Discrepancy Of Pain Assessment

1.Evaluate the discrepancy between the patient’s pain rating, behavioral signs of pain, and degree of participation in daily care/treatment for a patient in each scenario.

2.Explain a rationale for this discrepancy, using nursing knowledge and science.

Numerous factors can affect a person pain perception and reaction to pain. It Includes person ethnic, cultural values, developmental age, environment, support, previous pain experience, and the meaning of pain. Pain Tolerance, "Is the duration or intensity of pain that person can endure," (Treas & Wilkinson, pg. 1093).

To contrast, the difference between the two age groups on pain perception and reaction to pain is the 25-year-old Arab culture can influence both his reaction and expression

Also, include your reasoning for this evaluation.

Obtain patient’s self-report of pain including, location, onset, duration, and rating on a pain scale of 0-10.

This nursing intervention is necessary because the patient self-report " is the most reliable indicator of pain"(Treas & Wilkinson pg. 1096) along with a comprehensive pain assessment. The nurse needs to understand the patient perception of pain to treat the patient pain effectively. It is evident that both of these individuals are experiencing pain and having difficulty expressing it to the nurse.

Another nursing intervention

1.Would be assessed for nonverbal signs of pain. The rationale for this would be that patient cope with pain differently. You can compare a patient verbal report of pain along with physical signs and symptoms they are presenting with and can question the difference.

2. I would teach both the Wrong-Baker face scale and explain which each number and face means and compare it to nonverbal cues. It would give a better understanding of their pain rating. If I still weren't clear in getting an accurate pain rating, I would have the describe their quality and intensity of