Title: Navigating the Challenges of Crafting a Comprehensive Research Paper on Pain Management

Embarking on the journey of writing a thesis is undoubtedly a formidable task, and when it comes to
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One of the key complexities lies in the vast and evolving nature of pain management itself. With the
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Navigating through the sea of academic literature, clinical studies, and expert opinions requires not
only time but also a keen understanding of the subject matter.

Furthermore, the process of crafting a thesis demands a meticulous approach to data collection and
analysis. Pain management, being a subjective experience, requires researchers to delve into both
quantitative and qualitative aspects, adding an additional layer of complexity to the research process.
Designing robust methodologies, selecting appropriate instruments, and interpreting the results with
precision are critical components that can make or break the credibility of the thesis.

In the face of these challenges, many individuals find solace and support in seeking professional
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intricate nature of the subject, coupled with the demands of rigorous research and analysis, can be
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If there are any changes to the journal's guidelines, we'll change our algorithm accordingly. Their use
is limited by the addition of acetaminophen or aspirin, which are toxic in high. It is usually safe to
increase the basal dose administered over 24 hours by the amount of. Pain also seems to block much
of the euphoric effect of opioids. Hat 2, communication hat, communicate to physician as well as
ancillary staff, delegate if necessary. Neuropathic pain in the peripheral nervous system frequently
follows a nerve. When pain is either rapidly increasing or decreasing, proper opioid therapy requires
less. The analgesic properties of these agents appear to relate primarily to their ability to block. It
becomes imperative, therefore, to understand the various forms and mechanisms of pain in order to
adopt the most appropriate strategy for pain management. In your evaluation of the patient, be sure
you determine the medical history of the patient, including any history of addiction. This presents
challenges to nurses as they spend most of their time with patients and therefore must have a clear
understanding of pain management. For example, making the room warmer may help the patient and
relax and may improve the patient’s pain. This ambiguity is increased further for patients who are on
methadone therapy for depending on opioid. Communication was also found to play a role in
barriers to pain management in several ways. Palliation, evaluation, and monitoring of the pain begin
with the use of effective strategies. Nurses are faced with the tough responsibility of ensuring
patients remain comfortable while nursing their ailments despite facing extraordinary pain. Examples
of these intervention procedures are injection of facet joints, the use of spinal cord stimulators, and
use of epidural steroid injections. For many, however, this expectation may be unrealistic.
Nasogastric (NG), percutaneous endoscopically placed gastrostomy (PEG) tubes, and. However, this
paper employs an analysis methodology developed and presented by Avant and Walker (2005). It is
difficult to explain and measure; however, healthcare specialists believe that it is whatever the patient
describes it to be. Despite their usefulness in pain management, opioids have associated side effects
especially when a patient stars using them or happens to be undergoing a change of dose. Side
effects related primarily to rising serum opioid levels are sedation, nausea and. It is difficult to judge
by observation alone the degree of chronic pain suffered. Both. This multidisciplinary journal aims to
provide a medium for research and reviews that will influence clinical practice in contemporary pain
medicine with an emphasis on applied research. Patients treated with it should have complete blood.
Pain is not always subjective, some residents in LTC have the cognitive ability to report pain, this is
not always the case. In the first phase, management identifies what the company is doing now. The
patient who has undergone surgery will experience pain, the severity of which is dependent on
emotional, societal and biological factors. Measures may include assessing the patient for the
likelihood of drug abuse, addiction or misuse, and family history of substance abuse before assigning
a patient on a dosage.
Once you're done, you'll have a publish-ready paper Thesis Template for University of Sydney that
you can download at the end. The more chronic the pain, the more one should rely on the basal dose.
Submissions that do not include a signed Copyright Transfer and Disclosure Form will be treated as
incomplete. Sudden pain that rapidly reaches maximum intensity is indicative of tissue rupture, and
immediate intervention is necessary. When raising the basal dose, it is important to remember to
increase by percentage, not. The sensory component includes neuro-humoral mechanisms which
convey the sensation from the locus of injury to nociceptive receptors in brain, where the sensation
of pain is actually perceived. Independently administered NSAIDs such as piroxicam and ketoporfen
do not have much benefit in chronic pain management. However, large controlled trials of the two
situations in which an advantage for. Tablet sustained-release (SR) morphine is regular morphine
given in a slow-release pill. However, self reporting can be influenced by so many other factors such
as the patient’s mood, sleep disturbances as well as the patient’s medication and may not give an
accurate report on the patient’s pain assessment. Conversion tables listed an equivalent dose of
fentanyl q1 hour, but they could not figure. Finally, the patient is asked if pain is influenced by or
affects the quality of sleep or anxiety. These lead to under rating of pain and under dosing of
medications in these patients. Kadian is a new form of SR morphine in capsule form with morphine
placed inside very. A problem can arise when high doses of opioids are needed and the SC route is
desirable. The Cochrane Collaboration has undertaken more than 300 systematic reviews of
complementary approaches. Documentation of the pain level as rated on a pain scale becomes part of
the patient’s medical record, as does a record of the pain relief obtained from interventions. Most
chronic pain has a base and occasional spikes of. If a study involves human participants, authors
must include a statement to assure us that the study was conducted in accordance with the 1964
Declaration of Helsinki and its subsequent amendments. Let us write or edit the research paper on
your topic. Perhaps a personal story will help illustrate this point. Reviewers advise the editors to
accept the manuscript for publication, reject the manuscript for publication, or to request
modifications be made to the manuscript before acceptance for publication. The other advantage is
that it can be administered using a skin patch, which is a convenient method for the management of
chronic pain. These codes and guidelines are valuable instructions that ensure transparency and
fairness in research and publishing. Documentation of pain assessment is now as prominent as the
documentation of the “traditional” vital signs. Discussion Pain Management and care of a dying
patient is one of the most difficult tasks and experiences to go through. While sedation and nausea
tend to resolve over time as steady serum levels are obtained. The impact factor is one of the many
elements that determine the quality of a journal. Another common group of substances for pain
management are the non-steroidal anti-inflammatory drugs (NSAID). Orally administered opioids
may result in somewhat more severe constipation than does.
A unique feature with these drugs however is the fact that sudden stoppage is strongly not
recommended as serious consequences such as seizures may develop (Cleeland, 998). It is essential
for medical practitioner's to implement proper Pain Management techniques in hospitals to lessen the
pain of the dying person. Nociceptive pain tends to worsen when stress or pressure is applied to an
affected. Considerable controversy has arisen regarding conversion ratios for methadone. Recently.
Nurses and other pain management professionals need to be trained on attitude change when
managing pain in old people. Lastly, opioids are prescribed for chronic pain management though
high doses are discouraged due to risk of opioid overdose. To browse Academia.edu and the wider
internet faster and more securely, please take a few seconds to upgrade your browser. From 2012 to
2022, Scopus and WoS databases demonstrated an upward trend in pain management research
production. Suffering. What impact is the pain having on the patient. Post operative Pain
Management practices are often hindered by costs. Pain management in nursing can also be attained
by the use of drugs or through interventional means. Recently, a new class of NSAIDs has become
available, the COX2 inhibitors.12. Most short-acting oral opioids do last approximately four hours,
assuming normal. A slow-release formulation of hydromorphone is available in some countries (not
yet the. A Pain Assessment Checklist may be used to assess pain among aged patients, or the Abbey
Scale for cognitive impaired patients. Dividing this total by 24, this is the equivalent of 2 mg per.
Most patients decide to undergo total knee This paper wills address the post operative management
of pain for people who have undergone total knee replacement Surgery. We use cookies to create the
best experience for you. In one review by Porter, 11,882 patients without a prior history of. There
have been calls in the nursing field to include pain management as a compulsory component of pre-
nursing training programs so as to ensure all nurses are fully equipped with necessary skills that will
enable them manage their patient’s painful situations. This presents challenges to nurses as they
spend most of their time with patients and therefore must have a clear understanding of pain
management. Dr Josephine Briggs does not intend to discuss off-label uses of drugs, mechanical
devices, biologics, or diagnostics approved by the FDA for use in the United States. If a study
involves human participants, authors must include a statement to assure us that the study was
conducted in accordance with the 1964 Declaration of Helsinki and its subsequent amendments. The
author states that as part of the nursing spectrum, one broad concept that is tentatively acknowledged
nowadays is holistic nursing. In reference to the four assigments we want to present our analyze.
Patients may fabricate or exaggerate symptoms for psychological reasons or secondary. Patches
cannot be cut in half to reduce the dosage. These services include Open Access, color printing,
article offprints, discounted print copies of the journal issue, and licenses for use of the published
articles. Recent articles have demonstrated the complexities of opioid conversion and argue. This
drug is unique in that it also blocks reuptake of serotonin and norepinephrine in the.
With the study being of smaller scale and only using one method of data collection the findings
should be interpreted with care. Many misconceptions exist relative to the use of opioids. After
signing up, you would need to import your existing references from Word or Bib file to SciSpace.
They also may result in smoother opioid blood levels, thereby. Pain assessment and measurement is
also based on the patient’s self reporting, which most scholars believe provides the most valid way
to measure pain. In case, I have to submit to another journal it is really. The journal is available in
print and electronic formats. These and other such reasons may make nurses hesitate in providing
pain medication or high doses of pain medication to their patients ( pain management, nd). The table
below indicates the level of access a journal has as per Sherpa Romeo's archiving policy. Increase the
basal dose based on patient response and prn usage. Used primarily in the treatment of dyspnea,
opioids administered by a nebulizer can. Pain relieving pharmacological agents or analgesics offer
temporary relief, which is often accompanied with undesirable side effects. The patches work poorly
on very hairy or oily skin. Some. If no PCA boluses are required and the patient is pain free, the
basal dose may be too. Some general assessment forms have drawings of human figures, and the
patient is asked to shade in the area involved. Then SciSpace would allow you to download your
references in Journal of Pain Management Endnote style according to Elsevier guidelines. The
analgesic properties of these agents appear to relate primarily to their ability to block. SR opioids,
such as SR morphine and SR oxycodone, cannot be crushed, as to do so. Please confirm that you
would like to log out of Medscape. The high-quality pain management and pain, palliative treatment
should be targeted for every patient. Using ScientoPy and VOSviewer, the gathered datasets were
then analysed. Three major classes of medication are commonly used in the treatment of neuropathic.
You may print the certificate but you cannot alter it. If you log out, you will be required to enter your
username and password the next time you visit. This activity is designed to be completed within the
time designated on the title page; physicians should claim only those. They are totally efficient in
chronic pain but only partially effective with acute pain (Cleeland, 998). Sustained-release
preparations have the advantage of allowing. A concept analysis of pain therefore would assist
healthcare professionals to have a better understanding of pain management and how it impacts on
patients. Of the 138 Questioners sent out, 83 were returned and not all questioners were completed
in their entirety. When editors, editorial board members, and other members of the editorial team
have possible or perceived conflicts of interests with content that is submitted to them, they should
recuse themselves and reassign their tasks to other capable members.
Hat 1, nurse hat, assess the patient’s pain level, provide non-pharmacological interventions if
necessary and carry out physician orders when available. Measures have been put in place to curb
these side effects (Cleeland, 998). Education requirements are different around the world. Pain is not
always subjective, some residents in LTC have the cognitive ability to report pain, this is not always
the case. They also may result in smoother opioid blood levels, thereby. By continuing we’ll assume
you’re on board with our. Morphine can be given as soluble tablets, as an elixir, as rectal
suppositories. Generally speaking morphine is the drug of choice for parenteral administration unless.
In treating chronic, relatively stable pain, a good rule of thumb is that the breakthrough. Both can
significantly affect pain intensity and the quality of life (Miaskowski, 2000). Comprehensively
describing pain and the effect it has on body functions of the patients. A weakness I noted
encompasses location; the author used this design mostly out of easy accessibility of their target
population making it convenient for the researcher, however, the data may not be as relevant in all
parts of the world. The use of opioids for medication can give a short, intermediate and long lasting
painlessness or analgesia, effects that depend on the properties of the drug and whether it is
manufactured as an extended release drug (Cleeland, 998). As discussed earlier, pain is a complex
and personal experience. These codes and guidelines are valuable instructions that ensure
transparency and fairness in research and publishing. Although a great deal of medical technology
and understanding has been realized within the past few decades, fundamental shifts in treating pain
and seeking to minimize the negative impacts that many Pain Management techniques afford has
lagged behind the remainder of medical discovery. Nurses and other pain management professionals
need to be trained on attitude change when managing pain in old people. If no PCA boluses are
required and the patient is pain free, the basal dose may be too. Let us write or edit the research
paper on your topic. One of the many uses of medical marijuana is chronic pain. Nurses have to be
aware of various factors that can influence how the patient feels and how he or she expresses pain.
Sometimes stimuli that usually do not cause pain, such as. In addition, the nurse serves as an
educator to the patient and family to enable them to manage the prescribed intervention themselves
when appropriate. This may also lead to suicidal tendency in any of the two because they might not
able to bear the circumstances. Education, clinical practice, and research concerning end-of-life care
are evolving, and the need to prepare nurse and other health care professionals to care for dying has
emerged as a priority (Ferrell, 2001). This method is extremely effective and has been in use for
centuries. Sudden pain that rapidly reaches maximum intensity is indicative of tissue rupture, and
immediate intervention is necessary. For example, the classic description of chest pain that results
from a myocardial infarction includes pressure or squeezing on the chest. Keep on browsing if you
are OK with that, or find out how to manage cookies. Purpose of and Research Methodology
analysis of a concept is usually to provide the reader with a clear understanding and a detailed
description of the concept in question, in this case, pattern recognition (Avant and Walker, 2005).
In addition, the nurse serves as an educator to the patient and family to enable them to manage the
prescribed intervention themselves when appropriate. Visually impaired patients can use a verbal
rating scale which has been adapted to meet their need in pain assessment and measurement. This
maximizes analgesia while minimizing side effects. Keep on browsing if you are OK with that, or
find out how to manage cookies. In case, I have to submit to another journal it is really. Even here, in
all but the most extreme cases, consideration. While sedation and nausea tend to resolve over time as
steady serum levels are obtained. In conditions where excitation of pain fibres become greater as the
pain stimulus continues, hyperalgesia develops which is an extreme sensitivity to pain and in one
form is caused by damaged to nociceptors in the bodies soft tissues ( Wikipedia, 2006). There are
studies being conducted within the medical field to come up with other reliable methods of pain
management, especially chronic pain. According to Cleeland (1998), opioids are the most commonly
used pain management drugs. SR oxycodone becoming a drug of choice for opioid abusers, who
crush the drug and. I turn now to a more detailed discussion of the use of opioids. Nurses are faced
with the tough responsibility of ensuring patients remain comfortable while nursing their ailments
despite facing extraordinary pain. If a patient taking slow release morphine becomes nauseated for
whatever reason or is. Another drug in common use in America for alleviating chronic pain is
Oxycodone, which is available in ampules, tablets, syrups and capsule (World Health Organization,
2013). Neuropathic pain is relatively resistant to NSAIDs and opioids, although they may be. These
techniques might include medical and intervention procedures as well as conducting psychological
counseling. Neuropathic pain can also be caused by chemotherapy with drugs such as vinca alkaloids
or radiation therapy (Pharo and Zhou, 2005). There is also the sub-specialty of pediatric pain control,
which deals with children’s experience with pain. That research estimates put the percentage of daily
pain in old people living in nursing homes at 40%-85% has not helped the situation. From a nurses’
perspective it only makes sense to identify barriers so that we may approach all aspects that hinder
providing quality optimal care. When dealing with this kind of pain, the pain needs to be first
diagnosed as chronic or acute, the reason being the type of medication being used depends on the
type of pain (World Health Organization, 2013). All machines with PCA:basal drug administration
capabilities I have used have a means. The chronic pain of arthritis illustrates the usefulness of
determining the relationship between time and intensity, because people with arthritis usually report
that pain is worse in the morning (Rhiner, 2003). The report of pain is a social transaction; thus,
assessment of pain requires a good rapport with the person in pain. Separating these questions under
categories of the concept, fact and value provides a framework upon which these questions can be
addressed in the context of fact and value. If you log out, you will be required to enter your
username and password the next time you visit. NSAIDs are a mainstay in the management of mild
to moderate nociceptive pain. As. For example, when you write your paper and hit autoformat, our
system will automatically update your article as per the Journal of Pain Management citation style.
One organization that has published numerous literatures, guidelines, and stud findings on pain
management is the World Health Organization (WHO).
In such instances, the goals might be to sleep soundly and to take adequate nutrition. Their use is
limited by the addition of acetaminophen or aspirin, which are toxic in high. Discussion Pain
Management and care of a dying patient is one of the most difficult tasks and experiences to go
through. Knowledge of this can help appropriate pain management systems to be correctly found. In
fact, pain management is one of the core functions of nurses. It becomes imperative, therefore, to
understand the various forms and mechanisms of pain in order to adopt the most appropriate strategy
for pain management. The reason for this lack of analgesia is puzzling and not known. If there are
any changes to the journal's guidelines, we'll change our algorithm accordingly. Sustained-release
preparations have the advantage of allowing. For instance clinical trials by the World Health
Organization (WHO), institutions such as the National Institutes of Health, National Institute of
Neurological Disorders and Stroke and pharmaceuticals such as GSK Pharmaceutical. The sample
included 2 private LTC facilities and 3 public located in Ireland. In reference to the four assigments
we want to present our analyze. I found, for example, that most trainees could not use even a. The
report of pain is a social transaction; thus, assessment of pain requires a good rapport with the person
in pain. Having assessed the patient's pain, a strategy for management should be developed. The. Mr.
Smith had been taking sustained-release oral morphine 60 mg q12. His. In case, I have to submit to
another journal it is really. Another drug in common use in America for alleviating chronic pain is
Oxycodone, which is available in ampules, tablets, syrups and capsule (World Health Organization,
2013). There are studies being conducted within the medical field to come up with other reliable
methods of pain management, especially chronic pain. These codes and guidelines are valuable
instructions that ensure transparency and fairness in research and publishing. With the study being of
smaller scale and only using one method of data collection the findings should be interpreted with
care. Such patients may state that pain is well controlled while awake. Fentanyl patches may be
useful for patients with chronic, stable pain who cannot use the. WoS grew consistently from 436 in
2012 to 900 in 2022, whilst Scopus grew similarly but more modestly from 205 in 2012 to 302 in
2022. Documentation of pain assessment is now as prominent as the documentation of the
“traditional” vital signs. These nonverbal and behavioral expressions of pain are not consistent or
reliable indicators of the quality or intensity of pain, and they should not be used to determine the
presence of or the degree of pain experienced. Hat 3, teaching hat, educate staff as well as patient
and family on pain management. Purpose of and Research Methodology analysis of a concept is
usually to provide the reader with a clear understanding and a detailed description of the concept in
question, in this case, pattern recognition (Avant and Walker, 2005). Rather, additional steps may be
necessary to minimize. Higher education levels had a weak positive association with correct answers.