Assignment: Pain is Multidimensional
Assignment: Pain is Multidimensional
Assignment: Pain is Multidimensional
the client’s
perspective in the design and delivery of
care, and to create a sacred space for
carrying out the holistic caring process
thwarts achievement of the mutually sought
after goal of healing. By embracing the
broader and deeper view of care offered by
the theory of integral nursing, the nurse and
client collaborate in the development of
trusting relationships as they intentionally
strive to improve client outcomes and
ultimately enhance client, nurse, and
provider satisfaction with care.
Background
Pain management has remained enigmatic
for clients and healthcare professionals for
decades. When caring for clients, pain is the
most common symptom for which nurses
need to intervene, yet it continues to be one
for which they may be least prepared to
successfully mediate (Lui, So, & Fong,
2008; Montes-Sandoval, 1999; Wilson,
2007). Pain is a multidimensional,
subjective phenomenon and experience.
As such, the meaning and impact of any
pain experience differs for each client,
family member, nurse, and provider. Many
definitions of pain have surfaced over
the last four decades and offer multiple
interventions to alleviate clients’ pain. At the
2007 council meeting for the International
Association for the Study of Pain (IASP),
in Koyoto, Japan, the council confirmed its
1992 definition of pain as “…an unpleasant
sensory and emotional experience
associated with actual or potential tissue
damage, or described in terms of such
damage” (www.iasp-pain-org). In its
monograph on understanding, assessing,
and treating pain, the American Pain Society
supports both the IASP definition of pain
and McCaffery’s definition of pain as
“…whatever the experiencing person says
it is, existing whenever s/he says it does”
(APS, 2006, p. 4; McCaffery & Passero,
1999, p. 17). While the IASP definition
has been described as the most widely used
definition of pain, McCaffery’s definition
has gained substantial support over the past
30 years and is widely used in clinical
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