Respond to discussion Assessments are an integral

Respond to discussion Assessments are an integral part of the providers responsibility. While vital signs include the normal things such as blood pressure, heart rate, etc. pain is also included with this assessment and is known to be the fifth vital sign (Pozza et al., 2021). It is necessary that the provider integrate this with a comprehensive pain assessment when evaluating patients. With pain being subjective, the provider must rely on what the patient is reporting and ask the appropriate questions to understand how the patient is describing what they are feeling. One of the largest concerns that most providers face is honesty of the patient when they are describing their pain. Pain is what the patient states it is even when it is not consistent with the providers objective assessment (Ball et al., 2019 p.80). The older adult population has some challenges when it comes to reporting pain as they tend to be hesitant to discuss in thoughts that this may be a normal part of the aging process (Schofield, 2020). It is also important to be cognizant of the tool you are using to evaluate pain. For example, using the numeric pain intensity scale on a patient who is unable to answer appropriate due to dementia or non-verbal conditions, would not be the right tool to use for that patient. Schofield (2020) discusses using behavioral pain scales for patients that are unable to vocalize appropriately, for example the Abbey or Doloplus 2 scales. Working at the VA, we are striving to obtain more cultural competence towards all our patients. One of the populations that the facility has a deficit in is the LGBTQ patients. This barrier truly prevents accurate care for our patients resulting in an increase in health disparities (Traister, 2020). The lack of education needs to be addressed within all areas of healthcare and if needed policies should be written to include proper care. Our facility has now changed our admission process to include more specific questions that relate to sexual orientation. Assuming that a patient identifies as one specific gender based on observation needs to be cultivated into a more robust accommodating environment for our patients. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019) p.80. Seidel’s guide to physical examination: An interprofessional approach (9th ed.). Elsevier. Pozza, D. H., Azevedo, L. F., & Castro Lopes, J. M. (2021). Pain as the fifth vital sign-A comparison between public and private healthcare systems. PloS One, 16(11), e0259535-e0259535. https://doi.org/10.1371/journal.pone.0259535 Traister, T. (2020). Improving LGBTQ cultural competence of RNs through education. The Journal of Continuing Education in Nursing, 51(8), 359-366. https://doi.org/10.3928/00220124-20200716-05

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