Assignment: Pain Management Care
Assignment: Pain Management Care
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Assignment: Pain Management Care
practice as a foundation for all types of pain
management care. Both definitions help
capture the intricate nature of the pain
experience. The IASP definition infers the
multidimensionality of the phenomenon
of pain by stating it is both physical and
emotional, though an emphasis is noted
on the sensory nature of pain. McCaffery’s
definition emphasizes the subjective nature
of the pain experience and situates clients
Exploring the Theory of Integral Nursing with Implications for Pain Management Practice Susanne M. Tracy, PhD, RN and Pamela P. DiNapoli, PhD, RN, CNL University of New Hampshire
26 International Journal for Human Caring
abstract
Inadequate attention is paid to the role of theory in guiding practice. three main factors
affect the use of theory to guide clinical practice: insufficient theory knowledge, insufficient
administrative support to encourage the development of theory-based interventions, and
the busy task-oriented climate of many nursing settings. Pain management is a vexing
problem confronting clients and healthcare professionals. the primary purpose of this
paper is to introduce scholars and clinicians to the basic tenets of Dossey’s (2008) theory of
integral nursing to aid nurses in designing client-centered pain management interventions
grounded in the theory’s main constructs of holism and healing.
272012, Vol. 16, No. 1
as the primary authority on the pain
experience, thereby prompting clinicians
to pay closer attention to clients’ description
of their lived experience of pain rather than
relying on a standardized definition of pain.
From a holistic perspective, all elements that
comprise the pain experience are equally
important and frame clients’ perception of
pain, the behaviors clients use to manifest
the impact of the pain experience, and
clients’ responses to varied methods used
to treat pain. Being knowledgeable about
pain management practice is an expected
competency of every registered nurse, yet
many
nurses continue to describe barriers
that impede the management of clients’ pain
(Rejeh, Almadi, Mohammadi, Kazemnejad,
& Anoosheh, 2009). The literature supports
the notion that nurses’ knowledge and
attitudes about pain management is linked
to their ability to help clients successfully
manage pain; updating knowledge about
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