Pain Management Chosen Topic/Patient Scenario Thesis

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Pain Management

Chosen Topic/Patient Scenario

Pain Management is my chosen topic for this assessment of internet information. The scenario I looked at was is as follows: Patient's caregiver has expressed the desire to learn about non-pharmacological treatments for her mother's cancer pain in a palliative care setting. The daughter would like to be prepared if breakthrough pain occurs during the use of pharmacological means and help her mother learn some skills she could use to help combat intractable pain before such pain occurs.

Patient's Learning Need

The patient though interested, is reluctant to believe that alternative treatments might work better or as supplement pain medication but is willing to look at evidence provided by the nurse, in connection with her daughter's request. The patient, on more than one occasion has expressed the desire to spend quality time with her children, and other family while she is ill, rather than feeling as if she is "out of her mind" on medication or in severe pain. This assertion shows me as the nurse that the patient would likely be interested in and be compliant with a non-pharmacological/supplemental program or plan to avoid taking additional pain medication, if she does not have to. The patient and her daughter would like to know if massage, acupressure, acupuncture (if available in the home), limited movement techniques, massage and/or guided imagery or other psychological means would be effective in the development of a pain plan. (Smeltzer & Bare, 2008, pp. 105-108)Get full Download Microsoft Word File access
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Thesis on Pain Management Chosen Topic/Patient Scenario Pain Management Assignment

The patient and her caregiver would then possibly apply any techniques the nurse offered as viable, through web-based learning exposures if such exposures provided truthful options. Those techniques she would most likely put in a pain management alternative plan would include massage, acupressure, acupuncture and guided imagery techniques. Some of these techniques and procedures are supported by nursing intervention materials, specifically psychological techniques, such as guided imagery and relaxation response. (Smeltzer & Bare, 2008, pp. 105-108) the patient's learning preference is one of trial and error, (application/practice) as currently she is not bed bound but would like to be prepared when she reaches this state. Both the patient and her daughter have high levels of reading skill and both have access to and use the internet regularly.

Learning Objective

The learning objective for the patient is exposure to non-pharmacological pain management techniques that will be possible to apply when she is bed-bound or has limited mobility but that can be tried now to develop an alternative pain management plan to supplement pain medication. The outcome desired is to have an alternative pain management plan in place prior to the patient's condition declining to bed-bound state and prior to any additional decrease in mobility.

Website Accuracy

The chosen websites for this exploration are: 1. Alternative Medicine Foundation: Pain Management: An Alternative and Complementary Medicine Resource Guide at,2.Cancer Treatment Centers of America: Pain Management at Article offered by the Journal of the American Osteopathy Association Nonpharmacologic and Complementary Approaches to Cancer Pain Management written by Lynette a. Menefee, PhD; Daniel a. Monti, MD at


Website 1. Credentials on this website are limited as it is non-authored and associated with the association itself. The work does however offer an extensive resources list for alternative and medical pain management resources.

Website 2. This website is also non-authored but does offer the advice and testimony of a certified pain management RN and the director of the Cancer Center of America's pain management coordinating MD.

Website 3. This work is authored by two experts in the field of pain management and integrative pain therapies. Lynette a. Menefee, PhD; Daniel a. Monti, MD "From the Jefferson Pain Center, Department of Anesthesiology (Dr. Menefee) and Department of Psychiatry and Human Behavior (Dr. Monti) at Jefferson Medical College in Philadelphia, Pa. Dr. Monti is director of the Jefferson-Myrna Brind Center of Integrative Medicine."

Current Update/Ease of Use

Website 1. is dated 2006, with no update information. Website 2. was updated in March 2009. Wesite 3. The article on alternative pain management was published November 2005 and has not been updated. Usability of website 1. is probably the best given its font, ease of navigation and simplistic format. Website 2. is easy to use and friendly to user offering many usable links and is obviously well developed marketing but could have larger font and broader color range. Website 3. The article is in academic format but on an easy to read background with many in text links to linked further material in the reference section.

Website Choice

If I could only choose one of the three sites to send my patient to I would choose site number 2 as it is a comprehensive introduction to pain and pain management and stresses holism (supplementary care) as well as traditional care. I would also like to offer the article in print form (website 3) to the patient as a good introduction to the topic. Website 1 though simple and friendly and filled with legitimate and useful links makes unfounded claims and is not representative of the concept of utilizing alternative pain treatment in compliment to medication and other traditional medical options, but instead makes claims in a negative way with regard to pharmacological pain management. The patient has broad learning preferences but has been exposed to and is comfortable with electronic resources. The patient is ready to learn or at least open to exploring complimentary pain management techniques but would also be well served by being informed of options in a holistic manner, as the website chosen (2) offers general pain information, pain assessment information, and most importantly stresses the need to develop a plan as well as best use and understand medical interventions available. Smeltzer and Bare stress the need to assess the readiness of the patient to learn material and that compliance is relatively limited if the patient is not offered the material in a ready state and in one that matches his or her learning needs and it also stresses the need for the patient to be proactive in their care, to better develop compliance and to feel as if he or she is in some semblance of control at a time when this is a challenge. (Smeltzer & Bare 2008, pp. 50-53) the text also offers many complimentary pain therapy techniques designed to reduce stress and therefore reduce pain, backed by empirical evidence and noted success for nursing intervention regarding such treatments. The website itself does not stress what would be considered unfounded therapies, such as acupuncture but does offer links to information about therapeutic massage and other alternative holistic treatments. Offering this patient more material (including unfounded therapies) than they can handle or reasonably explore in the amount of time she has and in her condition would be counterproductive to compliance. (Smeltzer & Bare 2008, pp. 50-53) Smeltzer and Bare also stress the need to offer alternatives for pain management in situations where pharmacological treatment is not desired, either for medical or psychological reasons. "Non-pharmacological pain relief measures, such as imagery, music, relaxation, massage, application of heat or cold (if prescribed), and distraction, can be used to supplement medications." (2008, p. 536) Links on website 2 support the mind-body medicine aspect of pain management and stress that such treatments as well as traditional nursing and psychosocial pain management interventions are all to be sought and utilized in accompaniment to traditional medical interventions for pain, rather than as a rejection of traditional medical care. Seeking the best and most current information regarding non-pharmacological pain management techniques is an essential aspect of learning and developing evidence-based practice. Then offering this information to patient's in a responsible and professional manner, especially with regard to not promoting remedies or leaving them weeding through non-empirical (quackery) choices is an essential aspect of the… [END OF PREVIEW] . . . READ MORE

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