I wrote the paper already,but I got it back for revision.I am attaching the paper with revision instruction.Pls use same reference list and you can add more if needed.Pls correct the reference list also.
a
Nursing attitudes towards pain control in Substance abuse patients:
A Literature Review
Anu Merly Thomas, RN, BSN
Western Governors University
Introduction
Bruce is a 35 year old with history of substance abuse, admitted in hospital with diagnosis of endocarditis. The pain medications administered during hospital stay did not relieve his pain because of preexisting tolerance. The nurses misjudged his complaints about pain and label him as “drug seeking patient”. He left the hospital after signed “against medical advice” form without completing the antibiotic treatment. He met his old drug dealer on his way back home and started using heroin again. After 5 days, he readmitted in worse condition.
Pain is the number one reason people seek medical care, is often undertreated. Pain assessment and management continues to be challenging for health care professionals. Pain management in patient with substance abuse disorder may be difficult. The challenge which clinicians face when treating substance abuse patient is to identify true pain from drug-seeking behaviors. The prevention and control of pain is a key feature of health care. Pain control is an important goal to reduce patient’s discomfort and improve quality of life. Inadequate pain management causes number of undesirable outcomes.1) The risk of developing chronic pain is increased due to inadequate management of acute pain there by impacting different aspects of patients’ life negatively. 2) Financial burden: Uncontrolled pain in substance abuse patients results on extended hospital stays. Poorly managed pain affects their daily activities. 3) Patient’s satisfaction is influenced by inadequate pain management. In order to monitor the satisfaction with the care provided, many hospitals and clinics make use of commercial patient satisfaction surveys.
Problem Description
Many hospitalized substance abused patients receive inadequate pain management. Health care professionals have many concerns and feel inadequately prepared to assess and treat pain in a population of people with addictive disorder. Unfortunately, nurses whether related to their personal experience or the previous encounters they had with patients’ holds biases towards the patients. Adverse physical and psychological patient outcomes are seen in patients with inadequate pain management causing difficulties for themselves and their families. The studies have identified that health care professional who holds negative attitudes towards patients with substance abuse history and has negative impact on the quality of care delivered. The judgmental inferences of the term “addict” will follow the patient throughout the health care system. (RM Evans, 2005). The goal of this paper is to identify and explore nurses’ attitudes towards hospitalized substance abusers in pain and how to improve pain treatment in this population.
Problem Statement
Pain management outcomes for hospitalized substance abuse patients are often inadequate. Health care professionals tend to undertreat pain in this population due to biases, misconceptions, lack of knowledge and systems issues. Pain in this population can be managed more effectively by appropriate assessment and treatment. Further research is needed to understand knowledge, biases and system barriers in order to obtain effective pain management for hospitalized substance abuse patients.
PLACE THIS ORDER OR A SIMILAR ORDER WITH NURSING HOMEWORK HELP TODAY AND GET AN AMAZING DISCOUNT
