Postoperative pain management Essay Example | Topics and Well Written Essays - 3000 words

Postoperative pain management - Essay poser anxiety of pain succeeding(a) a surgery employs oral or rectal analgesics, intramuscular opioid injections, general opioid analgesia, continuous subcutaneous infusion of analgesics, and patient-controlled analgesia (PCA).Management of pain following a surgical procedure is one of the major challenges and source of concern for health care providers (Berge et al, 2004). However, surveys have revealed that hospital postoperative pain management, such as opioid intramuscular injections are frequently inefficient, resulting in unrelieved pain in approximately 50% of patients (Steinberg et al, 2002). non-homogeneous studies have shown that postoperative pain has significant influence on the recovery of the patient, length of stay in the hospital, mobility, cost of hospitalization and also postoperative morbidity like cognitive dysfunction and pulmonary complications (Pain Management Guideline Panel., 1992). According to Sommer et al (2008), moderate to severe pain occurs in more than 50 percent of patients who undergo abdominal surgery It is crucial to control postoperative pain and currently in all(prenominal) hospital in the western world, control of post operative pain is given utmost importance. An correspondence of pain management in the postoperative period can be enhanced through mirror image. contemplation is evaluation and examination of thoughts and actions of oneself. For health practitioners, reflection means focusing on the interaction of oneself with colleagues and environment in a particular situation so that they are able to evaluate their own behavior. Reflection gives chain of mountains for better understanding of oneself so that existing strengths can be used to build-up for future actions (Somerville and Keeling, 2004). In set to be an effective practitioner, one must be able to identify ones strengths in approaching a problem, assess ones level of competency and improve on what one thinks are the weaknesses so that when the same problems develop in the future, the right approach can be adapted. Reflection is also an opportunity for professional developing and development to increase competence in the nursing practice (Alexander, Fawcett and Runciman, 2006). Reflective practice is very of the essence(p) for nursing clinical practice because it helps the nurse to understand, assess and learn through the experiences during clinical practice (Burns and Grove, 2005). In the following assignment, I shall discuss about management of a patient with postoperative pain base on Gibbs (1988) Reflective Cycle. This is because, Gibbs Reflective Cycle is a straight forward and recognized framework for reflection wherein it enables clear description of the situation of the patient, the analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion where another(prenominal) points are considered and reflection upon experience to examine wha t you would do if situation arose again. Case description Mr. X was a 67 years old male patient, who I looked after in a Surgical high up Dependency Unit (SHDU). He was transferred from theatre following Whipples, where a total pancreatectomy was performed along with the removal of freshness Bladder and Duodenum.Past medical history included hypertension and chemotherapy 2 years ago following the diagnosis of pancreatic cancer. He was also underweight. The patient was transferred to SHDU in a stable condition. On the first day post op, the Epidural Analgesias catheter was dislodged by accident and according to the protocol (NHS 2009), it could not be used anymore. Although, the patient had plus oral pain reliefs as required, Mr. X showed discomfort and pain, once resting and mournful in bed. Because of the risk of post operative complications including pressure sores and chest infection, the issue was highlighted to Pain Management Nurse, who prescribed Patient Controlled Analg esia (PCA). The Pain Management Nurse provided short educational session for Mr. X, as he neer used PCA before and appeared to be anxious about