ethical issues in this document (hyperlink below) titled: "orthopaedic patients' reporting of pain management'

Question

http://64.233.183.104/search?q=cache:_wilyIyuqvQJ:www.nursing-standard.co.uk/archives/ns/vol12-46/vol12w46p4347.pdf+orthopaedic+patients+reporting+of+pain+management&hl=en&ct=clnk&cd=6&gl=uk

i'm actually so confused with what i have to do! please someone help me!!!!!!!!!!! :]

Answer 1

I'm not sure where you find ethical issues. The article seems to be a simple investigation into the patient's report of perceived pain control using three forms of post operative pain management.

The results should have been expected. Both epidural and PCA analgesic methods provide a more constant release of medication at a low level, giving better pain control. IM injections give short acting medication which provides pain relief with significant peaks and valleys in the pain control levels.

There are no ethical issues, the issue is what is the best method for controlling post operative pain, and that is PCA or epidural analgesia. Of the two choices, I usually would prefer PCA analgesia in most cases as IV access is easier to obtain and maintain than epidural access. However, In lower body issues I find that epidural analgesia is quite effective.

Answer 2

Perhaps if you described "what you have to do" and what the ethical issues are you could get a useful answer. This is a three way comparison of different treatments for pain after orthopedic surgery. A friend of mine just had a two level fusion and had had decent pain control with the PCA method. She was changed to oral pain meds 18 hours later.

Answer 3

Is the sausage so enormous that it won't be able to slot on your mouth? save it away! i do unlike sausages that enormous. whether, if it is so small that it slides around and misses the mark, it isn't any good the two.

Answer 4

if possibe, go none narcotic as long as you can for the long term cause they are extremelly hard to get off, i am on methadone now, and prob forever, if i would have known what i do today, i would have considered other options, antimmflamatory drugs, inquire on that, also go oral vs intra muscular or epidural if at all possible.