Thursday, February 21, 2019
Dashboard Analysis and Nursing Plan for Pain Response Essay
In information technology, a dashboard is a user interface that, somewhat resembles an automobiles dashboard, organizing and presenting information in a way that is easy to read. Healthcargon dashboards are designed to point the performance of key activities that directly or indirectly impact uncomplaining satisfaction, such as length of stay and lab test turnaround. This opus will take at look at pain reply and breakdown why it is important and ways to improve it. Analysis of the selective informationIn 1998, the National Database of Nursing tone of voice Indicators (NDNQI) was established by The Ameri female genitals Nurses Association (ANA) so that the ANA could continue to collect and build on information obtained to understand a better outcome for unhurrieds (Montalvo, 2007). The sample dashboard for the decision of this paper, showed a decline in result to pain in 3 out of the 4 quarters surveyed. Despite the availability of analgesics, particularly opioids, and subj ect field guidelines to manage pain, the incidence of postoperative pain has remained stable over the then(prenominal) decade. Thus, acute pain associated with surgical and diagnostic procedures is a common situation in U.S. hospitals and remains inadequately managed for many a nonher(prenominal) patients (Hughes, 2008). Nursing PlanTo many times nurses dont right(a)ly medicate patients, due to patients not correctly reporting their pain, or staff members commenting on how often they are requesting pain meds. In 1968, Margo McCaffery defined pain as whatever the soulfulness experiencing says it is, and occurring when the person says it does. (Martin, Kelly, & Roosa, 2012). Inadequate concern of pain and other symptoms not still decreases the quality of life it also creates a financial burden on the health conduct system and on our society. Unrelieved pain cost millions of dollars annually as a result of longerhospital stays, re-hospitalizations, and visits to outpatient clin ics and exigency rooms (Berry & Dahl, 2000). On January 1, 2001, pain management standards went into effect for Joint bursting charge accredited ambulatory care facilities, behavioral health care organizations, slender access hospitals, home care providers, hospitals, office-based surgery practices, and long term care providers (The Joint Commission, 2014). The standards require the nurses to recognize the right of patients to appropriate discernment and management of pain, to screen patients for pain during their initial assessment and, when clinically required, during ongoing, periodic re-assessments, and tutor patients suffering from pain and their families to the highest degree pain management.A fit assessment involve to be completed upon admission, and the physician needs to be contacted to ensure proper pain management is in effect. There are some(prenominal) different pain scales to be used based on the patients alertness and cognitive ability. The 0-10 Numeric Scale is the most widely used scale for patients who are alert and oriented. Wong-Baker FACES scale is used to a greater extent with younger pediatric patients or mentally challenged. The FLACC scale is used for patients who cant verbally or visually report their pain level. in one case a patient has been assessed and proper treatment has been established, follow up is really important to maintain a proper level of pain control. It is the nurses business to return to ask the patient how their pain is after intervention has been given. typically if pain medication was administered you should reassess 30 minutes after IV medication and 60 minutes after oral medication. Dont take it for granted if the patient is resting, some patients dont physically show signs of pain.Once the patient is ready for discharge, proper education around pain control needs to be instructed to the patient and family member. Explanations of why its important to continue the pain meds at home, medications to av oid while winning them, and side effects that may occur. If NDNQI results continue to decline in future(a) reports, re-education of current staff should be performed. Pain management has often been referred to as the 5th vital sign, nurses and nursing assistants should be instructed to ask/assess about pain when taking vitals. Frequent chart audits should be conducted to ensure proper charting and pain interventions are occurring. Pain management starts with educating the staff on the proper assessments and following through on interventionsimplemented. SummaryIn conclusion, for patients to have a better experience with their hospital stay, proper pain management needs to occur. With the correct orientation and training of staff to the different pain scales used, oftenness of patients being asked about pain, and proper interventions being implemented, nursing scores for response to pain should increase.ReferencesBerry, P, PhD, RN, CRNH, CS, & Dahl, J, PhD. (2000). The new JCAHO p ain standards Implications for pain management nurses. Pain worry Nursing, Vol 1(Issue 1), 3-12. Retrieved from http//www.painmanagementnursing.org/article/S1524-9042(00)04110-2/abstract Hughes, R. (2008). Patient safety and quality An evidence-based handbook for nurses. Rockville, MD Agency for Healthcare Research and Quality, U.S. Dept. of Health and Human Services. Martin, L., Kelly, M., & Roosa, K. (2012). Multidisciplinary approach to up(a) pain management. Critical Care Nursing Quarterly,35(3), 268-271. Montalvo, I., ( phratry 30, 2007) The National Database of Nursing Quality IndicatorsTM (NDNQI) OJIN The Online Journal of Issues in Nursing. Vol. 12 No. 3, Manuscript 2. The Joint Commission. (2014, February 4). Retrieved September 21, 2014.
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