Representing the Pain of Other

Representing the Pain of Other

Society today is characterized by a magnitude of oppressive practices, especially for those making up the underprivileged communities of the world. Accordingly, this oppression has demanded the need for human rights and representation in all social and political institutions. As underprivileged individuals fight for equal opportunities, the rest of the world has no option but to integrate themselves in the fight for these human rights and demands. For the part where these individuals cannot present their suffering and destitution, others must come in and represent them to society. According to Sontag, Said, and Derrida, this is known as representation, and it often requires that individuals use their capacity to represent the pain of others the best way they know how.

Representing the pain of others involves telling the stories of the different sufferings an tribulations that different people experience throughout their lifetimes. Representation is identified as a significant tool of communication, as it helps people understand the various ways through which various people undergo their daily lives or living. Consequently, it has been argued the representation takes various forms especially through the media and other literary or artistic forms such as poems and paintings. These media forms have been used to represent the woes of others throughout history and according to the three scholars mentioned, though these representations are necessary, there have been problems associated with such representation. According to these scholars, representing the pain of others has long provoked various personal and political problems, as they do not fully represent the pain and suffering of the people that they intend to represent as expected.

Sontag specifically supports this notion in her book, regarding the pain of others in her examination of the representation of war by the media and artists. She explains that this representation has brought about personal and political problems as in a way they encourage more conflict and war between individuals. Additionally, representing the pain and suffering of others also causes an aesthetic and ethical dilemma as one cannot conclude the importance and significance of such representation. The representation of pain for example, is hard because is illustrates the negative side of things and events that have happened to individuals. Most of these illustrate the pain and suffering of others thus raising an ethical question as to the need for this representation. Said, explains that there are politics and poetics involved in the representation of the pain of others. This is because most of those willing to represent the pain of others have a reason as to why they tell the story of others. While others represent the pain of others so as to explain to society how life can be unfair, others do it for political reasons and to gain a political following.

For that reason such representation easily borders exploitation and disrespect as the intended purpose of the representation is questionable. As Derrida explains, it is hard for people to represent the pain of others without exploiting or disrespecting the victims with whom they intend to represent. Derrida urges his readers to embrace representation with respect and dignity, thus reducing the possibility of having misrepresented the pain and suffering of these victims.

This paper presents a reflection of Austerlitz by W. G. Sebald. Specifically, the paper utilizes the thoughts and perception of Sontag, Said and Derrida with regards to the representation of others.

Representation in Austerlitz by W. G. Sebald

Austerlitz by W.G. Sebald

In his novel, Austerlitz, Sebald tells the story of Jacques Austerlitz a man who was in search of life’s answers during his time (Sebald 1-320). The novel was published after the author’s death and the novel centers on the events that took place during the World War II and the holocaust. The novels looks at the horrifying events that took place, and uses the central character, Austerlitz to explain the pain and suffering experienced by people during this time (Sebald 1-320). A closer examination of the novel illustrates various concepts of the representation of pain and suffering as discussed by Sontag, Said, and Derrida.

Personal and Political Conflict

A closer examination of the novel by Sebald reveals that the story the author is telling in the novel goes beyond the story of his central character Austerlitz. Arguably the novel examines some of the events that took place during the holocaust and the World War II. Because these two event play a significant role in German history, it is easy for one to recognize political and personal conflict in the novel. The author intends to represent Austerlitz the best way possible, which can only be achieved by examining the political and personal connotations of the story being told in the Novel. He explains how the holocaust and the war took the lives of many innocent people, which in turn challenges his readers politically and personally (Sebald 1-320). Those in support of the wars and holocaust will not agree to the thoughts and attitudes presented in the novel, whereas those that were affected by these events would support the ideas presented in the novel. This in turn causes personal and political problems for readers and the audience to which the novel is intended to address.

Aesthetic and Ethical Dilemma

Another concept regarding the representation of the pain of others that can be noted in the novel relates to Aesthetic and Ethical dilemma of the representation. Arguably, Sebald does a good job in trying to represent Austerlitz’s pain as he does not divulge into the details on the way people suffered during these periods. However, he does not cover this pain and suffering so much to the point that he does not represent Austerlitz and his community accordingly. He highlights some of the things that terrible things that the people experienced during the war and the holocaust thus posing both aesthetic and ethical dilemmas with regards to the representation of the pain of others in the group (Sebald 1-320). Aesthetically, the author intends to bring tell his story as artistically as he possibly can. The only way he can achieve this is to provide a description of the actual events that took place during this time. He paints both the negative and positive picture of the lives of people living during this time, and because of this, an aesthetic dilemma is presented in the novel. Readers are barraged with horrific pictures and images of the events that took place during the holocaust and the war, most of which are aesthetically unappealing.

With regards to presented an ethical dilemma, the Sebald’s representation of the events that took place during the holocaust and the World War II beg the question of whether this representation is ethical or moral. The question of the ethical nature of Sebald’s is based on the question of whether or not this representation is good. Whether by representing Austerlitz and his community, the author does something good for the readers and his audience. Most would argue that his representation is ethical and for that reason, does not present an ethical dilemma, but if one is to consider the consequences of this representation especially o the readers, there appears to be an ethical dilemma in the representation.

Respect and Dignity in Sebald’s Representation

Conclusively, the most notable factor with regards to the representation of the pain of others in the novel relates to the observance of respect and dignity in Sebald’s representation of the life of Austerlitz. Arguably, the author does not exploit his central character or his victims in the novel to communicate his message and perception of the events during the holocaust and the World War II. Evidently, the author indirectly presents his attitudes and perceptions regarding the holocaust and the World War II using the lives of Austerlitz and his communities, he uses their pain and suffering to communicate his message to his readers but he does not exploit their destitution for this. He represents their pain and suffering with dignity and respect and does not inflate or deflate the events that took place for his own personal reasons. Whatever is presented in the novel is the actual thing took place during the time. He provides his evidence by explaining that his knowledge of Austerlitz life (Sebald 1-320).

Work Cited

Sebald, W. G. Austerlitz. New York: Random House Publishing Group, 2011. Print.

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Pain treatment strategies

Pain treatment strategies.

The psychological factors that can influence our perception of pain are a connection between the mind and the body. It always affects a consciousness of a well-being. We should be mindful of the fact that pain is not a reliable indicator of tissue damage and that tissue damage is not a reliable indicator of pain.
Anxiety, depressive words, stress, avoidance, fear, aggression, frustration and etc.
A patient who is undergoing treatment will experience the above all. It can influence our perceptions as it have negative effects on aspects of cognition.
Simply instructing patient that the route to successful management of pain lies with them it may be an invitation to fail because of memory bias for pain information. The fear of pain made a unique and significant contribution to the prediction of disability.
Another psychological factors is to take action and learning to cope with pain as patient with the personal ability to have control over pain will show much improvement in their fitness.
Medical practitioners can allow patient to develop the personal ability to have control over pain as it can show improvement in a treatment to decrease fear. Give patient the information on how long a pain will last as to improve on the reaction to the pain to decrease anxiety.
Interrupt the current thinking and promote an understanding of a knowledge in pain to decrease the stress level. Provide written or graphics materials or video to patient so that patient can understand information on pain psychology and stress management.
Educating the patient alone is not an effective treatment, doctor-patient communication, social interaction, stress reduction, self-relaxation and support from the family members is important for patient who is undergoing an treatment to prevent patient to isolate themselves and develop depression.
Medical practitioners can let the patient to find out his/her limit with regard to activities, accepting the behavioral changes and gradually confront situations that can create anxiety and fear.
Most importantly encourage a patient to stay positive in all treatment.
Other broad treatment strategies can be (CBT) cognitive behavioral therapy, psychological pain therapy, behavioral therapy, relaxation techniques and etc. In CBT environment patient are directly reinforcement for pain behaviors and will minimize their effects to provide a positive reinforcement and self-reinforcement.
Psychological pain therapy is to adjust the personal goals of a patient and treat simultaneously within their individual specialties.
Behaviors therapy interventions focus on passive avoidance behaviors a therapy to increase activity levels which help to reduce anxiety and increase motivation. It’s a therapy of the psychological effects to achieve the changes of muscle strength, endurance and coordination which it can lead to learn a new emotional experiences.
Lastly, relaxation techniques are relaxation exercise that can teach patient to reduce stress and pain. It’s a progressive muscle relaxation, autogenic taming, imagination, breathing and meditation to help with chronic pain patient to sustain success through prolonged effect.

Pain treatment strategies

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Pain and psychological well-being of older persons living in nursing homes

Pain and psychological well-being of older persons living in nursing homes.

Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention.
Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention.
Authors:
Tse, Mimi; Leung, Rincy; Ho, Suki
Affiliation:
Mimi Tse PhD RN Assistant Professor School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong
Rincy Leung BSN RN Registered Nurse Department of Health, Hong Kong
Suki Ho BSN RN Clinical Instructor School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong
Source:
Journal of Advanced Nursing (J ADV NURS), 2012 Feb; 68 (2): 312-21. (47 ref)
Publication Type:
journal article – pictorial, research, tables/charts
Language:
English
Major Subjects:
Gerontologic Care
Long Term Care
Nursing Home Patients — Psychosocial Factors — In Old Age
Pain — Therapy — In Old Age
Patient Centered Care
Psychological Well-Being — In Old Age
Minor Subjects:
Activities of Daily Living; Aged; Aged, 80 and Over; Analgesics — Therapeutic Use; Clinical Assessment Tools; Coefficient Alpha; Convenience Sample; Cross Sectional Studies; Data Analysis Software; Depression; Descriptive Statistics; Educational Status; Female; Funding Source; Geriatric Assessment; Geriatric Depression Scale; Happiness; Health Status; Hong Kong; Human; Inpatients; Internal Consistency; Interviews; Loneliness; Male; Mann-Whitney U Test; Marital Status; Middle Age; Nursing Homes; P-Value; Pain Measurement; Personal Satisfaction; Psychological Tests; Quantitative Studies; Revised UCLA Loneliness Scale; Scales; Spearman’s Rank Correlation Coefficient; Summated Rating Scaling; Test-Retest Reliability
Abstract:
tse m., leung r. & ho s. (2012) Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention. Journal of Advanced Nursing 68(2), 312-321. Abstract Aim. This article is a report on a study to examine the pain situation, the use of oral analgesics and non-pharmacological strategies and the psychological well-being of older patients living in nursing homes; the relationships between pain and psychological well-being were also explored. Background. Pain is common among older adults world-wide, and tends to be under-treated. Indeed, the high prevalence of pain may further hinder the fulfilment of psychological needs in a Maslow hierarchy of needs model. Method. It was a quantitative cross-sectional study; older adults from six nursing homes were invited to join the study in 2007-2009, with a response rate of 100%. Pain was measured using the Geriatric Pain Assessment, happiness using the Subjective Happiness Scale, life satisfaction using the Life Satisfaction Index – A Form, loneliness using the Revised UCLA Loneliness Scale and depression was measured using the Geriatric Depression Scale. Results. A convenience sample of 302 older patients (213 females and 89 males aged from 60 to 101, mean age of 84·99) joined the study. The majority of them had experienced pain in the previous 3 months, with a pain intensity of 4·51 on a 10-point scale. Pain sites were mainly the knee, back, shoulder and musculoskeletal areas. Only 50% of them took oral analgesics, and 70% used non-pharmacological measures for pain relief. The pain group reported significantly more loneliness and depression when compared with their no-pain counterparts. Conclusions. As the number of older patients increases, so does the need for alternative accommodation; thus, pain management education is urgently needed for staff and nursing home residents.
Journal Subset:
Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland
Special Interest:
Advanced Nursing Practice; Gerontologic Care; Pain and Pain Management; Psychiatry/Psychology
Instrumentation:
Geriatric Depression Scale (GDS) [Chinese]
Subjective Happiness Scale
Geriatric Pain Assessment
Life Satisfaction Index ¿ A Form [Chinese]
Revised UCLA Loneliness Scale [Chinese]
ISSN:

Pain and psychological well-being of older persons living in nursing homes

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PSY 345 Week 5 Perception of Pleasure and Pain Presentation

PSY 345 Week 5 Perception of Pleasure and Pain Presentation.

Week 5 Perception of Pleasure and Pain Presentation

Resource: “Sensation and Perception – Is Pain Real,” located in this week’s Electronic Reserve Readings.

Your team has been asked to create a lecture for a high school psychology class on the perception of pleasure and pain.

Create a 15- to 20-slide Microsoft® PowerPoint® presentation that includes the following: A diagram and description of the cutaneous system A diagram and description of the function of the somatosensory cortex An explanation of the role of the somatosensory cortex in the perception of pleasure and pain A description of how the cutaneous system can be damaged A description of how the damage to the cutaneous system can affect the quality of life

Include at least three to five peer-reviewed sources.

Format your presentation consistent with APA guidelines.

PSY 345 Week 5 Perception of Pleasure and Pain Presentation

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Pain and psychological well-being of older persons living in nursing homes an exploratory study in planning patient-centred intervention.

Pain and psychological well-being of older persons living in nursing homes an exploratory study in planning patient-centred intervention..

 

Authors:
Tse, Mimi; Leung, Rincy; Ho, Suki

Affiliation:
Mimi Tse PhD RN Assistant Professor School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong
Rincy Leung BSN RN Registered Nurse Department of Health, Hong Kong
Suki Ho BSN RN Clinical Instructor School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong

Source:
Journal of Advanced Nursing (J ADV NURS), 2012 Feb; 68 (2): 312-21. (47 ref)

Publication Type:
journal article – pictorial, research, tables/charts

Language:
English

Major Subjects:
Gerontologic Care
Long Term Care
Nursing Home Patients — Psychosocial Factors — In Old Age
Pain — Therapy — In Old Age
Patient Centered Care
Psychological Well-Being — In Old Age

Minor Subjects:
Activities of Daily Living; Aged; Aged, 80 and Over; Analgesics — Therapeutic Use; Clinical Assessment Tools; Coefficient Alpha; Convenience Sample; Cross Sectional Studies; Data Analysis Software; Depression; Descriptive Statistics; Educational Status; Female; Funding Source; Geriatric Assessment; Geriatric Depression Scale; Happiness; Health Status; Hong Kong; Human; Inpatients; Internal Consistency; Interviews; Loneliness; Male; Mann-Whitney U Test; Marital Status; Middle Age; Nursing Homes; P-Value; Pain Measurement; Personal Satisfaction; Psychological Tests; Quantitative Studies; Revised UCLA Loneliness Scale; Scales; Spearman’s Rank Correlation Coefficient; Summated Rating Scaling; Test-Retest Reliability

Abstract:
tse m., leung r. & ho s. (2012) Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention. Journal of Advanced Nursing 68(2), 312-321. Abstract Aim. This article is a report on a study to examine the pain situation, the use of oral analgesics and non-pharmacological strategies and the psychological well-being of older patients living in nursing homes; the relationships between pain and psychological well-being were also explored. Background. Pain is common among older adults world-wide, and tends to be under-treated. Indeed, the high prevalence of pain may further hinder the fulfilment of psychological needs in a Maslow hierarchy of needs model. Method. It was a quantitative cross-sectional study; older adults from six nursing homes were invited to join the study in 2007-2009, with a response rate of 100%. Pain was measured using the Geriatric Pain Assessment, happiness using the Subjective Happiness Scale, life satisfaction using the Life Satisfaction Index – A Form, loneliness using the Revised UCLA Loneliness Scale and depression was measured using the Geriatric Depression Scale. Results. A convenience sample of 302 older patients (213 females and 89 males aged from 60 to 101, mean age of 84·99) joined the study. The majority of them had experienced pain in the previous 3 months, with a pain intensity of 4·51 on a 10-point scale. Pain sites were mainly the knee, back, shoulder and musculoskeletal areas. Only 50% of them took oral analgesics, and 70% used non-pharmacological measures for pain relief. The pain group reported significantly more loneliness and depression when compared with their no-pain counterparts. Conclusions. As the number of older patients increases, so does the need for alternative accommodation; thus, pain management education is urgently needed for staff and nursing home residents.

Journal Subset:
Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland

Special Interest:
Advanced Nursing Practice; Gerontologic Care; Pain and Pain Management; Psychiatry/Psychology

Instrumentation:
Geriatric Depression Scale (GDS) [Chinese]
Subjective Happiness Scale
Geriatric Pain Assessment
Life Satisfaction Index ¿ A Form [Chinese]
Revised UCLA Loneliness Scale [Chinese]

ISSN:
0309-2402

MEDLINE Info:
PMID: 21679226 NLM UID: 7609811

Grant Information:
CADENZA: A Jockey Club Initiative for Seniors, The Hong Kong Jockey Club Charities Trust.

Entry Date:
20120127

Revision Date:
20150605

DOI:
http://dx.doi.org/10.1111/j.1365-2648.2011.05738.x

Pain and psychological well-being of older persons living in nursing homes an exploratory study in planning patient-centred intervention.

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What is the probable cause of the chief complaint of abdominal pain?

What is the probable cause of the chief complaint of abdominal pain?.

Purpose: The purpose of this assignment is to encourage you to analyze pathophysiological processes and mechanisms of human disease, identify clinical signs and symptoms and diagnostic data consistent with the pathology of common health problems and determine appropriate medical treatment and nursing care based on best practices found in the literature. This assignment emphasizes critical thinking and problem-solving through the correlation of cellular and multi-system pathology with related assessment and diagnostic data, medical treatment and nursing management.

The answers to the questions should be complete and include professional literature to support each answer. You should include at least 3 current references (< 5 years old) of which 2 must be journal articles. References should include current nursing journals and other professional health related literature. The assignment should be uploaded electronically into blackboard under the appropriate assignment link.

The paper should be typed using APA format. APA format requires that you use correct grammar and spelling and double-space your entire paper. Use the questions as your headers. Please include the following rubric at the end of your paper.

The assignment will be graded using the following criteria:

Patient Case Analysis AssignmentGrading CriteriaPossible ScoreEarned Score
Answers to Questions1. Demonstrates comprehensive critical analysis of pathology, assessment and diagnostic data, medical and nursing management (points accrued in case study)30
Format1. Answers are supported by references

1. Follows APA format

53

2

Total Score35

Necrotizing Fasciitis Case Study

Teri Billings, William Claytor, Krista Gagnon

Introduction

C. S. is a 33-year-old, married, African American male who presented to the ED for progressively worsening body aches, abdominal pain, and swelling and draining in the peri-rectal and perineal area. Patient stated he “developed a pimple on his buttocks a week ago and it broke open today”. Patient also stated his “weakness and pain have been worsening over the past week”.

The only medical history consisted of hypertension and insulin dependent diabetes diagnosed four years ago, but patient reports he has not been taking insulin for at least one week. Patient is employed full-time and denies any family medical history, allergies, or alcohol, tobacco, or drug use. Patient was diagnosed with diabetic ketoacidosis (DKA) and peri-rectal abscess. Upon medical workup, patient was found to have necrotizing fasciitis / Fournier’s gangrene, so both infectious diseases and general surgeon were consulted.

Question 1: Explain the pathophysiology of necrotizing fasciitis? Give details about the cells involved and the process of inflammation. (4 points)

Question 2: Why is diabetes in the patient’s history a risk factor for necrotizing fasciitis, and how does diabetes compound the problem? (3 points)

Question 3: What is the probable cause of the chief complaint of abdominal pain? Think about edema and the mediators released during inflammation and incorporate into your answer. (3 points)

Physical Assessment and Diagnostics

Review of Systems

C. S. complains of fever and chills. He denies sore throat, nasal drainage or visual changes. He denies chest pain or palpitations. He denies any cough, wheezing or shortness of breath. C. S. does complain of abdominal pain, but denies any nausea, vomiting, diarrhea, black or bloody stools. He denies hematuria or dysuria. He also denies any rashes or easy bruising. C.S. does complain of swelling, pain, and redness in the perineal area. He denies any headache, syncope, near syncope or focal weakness. He denies any psychiatric or musculoskeletal problems. The remainder of a complete and careful review of systems is entirely negative and within normal limits.

Physical Exam

C. S. vital signs upon admission were: temperature 101.8, pulse 117, respirations 16, blood pressure 125/67, and oxygen saturation is 99% on room air. The patient’s general appearance is a well-developed, well-nourished African American male in no apparent distress. His head is normocephalic, atraumatic. Pupils are equal, round, and reactive to light. Extraocular motion is intact. There is no sclera icterus. Oropharynx is clear without lesion or exudates. Mucous membranes are moist. His neck is supple without mass, lymphadenopathy or JVD. His lungs are clear to auscultation bilaterally, without wheezes or crackles. His heart is regular, with tachycardia. No murmurs, gallops or rubs are noted. His abdomen is soft, nontender, with positive bowel sounds. His rectal/GU area revealed the presence of a left-sided peri-rectal wound with purulent drainage and confluent tenderness to palpation along the perineal area. His extremities are without clubbing, cyanosis, or edema. His skin is warm and dry, without rash or bruising. No neurological deficits are present. Patient moves all extremities. His speech is intact. Patient is awake and alert, somewhat flat affect, pleasant and cooperative.

Question 4: What is causing the fever and what are the systemic physiological effects of fever on the body? (3 points)

Lab Results

Table 1

C. S.’s Abnormal Lab Results

Test Result
WBCH 20.18
HgbL 11.7
HctL 35
Neutrophils %H 95
Lymphocytes %L 3
Neutrophil-AbsolH 19.15
Lymphocytes- AbsoluteL 0.55
SodiumL 128
Carbon DioxideL 21
GlucoseH 485
FiO2 arterial21 (room air)
pH arterialH 7.46
PCO2 arterialL 29
PO2 arterialL 76
HCO2 arterialL 21
O2 saturation96%
CreatinineH 2.02
eGFRL 46
Hgb A1CH 12.2
CRPH 8.6

Clinical Course

Upon receiving the CT results, C. S. was taken for emergent surgery for debridement of peri-anal abscess and multiple intravenous antibiotics were administered. Two days later the patient was taken back to surgery for another debridement and creation of transverse, loop colostomy since the abscess had spread into the rectal tissues. He was then treated with hyperbaric oxygen therapy. During his third treatment of hyperbaric oxygen, within the first 24 hours, he experienced a rapid increase in heart rate, but no shortness of breath or physical complaints. An EKG was performed after the treatment and he was found to be in supraventricular tachycardia. After cardiac consult and echocardiogram, patient was found to have a patent foramen ovale. Furthermore, after returning to his room on the unit the patient’s wife reported the patient having mental status changes. A CT of the head was performed and discovered a left thalamic lacunar infarct. A patent foramen ovale is the number one cause of stroke in patients under the age of 55. On the third day of admission C. S. did go into renal failure from acute tubular necrosis possibly from sepsis, hypotension, and/or antibiotics. Patient therefore was placed on hemodialysis.

 

What is the probable cause of the chief complaint of abdominal pain?

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