Beyond Pharmacological: Nursing Challenges of Chronic Pain Management in Geriatric care
Chapagain, Khimananda (2018)
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This study aims to display diverse human experiences about pain perception and management in geriatric nursing care.It attempts to identify and investigate major non-pharmacological nursing challenges of chronic pain management in geriatric care. The scope of thematic exploration limits to psychosocial cognitive challenges of pain experience, long- held beliefs and myths about pain and aging, ethical limitations of pain management, and hurdles of pain assessment among aging populations. Towards the end, it offers potential solutions for pain management, which are non-pharmacological in nature. In order to carry out a systematic and a more focused analysis of the themes, the study uses biopsychosocial model of pain and pain management as its conceptual framework. This work is designed with qualitative research method by using inductive analysis. It underscores that pain is a subjective perceptual event that is not solely dependent on the extent of tissue damage or organic dysfunction. The intensity of pain reported and the responses to the perception of pain are influenced by a wide range of factors, such as meaning of the situation, attention focus, mood, prior learning history, cultural background, environmental contingencies, social supports, beliefs and myths, assessment techniques, and ethics, among others. Pain, especially chronic pain, has unique health implications based upon race and ethnicity, gender, age, class and ethnicity that are often overlooked. Overall, adequate pain relief is a human rights and social justice issue and there remains much more to do to improve the quality of pain care for all.