There is more to taking care of an individual than just the physical needs which have caused them to need your care. A holistic approach is about taking care of their mental, emotional, social and even spiritual needs as well to ease their mind and alleviate any worries or negative feelings that they may have during this time.…
E.P. is an 88-year-old Caucasian male. He was admitted on 02/18/13. His code status is full code, and he declines to bring in his advanced directive. He reports that he is 68.5” tall, and his actual weight is 165 pounds. He and his wife are the sources of information, and they are reliable. His blood pressure is 124/62, taken on his right arm in a lying position, his oral temperature is 99.8, his right radial pulse is 74 beats per minute, his respiration rate is 16 breaths per minute and his pulse oximetry reading is 92 on room air. He is allergic to latex, cephalexin and sulfa drugs, with a reaction of hives, and to IV dye, with a reaction of moderate rash. He was admitted for TURB (Trans-Urethral Resection of the Bladder), and left ureteroscopy related to a bladder tumor, and kyphoplasty secondary to compression fractures of the L1 and L3 vertebrae. His significant past medical history includes hypertension, atrial fibrillation, and chronic heart failure. He had a permanent pacemaker placed in 2003, and a history of MRSA over five years ago. E.P.’s fall-risk score is 2; however, he is on fall precautions related to anesthesia recovery, as fall risk is deemed appropriate by clinical judgment. He reports a pain level of 6 out of 10 numeric scale.…
Administer analgesics as indicated and also Inform patient of the expected therapeutic effects and discuss management of side effects…
I would ask on a scale of 1 to 10, 10 being the highest, and 1 being the lowest, how the pain feels, by communicating you can find out their pain level then inform the Nurse who will then check to see if medication can be administered. If a resident cannot communicate verbally I would monitor their body language, i.e. face expressions, i.e. holding their hand, leg or limbs, this could be their way of expressing pain or by checking their turn charts, they might of been in the same position for a long time, i.e. on the left side for some time so by…
Do patients who administer their own pain medication have lower pain ratings than patients whose pain medication is administered by a nurse?…
Before using any of these methods to manage pain, the individual needed to be assessed, as every kind of pain relief can be harmful, care plan and policies and procedures always have to be followed and necessary precautions have to be taken.…
Before using any of the methods to manage pain, the client needs to be assessed, as every kind of pain relief can be harmful, care plan and policies and procedures always have to be followed and necessary precautions have to be taken.…
• Identify the main causes of abdominal pain and differential diagnoses. • Ask relevant questions of a patient presenting with abdominal pain. • Discuss the appropriate investigations and nursing care requited. • Understand the principles of symptom management. Introduction A nurse is the first healthcare professional many patients with abdominal pain may encounter, whether in an A&E department, walk-in centre, outpatient clinic, primary care setting ot surgical ward. Traditional professional working boundaries are no longer fixed in the current healthcare climate (Coombs and Ersser 2004). Many nurses of all levels arc involved inthe initial assessment and treatment of a patient before a medical consultation. It is therefore desirable that in addition to traditional nutsing assessments, registered nurses are able to ask the correct questions, initiate tests and implement first-line treatments to ensure a timely and effective experience for the patient. Abdominal pain is one of the most common reasons that people seek medical care (Kelso and Kugelmas 1 997). It may be difficult to establish the cause of the abdominal pain because of the diversity of clinical signs and symptoms. However, the history can provide 70 per cent or…
The nurse is constantly during the shift trying to maintain patient safety and comfort. Pain is a major area that is often mistreated. Being the fifth vital sign, pain plays a important factor in the care of an individual. Due to the subjectivity of pain, assessment and treatment are influenced by bias and emotions (Jiménez- Herrea & Axelsson, p. 555). There have been many instances, where nurses I have worked with question the reality of the patient’s pain. However, ethically you are supposed to advocate for the patient and allow them to be as comfortable as…
The acute pain treatment is essential to facilitate recovery from surgery or trauma by enabling early recruitment and avoiding complications, including the bed-bound risks of venous thromboembolism, pulmonary embolus, pressure sores and pneumonia because severe untreated acute pain may also leads to the development of chronic pain. In treating acute pain opioids are very effective and are used in combination with paracetamol, non-steroidal anti-inflammatory drugs and local anaesthetics where suitable as superlative part of a multimodal analgesic manner. However, the initiating opioids require a prescriber to ensure that the opioids are not continued beyond the expected period of tissue healing in the acute…
The concepts of this theory are the balance between analgesia and side effects, pain, and side effects themselves. Opioid analgesics often have very unpleasant side effects, so the end result is often patients taking less medication than they actually need, which results in pain not being effectively relieved. The combination of potent analgesics, pharmacological and non-pharmacological adjuvants can allow for the pain relief needed and also help minimize or eliminate unwanted side effects. Nurses can work with the patient to educate them on the side effects of potent medication and help them set realistic goals. This will entail working with both the patient and physician to achieve the results desired.…
Do patients who administer their own pain medication have lower pain ratings than patients whose pain medication is administered by a nurse? Who administer IV, Pain rating DV…
Pain management is a major concern for nursing care. Not only does controlling pain help the patient rest and heal, it also improves patient satisfaction. Pain management involves more than providing the patient with pain medication, it is an entire nursing process that starts at the time of admission. “A thorough pain history and shared goal setting are critical components of effective pain management that leads to beneficial outcomes” (Glowacki, 2015). Pain history includes past experiences of pain, current and past pain methods that have managed pain effectively, a tolerable level of pain, triggers of pain, and so on. Obtaining this history is imperative for the nurse in order to meet the patient’s pain management goals. This may just be…
When Mr X woke up he was in acute pain, this is something that needed to be addressed in order to make him comfortable. It was important to factor in how much pain he was in prior to surgery, it was found in his notes he was in little to no pain on rest. So when I asked him how much pain he was in on a scale of 1-10 and he said 6, even with a regional block I knew he was very uncomfortable. I could also see this through his facial expression, and the fact he was tachycardic and was becoming hypertensive (Dillon, 2007). It was also found that he was quiet anxious prior to the surgery due to this being his first surgical intervention, which meant that the way he was perceiving this surgical pain could be adding to his discomfort (Hilton, 2005). It was important to address his pain as soon as possible, as in a surgical setting pain has no value, and not treating this pain can lead to negative effects both physiological and psychological. The anaesthetist had prescribed Mr X fentanyl, tramadol, brufen and paracetamol. It was important to look through his theatre notes to see what he was given in theatre to make sure we weren’t giving him too big of a dose if he had already had some. We first administered fentanyl as it is a short acting opioid (Drain, 2003) then did another pain assessment. It was found he was down to a 4, which he said he still…
The majority of the nurses that were surveyed utilized the verbal pain assessment tool at almost 90%. Ninety-two percent of the registered nurses assessed pain on each patient in their care, and the notifications to the physician of uncontrolled pain is at a 90% rate. The conclusion that can be drawn from this study is that the different populations of patients were assessed, was and could be done so by different assessment tools pertinent to that patient. The findings of this particular study have significant implications for registered nurses in using evidence-based practice to adequately treat patient’s pain. The study suggested that for nurses to properly treat the pain, the populations at hand should be taken into consideration. In learning how different populations perceive pain, nurses were then able to use evidence pain practice to adequately control patient’s…