Reflective Essay On Pain Assessment

Improved Essays
This assignment will analyse and critically discuss a scenario from clinical placement that assesses a range of physical and mental health needs of individuals of all ages and provide safe and effective care prior to accessing or referring to a specialist. I will be using Rolfe, Jasper and Freshwater’s reflective framework (2001) as a structure to show a developing understanding of professional knowledge and skills. Patients and placement provider’s names have been omitted or changed to ensure confidentiality (NMC 2015).
During my placement within a surgical ward, I met Peter, who was day two post spinal surgery. To facilitate his recovery, Peter’s pain levels must be managed to improve Peter’s care experience and wellbeing. In order to achieve
…show more content…
When assessing Peter’s pain I initially used a uni-dimensional assessment tool. Uni-dimensional assessment tools are the most commonly used assessment tools, focusing on few factors such as the location and intensity of the pain (Coif et al 2004). Whilst this assessment tool allows nurses to quickly identify and manage the intensity and location of the pain, it allows greater room for misinterpretation when identifying the nature of the pain; for example, one patient’s classification regarding intensity can be interpreted differently by various health care professionals. Using the uni-dimensional assessment tool caused me to mistakenly identify the cause and nature of Peter’s pain causing him unnecessary suffering and distress. Poorly assessed post operative pain can cause raised levels of anxiety, insomnia, restlessness, irritability, aggression, distress, increased blood pressure and heart rate, nausea and vomiting and wound discharge (Carr et al 2005). These factors can greatly increase the risk of deterioration after

Related Documents

  • Great Essays

    Safeguarding Reflection

    • 1829 Words
    • 8 Pages

    The objective of this essay is to reflect on the experience I came across during my clinical placement in one of the NHS trust in London. I will be reflecting on safeguarding vulnerable adult with mental health problem. According to Driscoll (2007) reflection enables health care worker to analyse their practice and seek possible reasoning and different approach to performing their skills. Nursing and Midwifery (2015) states that nurses must maintain confidentiality and privacy.…

    • 1829 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Aggleton and Chalmers (2000) states in the second stage of assessment the nurse will assess the patient ability to carry out the 12 ALs. Cindy’s pain was affecting Cindy’s ability to independently perform these tasks and it is the goal of the nurse that Cindy independently achieves the same level of functioning or greater after intervention. The main focus of Cindy care was pain. Cindy explained to the nurse that the pain in the Left knee gets worst when standing. According to Roper, Logan and Tierney to assess a patient pain there are three main methods- person’s own description, past medical history and observation to reaction of pain.…

    • 162 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Reye's Syndrome Case Study

    • 1672 Words
    • 7 Pages

    7a. What risk factors does M.P. have to develop Reye’s syndrome? (1 pt) M.P. risk factors of developing Reye's syndrome include giving OTC Alka-Seltzer that contains aspirin. In most cases of chicken pox happen in children between the ages of 5 to 9 years of age.…

    • 1672 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    This report allows me to compare and contrast the different measures besides pharmacological interventions for efficacy. By including this research into my article I can provide increase validity in providing recommendations for the treatment of pain by providers. There is potential for bias in the selection process of research to include, while the author did provide inclusion and exclusion criteria, some research was not included simply because it was…

    • 1013 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    M4D1 Assignment Response

    • 353 Words
    • 2 Pages

    Marie C. Louis M4D1 Assignment Response 1. My assigned patient's priority diagnosis label related to pain: Risk of discomfort due to chronic cancer pain 2. Three nursing interventions for my assigned patient: a.…

    • 353 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Introduction: In this task I will be explaining why my service user accesses the service provision. Service provision is a term used to describe a range of activities. Some of which include health services and assistive devices.…

    • 1992 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Essay On Holistic Pain

    • 507 Words
    • 3 Pages

    Disc problems including sciatica pain, degenerative disc disease and disc prolapse are the serious health aliments that can produce bothersome symptoms. Spinal discs act as a cushion between the back bones and are very susceptible to injury or disease, causing severe pain in the back and legs. These problems greatly affect aging individuals because of wear and tear in the spine disc cartilage, causing the loss of normal function or structure and decrease quality of life. Proper pain management for disc problems is decisive to deal with this painful health ailment and prevent any serious outcome. Symptoms of Disc Problems…

    • 507 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Pain Assessment

    • 654 Words
    • 3 Pages

    Such subjectivity is a limit to improving proper pain management in patients and the information on the quality and standard of the patient's experience (Glowacki 2015). I will be focusing on more common procedures of anesthesia as my focus of pain assessment. According to Ong, Lirk, Seymour, and Jenkins (2005), some specific procedures of anesthesia best for this kind of study includes epidural analgesia, local anesthetics, and other procedures such as nerve blocks. I will be conducting a survey consisting of previously published survey questions regarding the pre-operation and post-operation pain ratings of the patient, the procedure of anesthesia the patient will undergo, the pre-operation and post-operation pain complaints, and the amount of medicine needed to relieve patient pain during recovery. The variables I will be comparing are the pain scale values, the actual pain complaints, and the methods of pain management and anesthesia…

    • 654 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    These main concepts include multimodal intervention, focused pain management, and patient involvement as a contribution to the balance between analgesia and their side effects (Good, 1998). Multimodal intervention outlines managing a balance between the usages of many types of pain relief in order to decrease the likelihood of unwanted side effects. Pharmacologic methods are used with non-pharmacologic methods to achieve holistic intervention. Attentive care encompasses regular pain assessments in conjunction with monitoring for side effects. This allows for the identification of the impact of the pain relief method and whether or not it was adequately successful.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Everyone knows how addictive and strong heroin is yet people do not associate it with prescribed drugs. It was when the David Leonhardt the author references one of his other articles on the opioid problem stating “that patients who take opioids for pain rarely become addicted” (#). which is very hard to believe. Opioids are one of the most addictive class drug there is, and for someone to say that it is not addictive is crazy. After taking some of these high dosed painkillers your body starts to become dependant of the drug and will make you go out and get the drugs, and if you don’t your body can face serious withdrawals and symptoms.…

    • 424 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Risk management Patient falls would specifically fall within the outcome indicators of quality in the Donabedian’s quality indicators. In this case, the subjects of interest are the staff and particular within the clinical care settings including nurses and the physicians offering direct care. The interdisciplinary team would comprise of the nurse leaders, nurse manager, nurse supervisors, the nurse administrators, the lead physicians, the quality assurance department representatives and the representatives of the top level management (Forster & van Walraven, 2012). The Fourteen Forces of Magnetism are the basis along which healthcare facilities are ranked and afforded the magnet status based on significant improvement in patient outcomes and…

    • 506 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    PROFESSIONAL KNOWLEDGE AND FOUNDATIONS OF PRACTICE OCT4006-D For this reflection, I have chosen to use the Kolb’s cycle (1984) to determine how human factors can affect interpersonal teamwork in a multi-disciplinary team (MDT). The Kolb’s cycle (1984) enables me to critically analyse the MDT and reflect upon the role of the Occupational Therapist (OT). In this reflection, I will be discussing: the role of the OT, the key service delivery role of the MDT, the methods of communication used by the MDT and how the communication was used to enhance and inhibit team working.…

    • 998 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    • Explain the importance of reflective practice in continuously improving the quality of service provided. The importance of reflective practice to improve the quality of the service we provide it is to focus on what has worked well and what needs improving. Also for us to use a different approach and to apply it when needed. We may need to consider new approaches and new ways of learning to help us develop and progress in our careers, and achieve a greater self awareness and the best support we can provide to the people we support, meeting care standards and expectations in social care at all times.…

    • 1625 Words
    • 7 Pages
    Great Essays
  • Great Essays

    Introduction Participating in university placement at Lizard Island was both a challenging and rewarding experience. I initially hoped to gain new skills and assist clients in clinical complex cases. But during the four-week placement program I gained an extraordinary amount of experience in understanding and participating in team work processes during an emotionally raw time. Throughout my university education reflective practice has been emphasised as a highly effective tool and an integral part of learning for health care professionals, integrating theory and practice. It wasn’t until my workplace placement that I understood it’s true value and importance.…

    • 1425 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    This reflective piece focused on the patient care delivery that I was directly involved during my third-year clinical placement in a recovery unit of a local National Health Service (NHS) Trust. Driscoll reflective model would be used in the analysis of this care episode. My rationale for selecting Driscoll`s reflective model is because of the three-prompt questions (What? So what? and Now what?) generates a more, important reflective development by inspiring a much deeper analysis that causes for the future action plan…

    • 701 Words
    • 3 Pages
    Improved Essays