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replypainmanagemnet.docxPain management
Patients with pain have a right to access appropriate assessment and treatment of their pain by professionally trained providers. However, pain management has emerged as a serious topic nationally and globally because of issues related to abuse of pain medications and under-treatment. Pain remains a major public health problem. According to Brennan, Lohman & Gwyther (2019), regardless of the prevalence of pain and its effects on quality of life, under-treatment continues to be a serious concern. Brennan and colleagues argue that there are several obstacles to pain management including insufficient access to health facilities, inadequate training of health experts, lack of pain acknowledgment, and issues of discrimination. Critically, the current opioid epidemic in the US demonstrates the challenge of decreasing the burden of suffering from pain and ensuring the provider’s professionalism in managing pain.
Providers can use various strategies to help patients maintain pain and at the same time, uphold the integrity and legal aspects of their profession. To begin with, providers should rely on their code of ethics to ensure ethical decision-making in pain management. Providers should understand and uphold their ethical responsibility to relieve the pain of patients and the suffering it causes. Carvalho et al. (2018) stress that providers have an ethical obligation to relieve pain. To effectively manage pain in a manner that helps patients and maintains the integrity of the profession, Carvalho and colleagues propose that physicians should seek decision-making practices that are driven by a person-centered dimension to ensure an ethical framework for pain management (Carvalho et al., 2018).
Furthermore, to ensure ethical, legal, and professional pain management, providers should ensure that pain management modalities are evidence informed. Tick et al. (2018) points out that the current pressure for pain medicine calls for a move from dependency on opioids, inadequate processes, and surgeries and focus on wide-ranging pain management and in particular, evidence-based alternatives (Tick et al., 2018). For instance, Schofield et al. (2022) suggest that providers can consider the use of non-pharmacological options like physiotherapy and cognitive behavioral approaches, and other similar strategies to diminish and eradicate the necessity for medicines.
Similarly, to uphold the legal aspects of the profession, providers should be familiar with and uphold a good understanding of applicable laws and policies, which government healthcare practices for pain care. A good understanding of litigation related to pain management can inform providers’ decision-making and patient care and thus, ensure that providers operate within court interpretations, statutes, policies, and regulations (Gilson & Rich, 2018).
In summary, providers can ensure proper care for a patient with pain and at the same time, maintain the integrity and the legal elements of the profession by adhering to their code of ethics including the ethical duty to relieve pain, focusing on evidence-informed decision making and interventions as well as having a knowledge and understanding of laws and policies related to pain care.
References
Brennan, F., Lohman, D., & Gwyther, L. (2019). Access to Pain Management as a Human Right.
American journal of public health, 109(1), 61–65. https://doi.org/10.2105/AJPH.2018.304743
Carvalho, A. S., Martins Pereira, S., Jácomo, A., Magalhães, S., Araújo, J., Hernández-Marrero,
P., Costa Gomes, C., & Schatman, M. E. (2018). Ethical decision making in pain management: a conceptual framework. Journal of pain research, 11, 967–976. https://doi.org/10.2147/JPR.S162926
Gilson, A. M., & Rich, B. A. (2018). Legal and regulatory issues in pain management. In
Essentials of Pain Medicine (pp. 395-404). Elsevier.
Schofield, P., Dunham, M., Martin, D., Bellamy, G., Francis, S. A., Sookhoo, D., ... & Knaggs,
R. (2022). Evidence-based clinical practice guidelines on the management of pain in older people–a summary report. British Journal of Pain, 16(1), 6-13. DOI: 10.1177/2049463720976155
Tick, H., Nielsen, A., Pelletier, K. R., Bonakdar, R., Simmons, S., Glick, R., Ratner, E.,
Lemmon, R. L., Wayne, P., Zador, V., & Pain Task Force of the Academic Consortium for Integrative Medicine and Health (2018). Evidence-Based Nonpharmacologic Strategies for Comprehensive Pain Care: The Consortium Pain Task Force White Paper. Explore (New York, N.Y.), 14(3), 177–211. https://doi.org/10.1016/j.explore.2018.02.001
Due to the significant and ongoing incidence for both acute and chronic pain, it is considered a worldwide public health concern. According to a theory, health systems must guarantee that everyone has accessibility to pain management treatments since it is a basic human right. There is plenty of information concerning the ineffective treatment of pain, which supported the idea that pain assessment is a right. In the context of pain, undertreatment and under prescribing have the potential to result in significant legal repercussions, including allegations of carelessness, elder abuse, homicide, and euthanasia. Pain treatment has been defined as a fundamental ethical responsibility in medicine in several worldwide pronouncements by professional groups.
The evaluation of the patient's ability for decision-making is one aspect of pain-related ethics that healthcare workers need to be aware of. Additionally, unique ethical concerns must be carefully considered in light of the global opioid problem. Finally, because patients and their caregivers may believe they have a right to complete analgesia, healthcare professionals need to be mindful of the dangers of advocating for pain management as a human right.
It may be helpful in such situations to give suggestions for improving and more effective pain management based on the impersonal, transparent ethical standards. When choosing an evaluation method and a course of treatment, all healthcare practitioners should be guided by the ethical principles of autonomy, beneficence, nonmaleficence, and fairness. No of the patient's distinctive traits, beliefs, or values, all nurses have an ethical duty to treat every patient in pain with respect and individuality.
References
Access to pain management from a legal and human rights perspective.
Ogston-Tuck S.Nurs Stand. 2022 Aug 31;37(9):75-79. doi: 10.7748/ns.2022.e11897. Epub 2022 Aug 15.PMID: 35968629
· Nurses’ knowledge and attitude regarding pain: A systematic review and meta-analysis
2022, Nurse Education in Practice
