Open Code Concept Participant Quote Body Language
Unwilling Acceptance This is who I am now. I have Carpal Tunnel. (P1) Eyes showed hurt. Entire demeanor showed defeat. How does that saying go, what doesn’t kill you makes you stronger. Wished I believed that. (P4) Participant looked sad. Participant moved their head a lot when speaking. Hands did not move. Anger They tried to break me but they can’t. I’ve had drill sergeants try to do this and they couldn’t what makes them think they can do it. (P4) Participant’s body language was cocky. Head moved back and forth when speaking. Participant had an evil grin on his face during his statement. Since I started in the Return to Work program my boss asks me three times a day where I am with a project. Talk about being micro managed. (P3) Participant looked visibly shaken. Participant sat in chair but would shift from side to side. Participant kept crossing and
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For the first time in my life I don’t know if I will be able to provide for my family and that scares the hell out of me. (P4) Participant started to look away as they were making this statement. Indicated to researcher that saying this disturbed them. I feel absolutely powerless against this. My own body is hurting me. (P5) Participant would look at wrist, specifically the area where their Carpal Tunnel is as if they were looking for some indicator of where the injury exactly was. At times the participant would rub this area as well. Medication I started taking over the counter aspirin, which eventually increased to Ibuprofen, and now I take prescription meds. It seems like after a while I need stronger and stronger meds to make my pain go away. (P3) Participant looked genuinely concerned about the increase in pain and taking more pain meds. Participant’s voice inflections indicated they were more concerned with the pain getting worse versus having to take stronger
Chronic pain is often defined as pain lasting more than 12 weeks. It may arise from initial injury, such as a back sprain, or there may be an ongoing issue such as illness. The assignment given consisted of finding a person who suffers from chronic pain to explore the ideas of illness classification, the experience of pain and explanatory models. The interview process was executed on September 17, 2016 via face time lasting approximately 45 minutes in length. She gave me her oral consent for this interview. I explained that this information would be used for a chronic pain paper. (American Chronic Pain Association) The subject is a 53 year old, Caucasian, upper middle class female currently in treatment for melanoma cancer. Currently, no disease
In today's society people are quick to find easy and fast ways to make them feel better or reduce stress leading to long term health problems. Medication is designed to ease someone or somethings pain, but overusing a drug can result in side effects that can force someone to need more drugs to get better. Siri Carpenter believes that the use of multiple and unnecessary medication is escalating and frightening. “The use of multiple, often unnecessary medications — especially among older people — is an entrenched, escalating, frightening, and mostly unexamined problem in modern healthcare care,” (Carpenter 1). People find it easy to take
One way to assess pain behaviours is to observe them in a clinical setting (although pain is also assessed in a natural setting as the patient goes about his or her everyday activities). Keefe and Williams (1992) have identified five elements that need to be considered when preparing to assess any form of behaviour through this type of observation. • A rationale for observation: it is important for clinicians to know why they are observing pain behaviours. One reason is to identify ‘problem’ behaviours that the patient may be reluctant to report, such as pain when swallowing, so that treatment can be given.
"I asked my laboratory assistant to accompany me home, as I believed that I should have a repetition of the disturbance of the previous Friday. While we were cycling home, however, it became clear that the symptoms were much stronger than the first time. I had great difficulty in speaking coherently, my field of vision swayed before me, and objects appeared distorted like images in curved mirrors. I had the impression of being unable to move from the spot, although my assistant told me afterwards that we had cycled at a good pace."(1)
Addressing the people exposed to opioids may reduce the number of people starting and continuing to abuse drugs in the long term. In addition to this suggestion, data found from 2006-2015, the duration of opioids increased by a third suggesting fewer patients choose to start using opioids for pain management, however, patients already on medication continue to do so. This is because once long term opioid users, even when taking their medication as directed by their doctor, eventually develop a tolerance to the drug. A tolerance to pain medication can cause patients to up their dose or take too many medications in a small time frame in order to alleviate the same amount of pain that a smaller dose would have fixed in the past. The risk of developing tolerance is an important conversation to have with a health care professional because in addiction to pain, patients go on to develop a physical dependence to the drug. Physically patients feel pain, illness, and other symptoms; in some cases they are unable to give up the drug. This is when their dependence is classified as an
Although addiction and overdose of opioids was not declared an epidemic by the Center for Disease Control and Prevention (CDC) until 2011, the beginning of the epidemic can be traced back as early as the 1980’s when attention in medical care began to turn toward pain management. By the early 2000’s the Joint Commission on Accreditation of Healthcare Organizations named pain “the fifth vital sign,” implying that pain is as important clinically as pulse rate, temperature, respiration rate, and blood pressure (Wilson, 2016). At the same time, there has been an emphasis change from patient wellness to patient satisfaction metrics. Non-steroidal anti-inflammatory drugs such as Advil, Aleve, or aspirin have raised safety their own safety concerns, contributing to increased use of opioids. The lack of patient access to and insurance coverage for chronic pain management specialists or alternative healing therapies also contributes to the opioid epidemic (Hawk,
I shiver at the sound, there is only one person in the room who would cause me any harm, the scout was up. It was impressive he could move after being tossed around like a rag doll, greater so he had the strength to lay his hands on me. Unluckily for him I knew where all his wounds were. As his grip tightens I swing my arm to where his upper abdomen would be. He grunt of pain tells me I found it. His grip loosens and I push him away from me. The man doesn’t stumble very far, but the look on his face told me he wasn’t used to being beaten. Assessing my threat level, he charges. I have hardly any time to block his swing and milliseconds before it happens, I know he isn’t going for my face. There is a crack from my leg and pain shoots from my ankle. I scream in agony. The scout pins me down, I should have left him in the woods after
How the patients feel they are being treated by the Doctors and nurses SCD patients feel that many providers don’t believe their reports of pain unless their distress was visible. Presumptions of drug seeking and addiction were pervasive among healthcare providers …… (Haywood, 2013). SCD patients are asking the healthcare professionals (HCP) to treat their pain without being judgmental or
The mentality of some patients that are prescribed painkillers is that it will cure whatever illness they may have and permanently take away the pain; however painkillers, are supposed to be used to reduce pain for a short period of time to bring comfort to a patient. Due to this mentality, it is becoming more common to run to pain medications; even when some pain can be treated with other methods. In order to start to cure this epidemic, patients need to be compliant with how they are supposed to properly use these types of medications. (Grounder,
According to The World Health Organisation (1999), defined pain as an unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Pain is traditionally described as acute or chronic pain. The prevalence of chronic pain (CP) is higher than of acute of pain, as it affects 7.8 million people of all ages in the UK (Chronic Pain Policy Coalition., 2006). The current leading cause of mortality that is accounting for 60% of all deaths is due to chronic diseases and is also a problem as causes an increasing burden on the health care service (World Health Organisation., 2007). CP can affect a person’s quality of life if managed poorly, statistics shows that 25% of people lose their job and 22% leads to depression. (Chronic Pain Policy Coalition.,
The current study was designed to explore whether people with chronic musculoskeletal pain show interpretation bias favoring pain-related interpretations of ambiguous real-world images with both possible pain-related and non-pain related interpretations. The results did not support the hypothesis that chronic musculoskeletal pain participants, compared to healthy control participants, would interpret ambiguous real-world images in pain-related ways. No significant effects were found for written responses or endorsement of statements.
Another obstacle to controlling pain in said population is that there is an “increased prevalence of cognitive, sensory-perceptual, and motor problems that interfere with a person’s ability to process information and to communicate [as
The most common reason that people seek medical care is pain, and pain is the leading cause of disability (Peterson & Bredow, 2013, p. 51; National Institute of Health, 2010). Pain is such an important topic in healthcare that the United States congress “identified 2000 to 2010 as the Decade of Pain Control and Research” (Brunner L. S., et al., 2010, p. 231). Unfortunatelly, patients are reporting a small increase in satisfaction with the pain management while in the hospital (Bernhofer, 2011). Pain assessment and treatment can be complex since nurses do not have a tool to quantify it. Pain is considered the fifth vital sign, however, we do not have numbers to guide our interventions. Pain is a subjective expirience that cannot be shared easily. Since nurses spend more time with patients in pain than any other healthcare provider, nurses must have a clear understanding of the concept of pain (Brunner, et al., 2010). Concept analysis’ main objective is to clarify ideas, to enhance critical thinking, and to promote communication (Rodgers & Knafl, 2000). This paper will examine the concept of pain using Wilson’s Steps of Concept Analysis (Rodgers & Knafl, 2000).
The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (1979). Pain is actually the culprit behind warranting a visit to a physician office for many people (Besson, 1999). Notoriously unpleasant, pain could also pose a threat as both a psychological and economic burden (Phillips, 2006). Sometimes pain does happen without any damage of tissue or any likely diseased state. The reasons for such pain are poorly understood and the term used to describe such type of pain is “psychogenic pain”. Also, the loss of productivity and daily activity due to pain is also significant. Pain engulfs a trillion dollars of GDP for lost work time and disability payments (Melnikova, 2010). Untreated pain not only impacts a person suffering from pain but also impacts their whole family. A person’s quality of life is negatively impacted by pain and it diminishes their ability to concentrate, work, exercise, socialize, perform daily routines, and sleep. All of these negative impacts ultimately lead to much more severe behavioral effects such as depression, aggression, mood alterations, isolation, and loss of self-esteem, which pose a great threat to human society.
Pain is a basic mechanism in life that helps the body identify that something is wrong or dangerous. Without pain, the body would be severely damaged without realizing it. Pain can become an inconvenience when it spirals out of control; chronic pain, for example, leaves many miserable and unable to enjoy life to its fullest extent even with traditional medical intervention. Around 80% of people report chronic pain in their lifetime (Holtzman & Beggs, 2013). People afflicted by chronic back pain turn to modern medicine for relief, but even these alternatives are not always 100% effective.