Pain, sometimes known as the fifth vital sign, is unquestionably the oldest affliction of mankind. We all experience discomfort every day of our lives to one degree or another. It may be a headache, a stubbed toe, a hangnail or a paper cut, but we all encounter pain.
As the oldest affliction of mankind, it follows that pain is also the oldest medical issue.
Discomfort has a very long background of misinterpretation and misconception. Discomfort was once regarded as required to the healing process. Only within the last 400 years, beginning using the great 17th century philosopher, mathematician and physiologist Rene Descartes, has any legitimate inquiry into the etiology and mechanism of pain occurred.
Descartes first suggested the possibility of a link between the sensation of pain and the mind. Today, everybody knows that the mind processes pain sensations, but 400 years ago, it was a breakthrough! The mind-body connection Descartes made would lead to tremendous progress in the reduction of suffering because of discomfort. The concept of nerves carrying info towards the mind for processing was revolutionary. Descartes’ hypothesis was borne out by anatomical studies conducted throughout the 19th century and has endured until fairly recently.
In the 1960’s, the notion of a hard-wired system was challenged. The view now held by neuroscientists is that sensory info undergoes the integration of information from a variety of sources. The strength from the discomfort signal is modified by emotional and behavioral info coming back from the brain. In short, a two way rather than one-way street. Perhaps this explains the differences in pain thresholds among patients.
Moreover, biologists now believe the integration of this sensory info may actually occur within the spinal cord, not within the brain, prior to being carried up to the brain for further processing.
Each one of these findings have given rise to new approaches to discomfort management. Pain management is 1 aspect of the general healthcare specialty known as palliative care.
Within the United States, palliative care is defined as reducing the signs of disease. It’s not dependent on prognosis and is conducted in parallel with curative medical treatment.
Hospice care is defined as the delivery of palliative care to those at the end of life.
Both share similar objectives and principals, most of which are listed here.
Keep the affected individual active physically and positive mentally, in order to sustain the patient’s relationships and work skills
Make sure the patient plays an active role in his/her ongoing discomfort management
Establish an alliance with the patient’s family in long term care and self-management
Begin discomfort management early. Aggressive management of acute discomfort may mitigate its progress to chronic discomfort
Establish realistic goals and expected results using the affected individual
Carefully evaluate and investigate failed treatments prior to changing therapies or dosages
Do not fail to manage medication side effects for example constipation and nausea
Schedule reviews to discuss and monitor treatment outcomes to ensure that pain management strategies could be changed as required
Remember, pain is a subjective encounter. It is what patients say it’s. Be certain you comprehend the etiology (cause) of the discomfort. It’s good practice to maintain a pain history utilizing standardized and quantifiable plan assessments. Finally, it’s essential to sustain focus on affected individual comfort. This is, after all, the goal of discomfort management.
Winston P. McDonald enjoys writing for Uniformhaven.com which sells cherokee scrubs, baby phat scrubs and urbane scrubs as well as a host of additional products.