This poem does not have any vitriolic hatred spewing on paper, but a silent mourning over the loss of humanity which war entails. The anti-war agenda of the poet has been crafted out with much sympathy and poignancy. He does not directly question the ravaging effects of war, but instead takes us in the middle of a battlefield, next to a dying man who does not even have enough water on him to ease his fatal battle wound.
Total number of patients who have received healthcare input specifically for pain 62 Open in a separate window Any conditions existing before ICU admission that could cause chronic pain were analyzed as a risk factor and labeled together as preexisting conditions.
These included chronic pain reported in any jointany inflammatory joint condition osteoarthritis or rheumatoid arthritisand neurologic conditions long-term or progressive conditions such as neuralgia, spinal injuries, or multiple sclerosis. For the purpose of this study, these were categorized together under the title Wounds.
Study design To address both aims of this study, a mixed-methods approach was used: Questionnaire study The first aim was addressed by using a questionnaire and telephone follow-up method.
This part of the study was designed by following available guidelines in questionnaire research and the guidelines published in a series of articles in the British Medical Journal [ 1415 ]. A short questionnaire was designed for the purpose of investigating incidence of chronic pain, body parts affected and the use of primary healthcare resources to attempt to address the pain.
This inventory can be both self-administered and administered over the telephone, as we did in our study. It was also designed for use in patients with chronic diseases and conditions and those with postsurgical pain, a population very similar to our cohort.
As we did not set out to investigate either intensity of pain or the impact of the pain on quality of life, no other validated questionnaire could be identified for use in this study.
We were therefore unable to use any other previously validated chronic pain questions. The questions were therefore designed according to guidelines for the assessment of pain in older people from the British Pain Society [ 17 ].
These guidelines included using alternative words to describe pain, such as "ache" and also the use of a pain map. Self-report pain questionnaires are reported in these guidelines to have high validity and reliability in older people with no significant cognitive or communication impairment [ 17 ].
To assess the clinical sensibility of the questionnaire, it was piloted on a number of ICU survivors attending our follow-up clinic, and, as a result, a number of alterations were made to the questionnaire design. For example, we included a pictorial body chart, which allowed the respondent to highlight the exact body part in which pain was being experienced rather than trying to describe it by using words.
Both closed and open-ended questions were used in the questionnaire. The respondents were asked to state whether they were experiencing any ongoing pain since discharge from the ICU only new pains that they did not have before their ICU admissionand if so, they were requested to describe the body parts affected either in words or pictorially on the body chart.
They were also asked whether they had seen any healthcare professional regarding the described pain.
The questionnaire responses were entered onto a Microsoft Excel spreadsheet. Any questionnaires with missing demographic data were included in the study, and the remaining responses included in the analysis.
If a respondent left blank the question regarding the existence of ongoing pain, this was included in the results as a lack of pain. Response rates were fully recorded, and nonresponder analysis was completed to compare the characteristics of the nonresponders and the responders.This paper explores the mutual and reciprocal influence between pain and psychiatric disorders reviewing the latest developments in the definition, assessment and treatment of pain, with special emphasis on the impact of pain on psychiatric disorders (and vice versa), and on the use of psychotropic drugs in the treatment of pain syndromes.
Mar 21, · How to Write a Critical Analysis. A critical analysis examines an article or other work to determine how effective the piece is at making an argument or point.
These reviews are usually applied to articles or books, but you can also 87%(89). Overall rebound tenderness is useful sign for diagnosing appendicitis when there is a high suspicion of appendicitis and is accompanied with other diagnostic indicators (Moyer, et al., ).
Another presentation to be considered in relation to abdominal pain and rebound tenderness is the duration of the pain experienced by the child. Thus, pain is a critical problem in the health care system.
Aims or Purpose of Analysis. The purpose of this paper is to expand the understanding of the concept of pain. It is my intention to define the attributes of pain and identify antecedents that influence the perception of pain and the possible consequences of pain by using a concept analysis.
Critical analysis of pain and the use of pain relieving drugs in women: Women and critical analysis of pain [Ebtisam Elghblawi] on timberdesignmag.com *FREE* shipping on qualifying offers. Pain is a major growing health issue. It accounts for a large number of patients who visit the clinic seeking a cure to their misery.
Nurses have a unique role in pain assessment and management given that, of all health professionals, they spend the most time with patients in pain (Musclow, Swhney, & Watson, ). Failure of nurses to assess pain is a critical factor leading to under treatment (Chuk, ).