Office Hysteroscopy And Pain

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María Rita Espejo

Santé & Médecine

MATERIAL AND METHODS ,[object Object],[object Object],[object Object],[object Object]

M.R. Espejo-Catena, M.D. Department of Obstetrics and Gynaecology Thank you

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For this assignment activity, I want you to answer the questions below. Refer to module and text book readings. Give rationales for all of your answers. Identify and define the most commonly used data collection methods for qualitative research? What are the most commonly used data collection methods used for each of the following qualitative research traditions: Ethnography Phenomenology Grounded Theory Relative to the Heikkinen et al. article, answer the following questions and include supporting rationales. What data collection methods were used (be sure to include nurse measures, patient measures, and physiologic measures)? What are the strengths and weaknesses of each data collection method? "BELOW IS THE ARTICLE" ISSUES AND INNOVATIONS IN NURSING PRACTICE Prostatectomy patients’ postoperative pain assessment in the recovery room Katja Heikkinen MNSc RN Lecturer, Turku Polytechnic and Department of Nursing, University of Turku, Turku, Finland Sanna Salantera¨ PhD RN Adjunct Professor, Department of Nursing, University of Turku, Turku, Finland Marjaana Kettu RN Head of Department, Ophtalmology Clinic, Turku University Central Hospital, Turku, Finland Markku Taittonen MD PhD Consultant Anaesthesiologist, Department of Anaesthesiology and Intensive Care, Turku University Central Hospital, Turku, Finalnd Accepted for publication 16 February 2005 Correspondence: Katja Heikkinen, Department of Nursing, University of Turku, FIN – 20014, Turku, Finland. E-mail: [email protected] HEIKKINEN K., SALANTERA¨ S., KETTU M. & TAITTONEN M. (2005) Journal of Advanced Nursing 52(6), 592–600 Prostatectomy patients’ postoperative pain assessment in the recovery room Aim. This paper reports a study to assess the usability and use of different pain assessment tools and to compare patients’ and nurses’ pain assessments in the recovery room after prostatectomy. Background. Pain assessment is the first step towards providing adequate pain relief but poses problems because of the subjective nature of the pain experience and the lack of quantifiable measurements. Pain tools have been tested in several clinical settings, but not in the recovery room. Methods. Data were collected in the recovery room from 45 consecutive patients who had undergone prostatectomy by asking them to evaluate their pain intensity using visual analogue scale, numeric rating scale and verbal expressions. One of two research nurses measured patients’ pain at regular intervals and at the same time as the patients. Physiological parameters were also evaluated. Data were analysed as frequencies and percentages. Sum variables were formed and results were analysed using Spearman’s rank correlation, Pearson’s correlation and with multiple regression analysis. Results. Patients varied in their ability to assess the intensity of their pain using different tools, but assessments were correlated with each o ...

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NURSE EDUCATION MANAGEMENT NURSING CARE NURSING ASSESSMENT PLANNING At the end of the session he students will be able to Explain the activities of health care agencies List out the types of health care agencies. Classify the types of service INTERVENTION OBJECTIVES LEARNING IMPLEMENTATION EVALUATION RATIONALE At the end of this session the leaner should be able to, define pain. classify pain. describe mechanism of pain. perform pain assessment. detail the nursing interventions. Development of manpower resources Provision for safe water and food supply Increasing the literacy rate Reducing the levels of poverty

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NURSING ASSESSMENT: - • Patient feels discomfort & verbally explains her pain level. • Pain level is also assessed by pain scale & verbal expressions. • Slightly increase in temperature (1000 F) • Patient feels itching on wound site & feels discomfort. • Patient feels weakness & decrease in appetite. • Patient & family members are confuse when I am asking questions. NURSING DIAGNOSIS: -  Acute pain related to surgical incision as manifested by verbally explaining or discomfortness.  Risk for infection related to hospitalisation as manifested by slightly increase in temperature.  Impaired skin integrity related to improper dressing & vaginal discharge as evidenced by poor hygienic condition.  Imbalanced nutritional status related to anorexia as manifested by fewer intakes.  Deficit knowledge related to postpartum care & newborn care as manifested by poor hygiene condition.

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"Joe" a well respected RN with many years of experience, worked in the intensive care unit. One afternoon a patient was brought to the unit immediately post heart surgery. Joe assumed his care, and began his assessment. Shortly after the patient's arrival, the surgeon came in to see that patient. The surgeon decided that he needed to replace a blocked central line, although the patient did have two patent peripheral IVs. Joe assisted the surgeon with the line placement, then called for radiology to come up and confirm line placement, as per protocol. Just as Joe heard the radiology tech coming, the patient developed asystole. Joe and the surgeon instituted ACLS protocol. When the surgeon called for a medication to be pushed, Joe went to push it via the patent peripheral IV, as placement of the central line had not been confirmed. The surgeon yelled 'No! In the central line! Push it in the central line!' Joe responded, 'The central line placement has not been confirmed, so it has to go through the peripheral." At this point, the surgeon yelled, "I want it through the central line, and you have to do what I say, because I'm the physician!" Joe yelled back that he was not going to risk his license just because a physician refused to follow protocol. He told the surgeon that he would push it through the peripheral line. The surgeon was livid, but made no attempt to push the med himself, so Joe pushed it through the peripheral line. The patient was then revived. Joe and the surgeon continued to argue after the patient was resuscitated, to the point where other staff feared a fist fight would ensue. The house manager, an RN, was called in. Joe explained the situation to her. The surgeon said "I told him he was a nurse and he had to do what I told him to do. He's not going to lose his license or get fired as long as he does what I tell him to do. But he won't listen." The house manager responded. "Well, the hospital policy does say that central lines cannot be used until placement has been confirmed by radiology." The surgeon went berserk, yelling at everyone. The house manager then said "well, if you want, we can change that policy so if a physician says it's ok, the line can be used without confirmation." What do you think of the house manager's response to the situation? What, if anything, do you think Joe should have done differently? How would you have responded? What do you suggest should be done about this proposed change in the policy? Contents lists available at ScienceDirect International Journal of Nursing Studies journal homepage: www.elsevier.com/locate/ijns Effect of non-nutritive sucking and sucrose alone and in combination for repeated procedural pain in preterm infants: A randomized controlled trial Haixia Gaoa,⁎, Mei Lib, Honglian Gaoc, Guihua Xua, Fang Lib, Jing Zhoub, Yunsu Zoub, Honghua Jiangb a School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China b Children’s Hospital of Nanjing Medical U ...

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