Pain Assessment

1007 Words5 Pages
1. Admit the patient using critical thinking skills to assess and prioritise nursing interventions related to Audrey’s.

• Comfort and Safety.
Audrey who is diagnosed with fractured left NOF (neck of femur) must be evaluated using pain assessment to obtain the optimal pain management intervention. Analgesics and non-pharmacologic approaches will be helpful to ease her pain and anxiety(Fink, 2000). As for her safety, the bed must be lowered down, side rails up if necessary and all her needs must be placed within her reach. In addition, nurses should use the appropriate antibiotic prophylaxis, as she will be undergoing arthroplasty to prevent postoperative infections. (US Department of Health and Human Services, 2001) She will also be given
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Moreover, address Audrey’s anxiety by reassuring her, explaining the procedures and making sure that she understands every procedure. Also, refer her dog to AWL or any animal welfare to look after Rufus while Audrey is recovering (Animal Welfare League).

2. Provide an explanation of the 8 diagnoses referred to in Mrs. Smith’s past medical history. Indicate how they affect the care that you provide to Audrey.

1. Atrial Fibrillation –
It is an aggravation of the heart 's electrical framework. The issue begins in the upper chambers of the heart, which is the atria and causes these chambers to fibrillate, instead of beating normally. This means that the heart does not pump blood around the body as effectively as it should (Heart Foundation).

With Audrey’s condition, blood pressure should be controlled and monitored as well as her cholesterol levels and heart rate to prevent stroke (John V Amerena, 2013) Digoxin and Warfarin medication will be given as per doctors order. 2. Hypertension means that the blood is pumping with more force than normal through the arteries, which are the vessels that carry blood from the heart to the rest of the body (Better Health Channel,
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Type 2 DM results from association between hereditary, natural and behavioural risk factor. Type 2 DM is due primarily to lifestyle factors and genetics. A number of lifestyle factors are known to be important to the development of type 2 DM. These are physical inactivity, sedentary lifestyle, cigarette smoking and generous consumption of alcohol (Abdulfatai B. Olokoba, 201).
With these reasons, Audrey will be advised to stop or limit her alcohol consumption. She will be referred to dietician and Metformin 500mg BD will be given as ordered by the physician.

4. GORD (Gastro-oesophageal reflux disease)
It happens when stomach acid breaks from the stomach and up into the oesophagus. (Health Direct Australia, 2013)

With her current condition, she will be assessed for dysphagia, heartburn, acid reflux and upper abdominal pain(Gareth Nickless, 2009/2010). Audrey will be given Esomeprazole 40mg OD as ordered by the physician. In addition, encourage her to have a healthy lifestyle by smoking cessation, healthy eating, and to moderate her alcohol intake. Also, instruct Audrey not to lie down after meals. Bed will be raised to semi-high fowlers
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