GNT1:
Western Governor’s University
IMMEDIATE ASSESSMENTS: HOMEOSTASIS, OXYGENATION, & LEVEL OF PAIN. Upon receiving patient, Mrs. Elli Baker the nurse would complete the following key assessments to determine her level of homeostasis, oxygenation and level of pain. While using technological tools to obtain the patient’s vital signs including: oxygen saturation, respiratory rate, heart rate, blood pressure, heart rhythm and pain level on a 1-10 scale. The nurse could complete a blood sugar check with a glucose monitor. At the same time nurse should do a thorough assessment of what the patients normal values are for vital signs, and blood glucose ranges are while at home prior to the injury. This will be helpful in having a baseline to refer to while interventions and treatments are implemented (Rauen & Stamatos, 1997). The nurse would assess any recent symptoms the patient was feeling prior to collapsing in her backyard. This may include any changes in appetite, mental status, general malaise, and …show more content…
They can display atypical behaviors that are usually not perceived as pain related, such as agitation, restlessness, irritability, confusion, combativeness, particularly with care activities or treatment or changes in appetite or usual activities (Rauen & Stamatos, 1997). Other common behaviors related to pain that may be seen include, facial grimacing, moaning, groaning, and rubbing a body part. Geriatric patients usually display more subtle indicators of pain compared to the normal typical pain behaviors in other populations. It is also very important to take into account the patient’s family, caregiver, CNA or surrogate that may also recognize pain related behaviors in the patient (Herr et al.,