Sunday, May 19, 2019

Good cancer pain management can help patients feel better Essay

Most crab louse unhurrieds suffer from wound in varying degrees during their illness. The management of this suffer and its relationship in improving the benefit of the patient is the primary focus of this study. This paper approached the study by look intoing articles that dealt with sufferful sensation management from different angles. later on critical analysis of these articles this paper will arrive at a conclusion that addresses the research question. The topics reviewed include1. The use of a clinical instruction module (CLIM) for hospice nurses to upgrade their skills (Plymale, M. et al, 2001)2. The role of cognition in promoting the mental well being of the patient (Chen, Mei-Ling. 2002)3. The use of pang management autobiographies to discover how best to deal with pain management (Schumacher, K. et al. 2001)4. Overcoming patient related barriers to pain management by educating them (Chang, Ming-Chuan. 2002)5. Providing a description of advanced genus Cancer pain in home hospice subjects to en up to(p) the caregivers to alleviate their suffering (Dobratz, M. 2001)The material for this study was searched from the University of Wollongong database of Medline. The key voice communication in the search for diary articles were nursing, research and pubic louse pain. words were chosen for their relevance to the research question and the findings they came up with. Information that was obtained from these studies enabled the writer to draw important conclusions as concerns pain management in cancer patients with pain.The research is of extreme importance to the writer. I lost my husband to cancer. The trauma we all went through watching him in pain gave me a new impetus to do all in my power to ensure that no other patient will need to go through the same suffering as he did. As I continue to practice, I would like to contribute to breaking new ground in pain management in cancer patients especially as concerns alleviating their pain and impro ving their quality of life.Article 1In an article entitled Cancer Pain Education A Structured clinical Instruction Module For Hospice Nurses, appearing in the journal Cancer Nursing ,Plymale M. et al (2001) studied the onus of pain education on the quality of service by caregivers. The research aimed to determine whether educating nurses on pain management will improve their ability to assess and manage pain in cancer patients. A clinical instruction module (CLIM) based on cancer pain management and opinion skills was administered to 25 hospice nurses whose average field practice was 4.1 years (Plymale M. et al. 2001, p. 424).The course involved the nurses going round 8 move focussing on different aspects of cancer pain, assessing 5 cancer survivors and one actor. They carried out tests on sundry(a) aspects of pain management. Prior to and after the exercise the nurses self assessed their skills in pain management using a 5-point Likert scale ranging from 1(not competent) to 5(v ery competent). They also evaluated the CLIM on a similar scale. (1= strongly disagree 5= strongly agree) only participants agreed that the course helped improve their competence in the teaching items that were being addressed. The use of patients with cancer was considered more than(prenominal) beneficial as opposed to having actors. Nurses that felt competent enough before the course did not behold any noticeable improvement in their abilities in the post exercise self assessment. This finding is uniform with the view that hospice nurses are more competent in dealing with cancer pain management than those nurses working in hospitals. Those who assessed themselves as not competent indicated a higher assessment of themselves after the course.In a further study conducted among post instruction medical students, those trained using a CLIM on pain management did better than those schooled it traditional methods. (Sloan P.A. et al., 2001, 112) There is an urgent need to introduce C LIMs addressing pain assessment and management in the teaching courses for all nurses and caregivers in a bid to improve their skills and service delivery. The more competent the nurses the better will be the treatment of patients in prolonging their lives and alleviating the pain they go through. A earthshaking observation of this study is the competence level of hospice nurses was higher than that of their counterparts. It is advisable to seek their input in growth manuals and modules of this nature as they have first hand knowledge that is invaluable to this area of study.Article 2Pain And Hope in Patients with Cancer, an article written by Chen, Mei-Ling and appearing in the journal Cancer Nursing (2003) examines the relationship between pain and anticipate in cancer patients. Hope is a therapeutic factor in the treatment of any infirmity including cancer. Patients with high levels of swear coped better with the disease than did those who dwelt on the hopelessness of their situation. The hopeful patients on average tended to live longer and had extended periods of remission. This study had tercet main purposesi. Examine the effect of disease status on hope levels among patients with cancer who have painii. Compare the level of hope between patients with cancer that have pain and those who do notiii. hold which dimensions of pain are associated with hope (Chen, Mei-Ling. 2002, p.62)The conceptual framework for the study was based on the self- regulation present of coping with health threats. (Chen, Mei-Ling. 2002, p.62) The main emphasis is on how people cope with their health problems in their consume unique ways. Personal beliefs, religious orientation, cultural practises and previous experiences all work to determine a patients attitude towards his illness.(Donavan, H.S., Ward, S., 2001, pp. 211 216)Any one of the factors mentioned will have a bearing on the hope levels of the individual. The study employed the use of the Herth Hope Index (HHI) to assess the level of hope. It sampled 274 inpatients with cancer at twain medical centres in Taiwan. 226 of them finalised the survey and the analysis was based on their responses. The study used Perceived intend of Cancer Pain Inventory (PMCPI) to measure the meanings that patients ascribed to their pain. Four subscales were used and these were challenge, threat, spiritual awareness and loss.The findings showed that in cancer patients with pain and those without pain, the hope levels did not differ. However, sensory dimensions of pain showed a link between the bearable pain intensity and level of hope (Chen, Mei-Ling. 2002, p. 65) The findings supported the view that the hope levels in patients were higher in those who were able to tolerate more pain. Perception of ones pain played an important role in the way one held on to hope. Those who viewed the pain as a challenge were more hopeful than those who took it from a negative perspective. In assessing ones reaction to treatme nt, it is notable that the findings showed no difference in hope levels for those patients who were unsure of the effect of treatment and those who affirmed that the treatment was working positively.

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