...accessed. A Boolean search began with infants, swaddling and pain, with filters that included full-text, in English, free articles, and articles less than five years. Key words included swaddling, infant pain, heel sticks, painful procedures, neonates, facilitated tucking and infant care during painful procedures. Many of the articles required a fee to access the article. Continual searches on Google Scholar finally obtained five scholarly articles. The ancestral search proved the most fruitful in obtaining five strong sources of research, each rated at an evidence level of one. Overall, the studies used in this paper supported the theory and PICO question that swaddling infants during painful procedures manages symptoms and even decreases infants’ pain. Even more favorable is that swaddling (for infants less than three months of age) is recommended for clinical practice as a cost-effective, non-pharmacological, non-invasive, evidence-based method that is easy to teach and implement and offers comfort to tiny infants! Introduction Swaddling, also known as infant-wrapping, binding, bundling or facilitated tucking, is a customary newborn technique that is utilized for multiple reasons. The most prevalent logics include sleep promotion and prevention of sudden unexpected deaths in infancy (SUDI), also referred to as Sudden Infant Death Syndrome (SIDS) (Young, Gore, Gorman & Watson, 2013); reduction in infant pain and stress during painful procedures (Liaw, Yang, Lee, Fan, Change...
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...If you are suffering from back pains or headache, you need to consult the best chiropractic care in Woodstock Georgia. Reasons why you should go to a chiropractor 1. Chiropractic treatment have been proven safe This procedure is known to be the safest therapies available for patients suffering neuromusculoskeletal complications such as acute joint, neck, back and head pain. There are four reasons why you should build faith in this form of treatment. A. Chiropractors take years in medical schools, and their course work includes all aspects of spine. B. Chiropractors receive extensive training, and they have vast experience in clinical work. C. Chiropractors continue to further their education even after graduation, so as to maintain their license of operation. D. The body has the mechanism to heal itself; chiropractors only serve to remove subluxations that slow self healing of the body. 2. Chiropractic is proven to be very effective in pain relief Research in USA and other parts of the world indicate that, chiropractic manipulations are very effective. Other than back pains, you can get medical attention for allergies, nutritional counseling, smoking cessation and overall wellbeing. Most chiropractors will help you do sports physicals for less than you can have it with a general practitioner. Through physical massage, back pains fade quickly than you can imagine. You should therefore strive to get massage for pain relief in Woodstock Georgia....
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...STUDENT NAME: DATE: 3/25/13 CLIENT OVERVIEW | CLIENT INITIALS: A.F | AGE: 27 | MARITAL STATUS: Married | ETHNICITY: White | RELIGION: N/A | LMP: 6 / 24 /12 | EDC: 3 / 31 /13 | GESTATIONAL AGE: 39 weeks | G: 3 | T: 3 | P: 0 | A: 0 | L: 3 | PERTINENT HEALTH HISTORY | CHIEF COMPLAINT:(reason for admission in pt’s words)Patient stated “My water broke and I began having contractions”. She also felt as if her blood pressure was “high”. ADMISSION VE: / / | HISTORY OF PRESENT ILLNESS:(significant events/complications in labor/hospital stay):Client’s blood pressure was 140/90 upon admission. | PRENATAL CARE: * Maternal and fetal vitals (includes FHR). * Fetal baseline: 130s * Variability (marked) * Fetal movement * BPP score of 8 * Prenatal labs * DTR’s ( 2+) | YEAR | TYPE of DEL | GEST AGE | F/M | BIRTH COMPLICATIONS | NB STATUS | 1.2004 | NSVD | 40 w | F | None | Living | 2.2008 | NSVD | 38 w | M | None | Living | 3.2013 | NSVD | 39 w | F | None | Living | 4. | | | | | | 5. | | | | | | OB/GYN/MEDICAL/SURGICAL/SOCIAL HISTORY: * Former smoker (Cigarettes) * Gravida 3 Para 3 * Post-partum depression (No meds during pregnancy) * Fibroid x 2 * PIH | MATERNAL LABS | Blood Type/Rh: O - | HgB/HCT:10.0 / 31.6 | WBC/Platelets:8.4 / 286 | GCT: 100 | GBS: Neg | HIV: Neg | Hep B: Neg | Rubella: Need vaccine | RPR/STS: Neg | Gonorrhea: Neg | Chlamydia: Neg | Other: | ...
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...extreme medical measure, a person or animal suffering from an incurable, especially a painful disease or condition” (Euthanasia, 2012). Bill Muehlenberg produces a weekly commentary on issues of the day. In January 2002, he discussed his views on Euthanasia entitled, The Case against Euthanasia. Muehlenberg (2002), “euthanasia is not about making sick and dying people as pain free and comfortable as possible…euthanasia is about allowing other people – doctors, lawyers, even family members – to determine who should live and who should die” (para. 1). Muehlenberg, like many opponents of euthanasia see it as a power issue more than a self-moral issue. Meaning, he believes that making the sick comfortable and pain free falls under the umbrella of palliative care (Muehlenberg, 2002). However, if anyone is going to argue the case against euthanasia, we should argue all aspects of it, not just the areas that make us uncomfortable. In answer to Muehlenberg’s argument that making the sick comfortable and pain free is considered palliative care, this comment makes his argument misleading. If an individual is in pain that will not go away no matter the medical treatment and that individual has no quality of life and no hope for a full recovery, the decision to die should be theirs alone. The passion behind Muehlenberg’s abhorrence to euthanasia is largely based on his Christian background, which again is...
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...DOI: 1/22/2013. Patient is a 50-year-old male cook/crew member who sustained a work-related injury when he lifted a 40-pound tray of chicken and felt back pain. Per OMNI, he had a lumbar sprain/strain with right sciatic component. Based on pain management follow up evaluation report dated 06/26/15, the patient complains of lumbar spine pain, which he rates at 5/10. He notes that the pain has decreased since his last visit ( 05/29/15) due to a sacroiliac joint injection on 06/08/15. He reports that the procedure helped (100%) and he is pain free for two weeks and he was not taking any medication. He states that he had better mobility and he slept well. Now, he is indicating that the pain has returned. He has been taking his medication regularly and...
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...Introduction The patient, a 20-year-old female ballet dancer, presented with pain in the lateral ankle, particularly in the anterior lateral malleolus and on the calcaneus, and swelling. Patient was examined immediately after the injury occurred. Upon examination, there were positive tests for both the talar tilt test and the anterior drawer test; greater than 10˚ and 8mm respectively compared to the uninjured ankle. Weight bearing on the injured limb was not possible for more than two steps; the patient experience great pain and described the sensation of her ankle “buckling.” A history was taken; the patient described rolling her ankle after landing on a colleague’s foot, and stated that she has had a lateral ankle sprain (Grade I) in the past. Patient was referred for radiographic (x-ray) imaging to rule out fractures and other ankle injuries. Patient was finally diagnosed with a Grade III ATF & CF ankle sprain. After radiographic and arthroscopic imaging was completed, it was determined that the rupture had occurred at the attachment point on the fibula for both ligaments9; an avulsion fracture was not found. Initial treatment performed on the patient consisted of the R.I.C.E. (Rest, Ice, Compression, and Elevation) method. Patient was wrapped with the foot in as much of a dorsiflexed position as could be tolerated, with u-shaped foam orthotics around both malleoli to help with compression and stability. Patient was informed of her options regarding surgical...
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...when someone takes deliberate action to cause a death. Currently Euthanasia is not allowed by law to be practiced on people. My opinion on Euthanasia is that it should be legalised because the patients get to die in less pain and suffering as possible, the majority of the public believe that Euthanasia should be allowed morally and in a free society an individual should be able to choose their time of death. Patients with such diseases as cancer should be allowed to choose their time of death. This is because cancer is the most common cause of death in Australia, accounting for more than a quarter of all deaths. There is major pain that is associated with cancer suffers and it is a severe and intractable form of chronic pain. Patients with advanced cancers often experience multiple symptoms like fatigue, weakness, mental haziness, anxiety and nausea. Many of these symptoms can not be eliminated and any may widely affect the function of sense and well being. This can cause a major source of distress to the terminally ill and it can cause extremely unpleasant symptoms, which are undignified in the terminal stage. This is where Euthanasia would be able to step in and with the request from the patient or their legal representative put a stop to their pain and suffering. I also agree that special guidelines must be put...
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...(Medical Dictionary). Is Assisted Suicide ethical or unethical? Is it wrong to decide what we want to do with our own body or are we obligated to do what others say or tell us what to do? Who will suffer the most; will it be me, you, family or friends? We could say everyone will suffer in their own way but the real question is could we do what we want to do or do we need to think about others before taking action, who has more of the right to choose? We are born free, we are born to have our own opinions, and we are born to make choices for ourselves whether they were right or wrong for us at that time, at that moment or in our lives. We have the right to choose what we want done with ourselves not anybody else but us. There is no reason on why our freedom of choice is to be taken away just because someone wants to intervene. If we are the one who is suffering the most in pain and being miserable what happiness is there? Yes loved ones will be upset but the one who is hurting the most is the one who is suffering the most pain and being the most miserable. No happiness could come about so let me choose what is best for me don’t choose for me. Many argue on why assisted suicide is good and why it is bad. Assisted suicide is good because it allows individual control, it ends suffering, it is a personal moral decision, and it could reduce incidents of abuse. The bad is it destroys hope of recovery, undermine the medical field, and could lead to the breaking up of a...
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...die and it is the responsibility of the nurse to help improve the quality of life for the patient and offer support to the family during this dying process. The nurse must respect and honor the patient. To improve the quality of life for Mrs. Thomas, education on disease process and end of life events is of the utmost importance. Hospice is a specialty offers support and services to the terminally ill (“What is hospice,”). Not only does hospice provide services, but also a wealth of education for the patient and family. Along with education, symptom management and spiritual support are also offered to improve Mrs. Thomas’s quality of life. Pain control and symptom management can also improve the quality of life in this case. After adequate education is received, Mrs. Thomas may not be as reluctant to receive pain medication. As pain relief is obtained, the patient may enjoy more of time with her husband and may even return to church for social interaction thus increasing her quality of life. The third way to improve Mrs. Thomas’s quality of life is by emotional and spiritual support through a social worker and chaplaincy. The social worker can help guide Mrs. Thomas to support groups for herself and her spouse (What is hospice,”). Support groups provide personal contact and a place of escape for patient and family. Chaplain services offer spiritual support during this difficult time...
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...Procedural Pain Management for the Early Childhood Patient: A Multidisciplinary Concept Analysis of Pain BLK, RN, BSN The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Xxxx, xx October 8, 2013 Procedural Pain Management for the Early Childhood Patient Children presenting to the emergency department are often subjected to painful and anxiety-producing procedures, both for diagnostic purposes and for treatment of symptoms. Historically, pediatric patients have not been afforded the same level of care as adults with regard to the management of procedural pain. Pain in the young child age group (1-7 years) has often been under-treated, resulting in increased fear of the healthcare setting and postponement of necessary immunizations and procedures by the patients and parents. Close examination of the concept of pain – specifically, procedural pain in the young child age group in the emergency department (ED) setting, is necessary for understanding how nursing practice may be improved in order to produce a more positive patient experience. A thoughtful review of current literature will provide insight into the concept of pediatric pain, permitting a detailed analysis. This analysis will assist in the formulation of theoretical and operational definitions of the concept for use in further study. Review of Literature A review of literature was conducted to compare and contrast...
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...Administration and Pain Management in the Terminally Ill Cancer Patient: Case study of a patient in the terminal phase of breast cancer. This case study is based on Ms. D, a 48-year-old married woman diagnosed with Bilateral Breast Cancer. She underwent a bilateral mastectomy 4 years ago. Lymph involvement was noted at the time of the surgery. Recent metastases of the bone has been diagnosed and she is in the terminal phase of the disease process. Up to this point, she has been on a regimen of Oxycodone 5 mg P.O. every 6 hours as needed for pain, Zantac 150mg P.O daily for heartburn, Docusate 100mg P.O. twice a day to promote bowel movements, Celexa 40mg PO daily for depression and enteric coated aspirin 81mg PO daily for prophylaxis of transient ischemic attacks and MI. She remains in her home and is receiving care at home. Ms. D has complained recently of significant increased pain and trouble sleeping, most likely due to the bone metastases in the area of the lumbar spine. She has stated that the pain has dramatically decreased her quality of life recently also. She has expressed the desire to remain at home during the terminal phase of her disease, but needs more adequate pain management to preserve her quality of life for as long as possible. She is married and her husband is very loving and supportive of her desire to stay in the home during this phase. He has voiced some concerns about drug dependency if the patient were to receive stronger pain medication. I have...
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...Content Frame Skip Breadcrumb Navigation Home arrow Chapter 2 arrow Nursing Care Plan Nursing Care Plan Nursing Diagnosis Impaired Verbal Communication r/t sedation, presence of artificial airway, or decreased level of consciousness Long Term Goal: Patient is able to use a form of communication to get needs met and relate to his environment Short Term Goals / Outcomes: Patient and nurse will establish a means of communication Patient will be able to effectively communicate and needs Intervention Rationale Evaluation Assess the patient’s primary and preferred means of communication (verbal, written, gestures) Communication can be frustrating for both the nurse and patient. It is critical that the nurse and patient determine the best method for each patient. Patient can write words clearly on paper Assess the patient’s preferred language and ability to understand written words, pictures and gestures The nurse can not assume that the patient is grasping the information that is provided. In recognition of the vast array of cultures and physical challenges that patient’s face, it is the nurse’s responsibility to communicate effectively Patient speaks and reads English. Recognize that the presence of an artificial airway will hinder the patient’s ability to communicate When air does not pass over the vocal cords, sounds are not produced. Other methods of communication will have...
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...The Three Angeles in Hawk In William Wallis’s autobiographical novel, Hawk, the author quickly establishes that a tender child, Will Flake, will be bombarded with challenging circumstances that will provoke a constant struggle in his young life. Wallis chronicles the growing pains of this seven-year-old child of agony, pain, and suffrage. Growing up in the early 1950’s in Arkansas, Wallis recalls his perception of his family life and survival. Living on a self-sustained farm, Will helped maintain through chores and strict guidance from his father. Who was the source of the pain, and who was anything but supportive. His father possessed a monstrous side of violence, which piled on more pain in spirit than of course physically. Having suffered and survived through his unconventional childhood experiences of pains and disappointments, he was cursed and blessed at the same time. A horrible accident in the woods caused him to become crossed-eyed, and blinded his right eye forever. At school, his peers mercilessly bullied him for being different, leaving him with insecurities. He endures pain and punishments from his father, Will is not simply “hurt by the anger of his father,” but doesn’t seem to comprehend it at such a young age, as he is beaten unconscious by him on page 41 (Wallis, Hawk). Despite it all, he stays strong in the face of abuse, mocking and humiliations. On the contrary, there are things aside from Wills troubles that are blessings. Will survives his childhood with...
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...Literature Review: Does Effective Pain Management Improve the Overall Quality of Life? What is pain? Generally, it is an unpleasant sensory feeling that is triggered by the body's nervous system in response to an adverse affect and is often categorized as acute or chronic. Because of the many different aspects of pain, it varies from each individual. Experiences that may cause pain in one individual may or may not cause pain at the same level which makes this a highly subjective symptom. Previously, medical professionals relied solely on their patients report of pain. However, as time and medicine have evolved, pain has been incorporated into general patient assessments and has further been referred to as the fifth vital sign, revealing its objective qualities as well. Nurses are being trained to assess pain along with the standard vital signs so that appropriate pain management interventions may be implemented when necessary (McCaffery, Pasero, & Wells, 2008). Pain management has evolved and continues to evolve through the many advancements of medicine. The management of pain is critical to the overall well being of patients. The research that has been performed based on the article, "Pain Management: A Human Right" (Brennan, Carr, & Cousins, 2007), reveals that lack of effective pain management can lead to many adverse conditions such as increased heart rate, systemic vascular resistance, and circulating catecholamines, which place the patient at risk for myocardial...
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...to treat “moderate-to-severe pain” typically after “surgery or injury, or for health conditions such as cancer” (CDC). Some of the opioid side effects include increased tolerance, dependence, increased sensitivity to pain, constipation, nausea, depression, sweating or itching. I feel many users are unaware of most of these side effects. This may be due to the doctor’s or user’s negligence. However, this explains why many opioid abusers are depressed, and why they have a hard time weaning off (because they increase pain sensitivity, tolerance, and dependence). The CDC states the problem with opioids is doctors are prescribing more than a quarter of a billion opioids. Thus increasing the risk factors such as overlapping prescription, taking “high daily dosages”, having a mental illness, and “living in rural areas and having low income” (CDC). The CDC states anyone who uses prescription opioids have a chance of developing an addiction. About “one in four” people receive long-term treatment and roughly “two million Americans abused or were dependent on prescription opioid pain relievers” (CDC). Overdosing can cease breathing and result in death. After reading about prescription opioids I continued on to read about “Opioid Basics”. The Basics of opioids is that there are three forms of opioids, prescription opioids, fentanyl, and heroin, which are all pain relievers. I previously discussed prescription opioids, but fentanyl is a “synthetic opioid pain reliever” that is significantly...
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