Journal of Intensive and Critical Care Nursing

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Short Communication - Journal of Intensive and Critical Care Nursing (2024) Volume 7, Issue 5

The Role of Orthopedic Nurses in Managing Chronic Musculoskeletal Pain: A Holistic Approach.

Ignacio Smith *

Department of Neurology, University of California, Davis, USA

*Corresponding Author:
Ignacio Smith
Department of Neurology, University of California, Davis, USA
E-mail: ignaciosmith@hotmail.edu

Received: 27-Sep -2024, Manuscript No. AAICCN-24-154586; Editor assigned: 28-Sep-2024, PreQC No. AAICCN-24-154586 (PQ); Reviewed:14-Oct-2024, QC No. AAICCN-24-154586; Revised:19-Oct-2024, Manuscript No. AAICCN-24-154586 (R); Published:28-Oct-2024, DOI:10.35841/AAICCN-7.5.234

Citation: Smith I. The role of orthopedic nurses in managing chronic musculoskeletal pain: A holistic approach. J Intensive Crit Care Nurs. 2024;7(5):234

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Introduction

Chronic musculoskeletal pain is a common and debilitating condition that affects millions of individuals worldwide. It can arise from various sources, including arthritis, back pain, fractures, and degenerative diseases. The impact of chronic pain extends beyond physical discomfort, often influencing mental health, emotional well-being, and overall quality of life. Orthopedic nurses, with their specialized knowledge and skills, play a crucial role in managing chronic musculoskeletal pain through a holistic approach that addresses the physical, emotional, and psychosocial needs of the patient [1].

Chronic musculoskeletal pain is defined as pain that persists for longer than three months and often results from underlying musculoskeletal conditions such as osteoarthritis, rheumatoid arthritis, and degenerative disc disease. It can range from mild to severe and may be constant or intermittent. Unlike acute pain, which typically resolves with treatment, chronic pain tends to be persistent, often becoming a long-term condition that requires ongoing management [2].

The physical manifestations of chronic musculoskeletal pain can include stiffness, swelling, reduced range of motion, and difficulty performing daily activities. These symptoms are often accompanied by psychological distress, including anxiety, depression, and sleep disturbances, making it essential to adopt a comprehensive, multidisciplinary approach to care [3].

Orthopedic nurses adopt a holistic approach to chronic musculoskeletal pain, which considers not only the physical aspects of pain management but also the emotional, psychological, and social factors that impact the patient’s well-being. A holistic approach seeks to treat the whole person, recognizing the interconnectedness of body and mind and the importance of addressing each individual’s unique needs [4].

Orthopedic nurses play an integral role in assessing the severity, nature, and impact of chronic musculoskeletal pain. This involves evaluating the pain's intensity, location, and duration, as well as understanding how it affects the patient's ability to function in daily life. Nurses also assess other factors, such as the presence of coexisting conditions, psychological distress, and the patient’s pain management history. Through detailed assessments, nurses can identify specific pain patterns, provide valuable insights to the healthcare team, and help develop personalized pain management plans [5].

Effective medication management is often essential for controlling chronic pain. Orthopedic nurses help educate patients on the proper use of medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and disease-modifying antirheumatic drugs (DMARDs), ensuring that patients understand potential side effects, risks, and proper dosing. Nurses also monitor for adverse reactions, drug interactions, and any signs of dependency, especially when opioid medications are involved. In addition to pharmacological treatments, nurses educate patients about over-the-counter remedies, topical analgesics, and complementary treatments like heat and cold therapy. They ensure that patients are aware of all available options to manage their pain and can make informed decisions about their treatment [6].

Physical therapy is a cornerstone of managing chronic musculoskeletal pain, especially for conditions like arthritis, back pain, and musculoskeletal injuries. Orthopedic nurses collaborate with physical therapists to design individualized exercise programs that aim to improve mobility, reduce pain, and strengthen muscles. These programs may include stretching, strengthening, and low-impact aerobic exercises to enhance joint stability and flexibility [7].

Nurses play an essential role in monitoring patients’ progress, providing encouragement, and modifying exercise routines as needed to prevent further injury. In addition, they educate patients on the importance of maintaining an active lifestyle and avoiding prolonged periods of inactivity, which can exacerbate musculoskeletal pain [8].

The emotional and psychological effects of chronic pain are profound and can contribute to the overall burden of the condition. Chronic pain is frequently associated with depression, anxiety, frustration, and feelings of helplessness. Orthopedic nurses are well-positioned to provide emotional support, listen to patients’ concerns, and help them develop coping strategies. Nurses may also refer patients to mental health professionals for counseling or cognitive behavioral therapy (CBT) to address the psychological aspects of chronic pain [9].

Additionally, nurses promote mindfulness, relaxation techniques, and stress reduction strategies, such as meditation and breathing exercises, which can significantly reduce pain perception and improve overall well-being. These approaches help patients regain control over their condition, enhancing their ability to manage pain and navigate daily life [10].

Conclusion

Orthopedic nurses play a critical role in managing chronic musculoskeletal pain through a holistic, patient-centered approach. By providing comprehensive assessments, education, physical therapy, emotional support, and collaborative care, orthopedic nurses help individuals with chronic pain live fuller, more active lives. Their dedication to improving both the physical and emotional health of their patients ensures that individuals with musculoskeletal pain can manage their condition effectively and age with dignity and quality.

References

  1. Arslanian-Engoren CM. Lived experiences of CNSs who collaborate with physicians: A phenomenological study.Clin Nurse Spec. 1995;9(2):68-74.

    2. Indexed at , Google Scholar , Cross Ref

  2. Barroso J, Gollop CJ, Sandelowski M, et al. The challenges of searching for and retrieving qualitative studies. WestJ Nurs. 2003 25(2):153-78.

    3. Indexed at, Google Scholar, Cross Ref

  3. Clarke JB, Wheeler SJ. A view of the phenomenon of caring in nursing practice. JAdv Nurs 1992;17(11):1283-90.

    4. Indexed at , Google Scholar , Cross Ref

  4. Forrest D. The experience of caring.JAdv  1989 ;14(10):815-23.

    5. Google Scholar

  5. Halldórsdóttir S, Hamrin E. Caring and uncaring encounters within nursing and health care from the cancer patient's perspective. Cancer nursing. 1997;20(2):120-8.

    6. Indexed at , Google Scholar , Cross Ref

  6. Charles C, Gafni A, Whelan T. Decision-making in the physician–patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med. 1999;49(5):651-61.

    7. Indexed at, Google Scholar, Cross Ref

  7. Entwistle VA, Watt IS. Patient involvement in treatment decision-making: the case for a broader conceptual framework. Patient Educ Couns. 2006;63(3):268-78.

    8. Indexed at, Google Scholar, Cross Ref

  8. Entwistle V, Prior M, Skea ZC, et al. Involvement in treatment decision-making: its meaning to people with diabetes and implications for conceptualisation. Soc Sci Med. 2008;66(2):362-75.

    9. Indexed at, Google Scholar, Cross Ref

  9. Fraenkel L, McGraw S. Participation in medical decision making: the patients' perspective. Med Decis. 2007;27(5):533-8.

    10. Indexed at, Google Scholar, Cross Ref

  10. Kendall M, Boyd K, Campbell C, et al. How do people with cancer wish to be cared for in primary care? Serial discussion groups of patients and carers. Fam Prac. 2006;23(6):644-50.

    11. Indexed at, Google Scholar, Cross Ref

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