an individual's life, such as sleep, quality of life, and physical functioning. Pain is also associated with negative psychological outcomes like depression, extended hospitalization, and a huge economic burden. In the U.S., for instance, pain imposes an estimated cost of
Quality of Life Among Tawau Hospital Staff With Osteoarthritis (knees) Been Treated in Physiotherapy Unit Quality of life among Tawau hospital staff with osteoarthritis (knees) being treated in physiotherapy unit Pilot study Demographics Knowledge about OA before physiotherapy Severity of disease before and after rehabilitation Degree of difficulty as a result of knee OA Effect on work performance Effect on emotional status and social activities Opinion on self-management Impact of physiotherapy on their knowledge and understanding of the disease Impact of
Quality of Life Among Tawau Hospital Sufering From Knee Osteoarthritis With Physiotherapy Qualitative study of How Quality of Life of Tawau Hospital Staff Suffering from Knee Osteoarthritis have been improved at Physiotherapy Unit. To investigate how the Quality of Life among Tawau Hospital staff suffering from Osteoarthritis (knees) have been improved using Physiotherapy intervention. The study employs qualitative techniques to collect data. The sample population is selected from people and Tawau Hospital staff visiting the
12. Image of nursing. The image factor ensures the perception of the nurses' activity in society. An organization consistent with this factor will promote the idea that the role of the nurses is essential in the general framework of the patients' care. The nurses here are perceived as essential to the care of the patients with very special needs. The organization has not necessarily promoted this in any way, but the
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now