American Sentinel N522PE Module 8 Discussion 8 – Pain Assessment & Cultural Competency

American Sentinel N522PE Module 8 Discussion 8 – Pain Assessment & Cultural Competency American Sentinel N522PE Module 8 Discussion 8 – Pain Assessment & Cultural Competency Discussion 8 Consider the special topics of pain assessment and cultural competency. How are these nursing assessments conducted in your nursing practice? Are your assessments current and based upon contemporary evidence or are these in need of policy and procedural revision? If revision is needed, what might you suggest be changed? If you perceive the assessments are clinically relevant what evidence supports your current practice? American Sentinel N522PE Module 8 Discussion 8 – Pain Assessment & Cultural Competency Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria. Permalink: american-sentine…tural-competency / Example Approach The way people perceive and respond to pain differ, depending on several interrelated biological, psychological, and social impacts (Bickley, 2017). A person’s culture and upbringing can additionally influence how they perceive, show, and tolerate pain (Miller, & Alhaija, 2019). According to (Henceroth & Lu, 2016), pain is not just a physiologic response to injury but also embraces emotional and behavioral responses based on a persons’ previous experiences and perceptions of pain. Pain is perceived by the patient and is only the patient who can describe their problem. This makes assessing pain subjective to the individual (Givlver, Bhatt, Maani-Fogelman, 2020). Depending on the patient’s verbal clues or body language, it might be challenging for the nurse to assess or describe the level, intensity, duration, or other defining characteristics. Pain assessment and cultural competency requires some degree of self-awareness and knowledge of each patient’s background (Givlver, Bhatt, Maani-Fogelman, 2020). Several cultures have different cultural beliefs concerning the meaning, origin, and role of pain. These diverse influences can determine how the patient might understand and perceive pain. On the other hand, knowledge of a patient’s culture may help the nurse better understand their patient pain. Also, being sensitive to other people’s culture permits the nurse to plan best-individualized care for patients—for example, on a comprehensive health assessment of Tina Jones. Like Asian, Black, Hispanic, and American Indians, they have a high tolerance for pain in some cultures. They tend to maintain an unbiassed facial expression, even though they experience excruciating pain (Givlver, Bhatt, Maani-Fogelman, 2020). Japanese culture avoids discussion of death, and they are stoic to the problem and instead stay home to die if chronically sick. While Eastern Asian’s are very unwilling to talk about death, their pain tolerance is very high, so when caring for an Asian patient, the nurse should assess for a non-verbal sign (Givlver, Bhatt, Maani-Fogelman, 2020). Where I practice nursing, we currently use numeric, and Wong-Baker’s Faces tools to assess pain. This allows us to evaluate problems using verbal and non-verbal clues. Caring for terminally ill patients in pain is often challenging for health specialists because, in an ethnically and culturally diverse society, healthcare workers should first comprehend, respect, and consider the specific culture their patient came from. I have a patient on my unit from an Asian country. I can tell when she is having some discomfort, and she will say to me, “Oh, I will sleep it off. With the above examples, I think there are some needs for revision. Some changes need to be made in assessing some of these populations because the total effect of cultural differences in response to pain often results in under or over the evaluation of patient pain severity (Givlver, Bhatt, Maani-Fogelman, 2020). For example, the patient’s reduced expression of pain may be understood as an absence of pain by the nurse, resulting in the under-treatment of that patient’s pain. I am suggesting that nurses find what is a tolerable level of pain for each patient, regardless of their ethnicity, and treat them per their story, rather than as a group Reference. Bickley, L.(2017). Bates’s guide to physical examination and history taking (12 th ed.). Philadelphia, PA: Wolters Kluwer Health/ Lippincott Williams & Wilkins Miller, E. T. & Alhaija, D. M. (2019). Cultural Influence on Pain Perception and Management Givler, A, Bhatt, H, Maani-Fagelman, P.A. (2020). The Importance of Cultural Competence in Pain and Palliative Care. Henceroth, M.& Lu, Q. (2016). Cultural Difference in Pain Expertise among Ethnic Groups: A Qualitative Pilot Study. American Sentinel N522PE Module 8 Discussion 8 – Pain Assessment & Cultural Competency 605 words Permalink In reply to Ihuoma Re: Discussion #8 by Dona – Tuesday, November 10, 2020, 5:04 PM Well done. Describe at least one cultural practice that may be passed down from one generation to the next. 19 words Permalink Show parent In reply to Dona Re: Discussion #8 – American Sentinel N522PE Module 8 Discussion 8 – Pain Assessment & Cultural Competency by Ihuoma – Thursday, November 12, 2020, 8:07 PM Most cultural practices are share, learned and accepted from one generation to another. As the family grows, the new generation will be introduced to the family traditional culture practice, and it will become repetitiously. Example is the Royal family of Britain how their kingship, queen, duke and duchess are being pass from one generation to another and family culture continue to grow from generation to generation. And their male family members continue to serve in the Armed forces, starting from Prince Edward in 1983 to Prince Henry who proclaimed that he will also join the Army in 2003 to continue with their tradition. Another example is the Catholic religion among the Hispanic families, the new generation continue to learn behaviors that are necessary in their given culture, which helps to shape and direct everyone in the family. Reference Morelli, L. (2017). From one Generation to next -importance of keeping culture. importance-keeping-culture 163 words Permalink Show parent In reply to Ihuoma Re: Discussion #8 by Dona – Friday, November 13, 2020, 7:47 AM Your compassion is so evident. You will do great! 9 words Permalink Show parent In reply to Ihuoma Re: Discussion #8 – American Sentinel N522PE Module 8 Discussion 8 – Pain Assessment & Cultural Competency by Ed – Wednesday, November 11, 2020, 9:53 PM Hi Ihouma, I can relate to what you mentioned about your Asian patient and how she deals with her discomfort. I have seen and experienced that too. I remember instances when I worked in EMS/Rescue, dealing with some people so obviously in pain from their injuries. More than a few times I had patients/victims who apologized for the bother, for getting us out to respond to their need, or for messing up the floor or surfaces in the rescue vehicle or equipment. I try and keep giving them reassurance, that it is okay, and that they will be alright, but I marvel at the sentiment, the consideration for others and the stoicism. I remember a story I read in accounts of one of the battles in the south of the old country, of a badly wounded soldier, asking for permission to die and apologizing for leaving his mates in battle, in their direst time of need. This reinforces the need for clinicians to use every faculty in assessing the patient for pain, to be alert for cues other than verbal or what is reported by the patient. In some cultures, stoicism and resilience is a valued trait, and complaining is culturally frowned upon and is considered whining or imposing on others or being overly needy. Growing up in the old country, that was mostly true in my experience. There is a substantial difference in the way pain is perceived and the physiological and emotional responses and adaptations to it across cultures and ethnicities (Kim et al., 2019). References. Kim, H. J., Greenspan, J. D., Ohrbach, R., Fillingim, R. B., Maixner, W., Renn, C. L., … Dorsey, S. G. (2019). Racial/ethnic differences in experimental pain sensitivity and associated factors – Cardiovascular responsiveness and psychological status. Plos One, 14(4). Bickley, L. S., Szilagyi, P. G., & Hoffman, R. M. (2017). Bates’ guide to physical examination and history taking (12th ed.). Wolters Kluwer. 328 words American Sentinel N522PE Module 8 Discussion 8 – Pain Assessment & Cultural Competency Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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