At the point when Your Body Hurts… Fears, Myths & the Truth about PainSlide 2
Agenda What is agony what number individuals have it What causes it Barriers to powerful treatment Assessing & treating torment Consequences of unrelieved torment Where to get more dataSlide 3
What Is Pain? "Torment is the thing that the individual says it is and exists at whatever point he or she says it does." - Margo McCaffery, RN, MS, FAAN 1968Slide 4
Clinical Definition of Pain "… a repulsive tangible and enthusiastic experience connected with genuine or potential tissue harm or portrayed regarding such harm." International Association for the Study of Pain at the end of the day, torment is any impression that damages.Slide 5
Clinical Type Nociceptive Neuropathic Duration Transient Acute Chronic Breakthrough Types of PainSlide 6
Stabbing Dull Aching Throbbing Cramping Gnawing Squeezing Sharp Burning Shooting Numbness Tingling Common Words Used to Describe PainSlide 7
How Many People Have Pain? "… inside the previous year three in each four Americans reviewed (76%) either actually have encountered endless or intermittent torment themselves or have a nearby relative or companion who has experienced interminable torment." - Research!America, 2003Slide 8
How Many People Have Pain?Slide 9
Diseases and Conditions that Produce PainSlide 10
Pain in Vulnerable Populations "Whatever influences one specifically, influences every one of us by implication." - Dr. Martin Luther King, Jr. December 1967Slide 11
Pain Tends to Occur More Often in Vulnerable Populations Racially, ethnically & socially assorted Women Children The poor The elderlySlide 12
Barriers to Effective Treatment "Human wellbeing does not depend just on treatment by doctors. Social & political circumstances significantly impact the wellbeing & prosperity surprisingly." - American Academy of Pain Medicine Ethics Charter, 2003Slide 13
Structure of the Healthcare System Low need given to torment Access Issues Cost IssuesSlide 14
Regulatory Barriers Laws, statutes, rules, & directions Regulatory investigation of agony specialists Law implementation issuesSlide 15
Healthcare Professional Barriers Knowledge Attitude PracticeSlide 16
Patient/Family Barriers Common Concerns Myths and Fears Associated with PainSlide 17
Myths and Fears about Pain is unavoidable Pain can\'t be soothed Increased torment implies illness is deteriorating Taking solid pharmaceutical early means less alternatives later Strong torment meds cause fixationSlide 18
Myths and Fears about Pain with hopeless infection can\'t be controlled "No torment, no addition" Reporting torment will divert from treating the sickness The restorative group will think about my torment The therapeutic group takes in a ton about torment in schoolSlide 19
In Search of Treatment "Reflection on the importance of torment and the significance of nursing\'s obligation to react to torment is a testing try." - Betty J. Ferrell, PhD, FAANSlide 20
Assessment Tools Brief Pain Inventory Memorial Symptom Assessment Scale Edmonton Symptom Assessment Scale M. D. Anderson Symptom Inventory Numerical rating scale Visual simple scale Wong-Baker Faces ScaleSlide 21
Visual Analog Scale No torment Worst conceivable torment Numeric Rating Scale 0 1 2 3 4 5 7 8 9 10 6 No torment Mild agony Moderate torment Severe torment Visual Analog and Numeric Rating ScalesSlide 22
Methods for Managing Pain "In the profundity of winter, I at last discovered that there was inside me a powerful summer." - Albert CamusSlide 23
Knowledge Accurate data Good assets for taking in the realities about torment & its treatment Understanding your partSlide 24
Medical Interventions Medications Procedures and Surgery Non-drug intercessions Physical treatment Psychological methodologies Integrative methodologies Chemotherapy/Radiation treatmentSlide 25
Medicines to Control Pain Long & Short Acting Medicines Side Effects Concerns about SafetySlide 26
Long & Short Acting Medicines Long-acting pharmaceuticals Are utilized for on-going, steady torment Provide consistent torment alleviation all day and all night Short-acting prescriptions Are utilized for leap forward torment Intermittent torment that "gets through" general torment control arrangementSlide 27
Side Effects Can Be Controlled Constipation Nausea & spewing Drowsiness Confusion Respiratory sorrowSlide 28
Concerns about Safety Pain meds are most protected & viable when taken By mouth at whatever point conceivable By the clock When torment is still gentle As recommendedSlide 29
Pain Medicine & Breathing Pain hoists digestion system Pain meds are typically expanded in quality & sum bit by bit before high measurements of solid opioids Opioid meds infrequently effectsly affect taking in patients taking opioids for tumor tormentSlide 30
Concerns about Addiction is a malady described by Impaired control over medication use Compulsive utilization of medications Continued utilization of medications regardless of damage Craving for medicationsSlide 31
Physical Dependence Means The individual is subject to the medication & will encounter withdrawal indications If the medication is suspended unexpectedly The dosage is lessened too quicklySlide 32
Tolerance Means The individual has adjusted to the medication so that after some time the individual needs to build the measurements of the medication to get the same advantageSlide 33
Pseudoaddiction When a man looks for torment meds for control of persevering torment May show "drug-looking for" practices (early refills, asking for higher measurements of sedatives) Reflects deficient torment control, not enslavement "Help looking for, not tranquilize looking for"Slide 34
Comparison of Attributes between Physical Dependence and AddictionSlide 35
Complementary Therapies for Managing Pain Mind/body Therapies Physical Therapies Movement Therapies Nutritional ApproachesSlide 36
Self-Management Strategies Do Work Usually simple to learn Enjoyable to do Effective when utilized frequently Provide a feeling of control Can include family or other friends and family Can be joined with solutionsSlide 37
Need Professional Help to Learn or Do Biofeedback Self-mesmerizing Guided symbolism Massage Acupuncture Progressive unwinding practices Practice all alone Heat/frosty application Music Distraction Rhythmic breathing Work w/Trained Professional & all aloneSlide 38
Consequences of Unrelieved Pain "Torment is a more horrible master of humanity than even demise itself." - Albert Schweitzer, MDSlide 39
Unrelieved Pain Means Major Lifestyle Changes for 20% of Americans Employment Residence Personal flexibilitySlide 40
Impact on Daily Life Severe torment can preclude even the most fundamental exercises of day by day living Bathing Dressing Toileting Eating Persistent torment can modify mind-set & insusceptible capacity influencing both mental & physical wellbeingSlide 41
Increasing Pain Results in Decreased Activity and Impaired Quality of Life Cleeland, C.S. (1989). Estimation of torment by subjective report. In: Chapman CR, Loeser JD, editors. Issues in Pain Measurement. Progresses in Pain Research and Therapy, 12, 391-403. New York: Raven Press.Slide 42
What You Can Do to Help the Person with Pain Be available Believe reports of torment Communicate Healthcare suppliers & treatment experts need to know whether treatment is not viable Advocate for the benefit of your adored one For individuals with agony all around VoteSlide 43
Alliance of State Pain Initiatives (608) 265-4013 http://aspi.wisc.edu/American Cancer Society Toll free: (800) ACS-2345 www.cancer.org American Pain Foundation Toll free: (888) 615-PAIN (7246) http://www.painfoundation.org/Texas Cancer Info www.texascancer.info firstname.lastname@example.org Texas Pain Advocacy & Information Network www.txpain.org Texas Partnership for End-of-Life Care www.txpec.org Texas Pain Society http://www.texaspain.org/For More InformationSlide 44
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