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Essay / Pain Management - 1854
IntroductionBetween 1900 and 1930, comfort was the goal of nursing and medicine. Since then, comfort has become a low priority, only for those who have no other medical treatment options (March and McCormack, 2009). Pain management is a very important part of patient care, but it can be overlooked, poorly managed, or treated effectively. Nurses and healthcare workers may let their personal beliefs and values get in the way of how they treat their patients with painkillers. Quality and Safety Training for Nurses (QSEN) addressed pain management as part of their patient-centered care skills. It addresses the knowledge, skills and attitudes that a nurse should possess to manage a patient's pain. This article will use Kolcaba's comfort theory as a basis for providing pain management for hospitalized patients. Research Literature Review Nursing Theory Identified and Problem Focused on Nursing Practice Katherine Kolcaba developed her theory of comfort in the 1990s. She describes comfort in three forms: relief, ease, and transcendence, and believes that comfort nourishes and strengthens patients (March and McCormack, 2009). If a patient's comfort needs are met, for example if they experience pain and painkillers are administered, the patient experiences relief. When a patient is comfortable and satisfied, for example when stressful situations are addressed and removed, they experience a certain ease. Transcendence is achieved when a patient is able to rise above their challenges, such as when a patient is involved in physical therapy. Comfort can be described in four contexts: physical, psycho-spiritual, environmental and socio-cultural (March and McCormack, 2009). . The physical part of......middle of article......hcare: Modifying Kolcaba's Comfort Theory as an Institution-Wide Approach. Holistic Nursing Practice, 23(2), 75-82. doi:10.1097/HNP.0b013e3181a1105bMcCullers Varner, J. (2012). Safe and effective pain management in older adults. Alabama Nurse, 39(2), 11-14.Oware-Gyekye, F. (2008). Pain management: the role of the nurse. West African Journal of Nursing, 19(1), 50-54.Rose, L., Haslam, L., Knechtel, L., McGillion, M. and Dale, C. (2013). BEHAVIORAL PAIN ASSESSMENT TOOL FOR SERIOUSLY ILL ADULTS UNABLE TO SELF-ASSESS PAIN. American Journal of Critical Care, 22(3), 246-255. doi:10.4037/ajcc2013200Wadensten, B., Fröjd, C., Swenne, C., Gordh, T., & Gunningberg, L. (2011). Why is pain still not properly assessed? Results of a pain prevalence study at a university hospital in Sweden. Journal of Clinical Nursing, 20(5/6), 624-634. doi:10.1111/j.1365-2702.2010.03482.x