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Monday, February 25, 2019

Good cancer pain management can help patients feel better Essay

Most cancer patients suffer from annoying in varying degrees during their illness. The vigilance of this agony and its relationship in upward(a) the wellbeing of the patient is the primary focus of this probe. This report card approached the subject by re inquisitioning denominations that dealt with wo(e) management from different angles. After critical analysis of these articles this paper will arrive at a conclusion that addresses the research principal. The topics re visualiseed include1. The do of a clinical instruction module (CLIM) for hospice nurses to upgrade their skills (Plymale, M. et al, 2001)2. The social function of cognition in promoting the psychological well being of the patient (Chen, Mei-Ling. 2002)3. The give of agony management autobiographies to discover how best to deal with anguish management (Schumacher, K. et al. 2001)4. Overcoming patient related barriers to torture management by educating them (Chang, Ming-Chuan. 2002)5. Providing a interp retation of advanced cancer inconvenience adeptself in home hospice subjects to enable the caregivers to mitigate their suffering (Dobratz, M. 2001)The material for this study was searched from the University of Wollongong database of Medline. The key words in the search for journal articles were nursing, research and cancer pain. Articles were chosen for their relevance to the research question and the findings they came up with. Information that was obtained from these studies enabled the writer to draw important conclusions as concerns pain management in cancer patients with pain.The research is of extreme importance to the writer. I lost my husband to cancer. The trauma we all went through watching him in pain gave me a raw impetus to do all in my power to ensure that no other patient will fill to go through the same suffering as he did. As I continue to practice, I would like to contribute to breaking new g lot in pain management in cancer patients curiously as concerns a lleviating their pain and improving their quality of life.Article 1In an article entitled genus Cancer Pain Education A incorporate Clinical Instruction Module For Hospice Nurses, appearing in the journal Cancer breast feeding ,Plymale M. et al (2001) studied the effect of pain education on the quality of service by caregivers. The research aimed to determine whether educating nurses on pain management will correct their ability to assess and manage pain in cancer patients. A clinical instruction module (CLIM) ground on cancer pain management and assessment skills was administered to 25 hospice nurses whose mean(a) field practice was 4.1 years (Plymale M. et al. 2001, p. 424).The course involved the nurses going round 8 stations focussing on different aspects of cancer pain, assessing 5 cancer survivors and one actor. They carried out tests on various aspects of pain management. previous to and after the exercise the nurses self assessed their skills in pain management using a 5-point Likert scale ranging from 1(not competent) to 5(very competent). They also evaluated the CLIM on a similar scale. (1= potently disagree 5= strongly agree)All participants agreed that the course helped improve their competence in the instruction items that were being addressed. The use of patients with cancer was considered to a greater extent beneficial as opposed to having actors. Nurses that felt competent enough ahead the course did not perceive any noticeable improvement in their abilities in the post exercise self assessment. This finding is consistent with the medical prognosis that hospice nurses are more(prenominal) competent in dealing with cancer pain management than those nurses working in hospitals. Those who assessed themselves as not competent indicated a higher assessment of themselves after the course.In a further study conducted among post instruction medical students, those trained using a CLIM on pain management did better than those schooled it tra ditional methods. (Sloan P.A. et al., 2001, 112) There is an urgent get hold of to introduce CLIMs addressing pain assessment and management in the teaching courses for all nurses and caregivers in a bid to improve their skills and service delivery. The more competent the nurses the better will be the treatment of patients in prolonging their lives and alleviating the pain they go through. A significant observation of this study is the competence aim of hospice nurses was higher than that of their counterparts. It is advisable to seek their input in developing manuals and modules of this character as they throw first hand knowledge that is invaluable to this theatre of operations of study.Article 2Pain And take to in Patients with Cancer, an article written by Chen, Mei-Ling and appearing in the journal Cancer Nursing (2003) examines the relationship amongst pain and apply in cancer patients. Hope is a therapeutic factor in the treatment of any distemper including cancer. Pa tients with high levels of believe coped better with the disease than did those who dwelt on the hopelessness of their situation. The aspirer patients on average tended to live longer and had extended periods of remission. This study had terce main purposesi. Examine the effect of disease status on hope levels among patients with cancer who have painii. Compare the level of hope amid patients with cancer that have pain and those who do notiii. Determine which dimensions of pain are associated with hope (Chen, Mei-Ling. 2002, p.62)The conceptual framework for the study was based on the self- regulation model of coping with health threats. (Chen, Mei-Ling. 2002, p.62) The main emphasis is on how people cope with their health problems in their own unique ways. personal beliefs, religious orientation, cultural practises and previous experiences all work to determine a patients attitude towards his illness.(Donavan, H.S., Ward, S., 2001, pp. 211 216)Any one of the factors mentioned w ill have a bearing on the hope levels of the individual. The study employed the use of the Herth Hope Index (HHI) to assess the level of hope. It sampled 274 inpatients with cancer at devil medical centres in Taiwan. 226 of them finalised the survey and the analysis was based on their responses. The study used Perceived Meaning of Cancer Pain Inventory (PMCPI) to posting the meanings that patients ascribed to their pain. Four subscales were used and these were challenge, threat, spiritual awareness and loss.The findings showed that in cancer patients with pain and those without pain, the hope levels did not differ. However, sensory dimensions of pain showed a link between the bearable pain intensity and level of hope (Chen, Mei-Ling. 2002, p. 65) The findings supported the view that the hope levels in patients were higher in those who were able to tolerate more pain. Perception of ones pain played an important government agency in the way one held on to hope. Those who viewed the pain as a challenge were more hopeful than those who took it from a negative perspective. In assessing ones reaction to treatment, it is notable that the findings showed no difference in hope levels for those patients who were unsure of the effect of treatment and those who affirmed that the treatment was working positively.

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