Providing Relief to Those in Pain: A Retrospective on the Scholarship and Impact of the Mayday Project

2003 ◽  
Vol 31 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Sandra H. Johnson
Keyword(s):  
Health Care ◽  
Public Policy ◽  
Pain Relief ◽  
Intrinsic Value ◽  
Perceived Barriers ◽  
Relief Of Suffering ◽  
Negative Effect ◽  
American Society ◽  
Effective Pain Relief ◽  
Financial Issues

Scholarship has intrinsic value, of course; but when good scholarship can stimulate change for the better in an area as fundamental to human dignity as health care and the relief of suffering, there is a special satisfaction. This has been our experience since 1996, when the first of now four special issues of this journal focused on legal, regulatory, ethical, professional, and financial issues in medical treatment for pain.With the generous and steadfast support of the Mayday Fund, the American Society of Law, Medicine & Ethics (ASLME) has generated a significant body of scholarship published in the Journal of Law, Medicine & Ethics (JLME). This research has proven absolutely essential in changing public policy to support better care for those who suffer pain.Over these years, the Mayday Project at ASLME has tackled many of the real and perceived barriers to effective pain relief. In pain management, both real and perceived obstacles can have a powerful negative effect.

scholarly journals Impact of anesttesia method on foetus condition

2021 ◽  
Author(s):  
A. M. Morozov ◽  
A. N. Pichugova ◽  
E. M. Askerov ◽  
S. V. Zhukov ◽  
Yu. E. Minakova ◽  
...  
Keyword(s):  
Pain Relief ◽  
General Anesthesia ◽  
Regional Anesthesia ◽  
Negative Impact ◽  
Contractile Activity ◽  
Obstetric Practice ◽  
Literary Sources ◽  
Wide Range ◽  
Negative Effect ◽  
American Society

Topicality. Currently, intrapartum fetal health care is aimed at an adequate choice of anesthetic aid used during delivery to minimize the negative impact. Despite the wide range of currently existing anesthetics, the choice of anesthetic drug is limited by its negative effect not only on the fetus, but also on the contractile activity of the uterus, which significantly reduces the number of anesthetics used in obstetric practice.The purpose of this study is to analyze domestic and foreign literature in order to study the effect of anesthesia on the condition of the fetus. Material and methods. In the course of this study, an analysis of modern Russian and foreign literary sources, as well as the latest scientific works in the field of methods of general and regional anesthesia in the field of obstetrics and gynecology, was carried out.Results. Almost all drugs used for general anesthesia in obstetric practice can have a negative effect on the fetus. Neuroaxial pain relief methods are leading in obstetric practice, but their use is associated with complications that can lead to an adverse outcome not only from the mother, but also from the fetus. One such complication is the risk of arterial hypotension. It is interesting that comparative studies of general and regional anesthesia methods during operative delivery differ in the results obtained. Regarding the issue of anesthesia of natural births, the information of the Congress of the American Society of Anesthesiologists (lecture C.A. Wong (Chicago) “Neuroaxial Labor Analgesia and Prognancy Outcome: Factand Fiction”) remains relevant, according to which neuroaxial anesthesia methods do not affect the condition of the fetus, provided that the mother has stable hemodynamics.Conclusion. Due to the appearance and release of neuroaxial pain relief methods, completely unreasonably little attention is paid to the issues of general anesthesia of pregnant women, while according to the results of a study of scientific literary sources, it was revealed that this method of pain relief in obstetric practice is accompanied by the most direct and mediated effects on the fetus. Neuroaxial pain relief methods have practically no effect on the condition of the fetus, provided that the mother has stable hemodynamics.

scholarly journals Utilization of Non-Pharmacological Methods and the Perceived Barriers for Adult Postoperative Pain Management by the Nurses at Selected National Hospitals in Asmara, Eritrea

2020 ◽  
Author(s):  
Betiel Yihdego Kidanemariam ◽  
Traudl Elsholz ◽  
Laban L. Simel ◽  
Eyasu H. Tesfamariam ◽  
Yonatan M. Andemeskel
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Postoperative Pain ◽  
Pain Relief ◽  
Health Care Professionals ◽  
Work Experience ◽  
Administrative Support ◽  
Statistical Significance ◽  
Demographic Data ◽  
Perceived Barriers

Abstract Background Postoperative pain remains a concern to both patients and health care professionals. Non-pharmacological pain relief methods have the potential to complement pharmacological interventions and may offer alternative treatment options. The aim of the study was to assess nurses’ utilization of postoperative nurses’ non-pharmacological pain relief methods and the perceived barriers for their implementation in the National Hospitals. Methods Descriptive cross sectional study was conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization of selected non-pharmacological methods and the perceived barriers for the implementation of those methods were used to collect data. Descriptive statistics for the demographic data, independent samples t-test and one way ANOVA for the nurses’ utilization of the non-pharmacological methods and perceived barriers were used to analyze the data. Statistical significance level was set at P < 0.05. Results The study found that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were reported to be the most frequently used methods, whereas the cognitive-behavioral (5.9%) and physical methods (5.8%) were found with less frequency. The results also show that characteristics, such as the nurses' age (p = 0.013), education (p = 0.012), work experience (p = 0.001) and place of work (p = 0.001), were significantly related to the use of non-pharmacological methods. Among the various perceived barriers, health care system related barriers such as heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), lack of administrative support (76.6%) followed by patient related barriers such as patients uncooperative behavior (57.1%) were identified. Conclusion Only few of the non-pharmacological methods were found to be utilized by the nurses as pain relieving strategies and various perceived barriers are existing among the nurses towards the utilization of these methods. Nurses in these settings need training and education on non-pharmacological pain relief methods, particularly on methods that are utilized less often.

Perceived Barriers to Mental Health Care in Military Medical Personnel

2009 ◽  
Author(s):  
Lillian Krantz ◽  
Elizabeth Cedillos ◽  
Ben Dickstein ◽  
Alan Peterson ◽  
Brett Litz
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Medical Personnel ◽  
Perceived Barriers

Introduction

2018 ◽  
Author(s):  
Andrew Valls
Keyword(s):  
United States ◽  
Public Policy ◽  
Social Construction ◽  
Political Theory ◽  
Racial Inequality ◽  
The United States ◽  
Racial Justice ◽  
Color Blind ◽  
American Society ◽  
Liberal Political Theory

The persistence of racial inequality in the United States raises deep and complex questions of racial justice. Some observers argue that public policy must be “color-blind,” while others argue that policies that take race into account should be defended on grounds of diversity or integration. This chapter begins to sketch an alternative to both of these, one that supports strong efforts to address racial inequality but that focuses on the conditions necessary for the liberty and equality of all. It argues that while race is a social construction, it remains deeply embedded in American society. A conception of racial justice is needed, one that is grounded on the premises provided by liberal political theory.

scholarly journals The Catholic Church in America, the Discipline of Bioethics, and the Culture of Life

2011 ◽  
Vol 78 (4) ◽  
pp. 415-436
Author(s):  
Mark S. Latkovic
Keyword(s):  
Health Care ◽  
Moral Reasoning ◽  
Catholic Church ◽  
Care Ethics ◽  
Positive Influence ◽  
Health Care Ethics ◽  
Twentieth Anniversary ◽  
American Society ◽  
The Church ◽  
The Catholic Church

In this paper, I will first briefly discuss why the Catholic Church has always had and continues to have such a great concern for bioethics or health-care ethics, while I also highlight the biblical roots of this concern. Secondly, I will describe some of the ways in which the Catholic Church in America has exercised a positive influence in the field of bioethics, or what was in the mid-twentieth century often called medical ethics. Thirdly, I will sketch how and why the Church has to a large extent lost this influence, tracing how secularization both inside and outside the Church contributed to the destruction of the so-called “Catholic ghetto” and to the assimilation of ideas from the culture that were often alien to the Gospel and sound moral reasoning. Finally, I will offer some general reflections on how the Church can regain her influence in this area—especially with the goal in mind of building a culture of life in American society—and how Catholic scholars in particular can contribute to this effort by following the lead of the late Pope John Paul II's 1995 encyclical on bioethics, Evangelium vitae, whose twentieth anniversary is fast approaching.

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