ipl-logo

Pain Intervention Case Study

511 Words3 Pages

Diagnosis 1: Acute pain related to surgical intervention evidenced by self reported pain

Chris appeared uncomfortable, with a grimacing facial expression, he verbalised a stabbing pain on his left knee with a pain score of 4 out of 10. When Chris’s pain worsens, to a pain score of 7 out 10, his respiratory rate increases to 22 breaths per minute and his heart rate increases to 86 beats per minute, scoring an EWS score of 1. Ackley, Ladwig, & Makic, 2016 explained that increase heart and respiratory rate are physiological changes related to pain.

Goals:
• Relieve Chris’s knee pain
• Chris feels comfortable and able to sleep properly

Nursing interventions:

Conduct a comprehensive pain assessment using OLDCARTS. The OLDCARTS pain assessment helps determine the onset, location, duration, characteristics, intensity and the alleviating and relieving factors of pain. Determining the factors of pain is critical in …show more content…

Upon assessment, Chris vital signs are now within the normal range however, he is still verbalising pain. Chris reported that there is a slight reduction of pain, from a pain score of 7, it is now 4 out of 10. After an hour, a second dose of analgesia was given to Chris and after 30 minutes another pain assessment was conducted. During the assessment Chris voiced out that he is comfortable and his pain score is now 1 out of 10, he also mentioned that before we came and checked up on him he was doing deep breathing exercises for 10 minutes, Chris said it helped him “soothes his body and reduce his pain.” These interventions are effective in managing Chris’s pain because his pain is now minimal and almost diminished compared to what he was experiencing before. To ensure that the goal is achieved, pharmacological and nonpharmacological interventions must be regularly implemented and

Show More
Related

  • Ms. Dorothy Case Summary

    116 Words  | 1 Pages

    You are using the format of “PIE” to document Ms. Dorothy’s case. You have identified the priority problem of acute pain that Ms. Dorothy has, which is an indeed problem for Ms. Dorothy who just recovered from abdominal surgery being performed yesterday. It is possible for Ms. Dorothy to carry out other actions such as turning the position, using incentive spirometry and so on when her pain is under the control. Using incentive spirometry is very important for Ms. Dorothy to expend her lungs, and then enhance her breathing. Also, risk for infection or ineffective breathing pattern is very important for patients who have done the surgery.

    Read More

  • Complex Regional Pain Syndrome (CRPS)

    394 Words  | 2 Pages

    The pain that patients report is out of proportion to the severity of the injury. The pain gets worse, rather than better, over time. Eventually the joints become

    Read More

  • Chektorolac Case Summary

    719 Words  | 3 Pages

    Fifteen year old Lewis Blackman died after a minimally invasive surgery. The cause of death was due to perforated bowel caused by ketorolac, a highly potent non-steroidal anti-inflammatory to treat pain and inflammation and for its potential for stomach ulceration. As I read the case, I noticed the following system failures that lead to this sentinel event. First, ketorolac has a black box warning “not to be used in pediatric patients.” 1 A black box warning is the strictest warning put in the labeling of prescription drugs by the Food and Drug Administration when there is reasonable evidence of an association of a serious hazard with the drug.

    Read More

  • The Pain Medication Conundrum Summary

    513 Words  | 3 Pages

    Psychology truly is everywhere. “The Pain Medication Conundrum” is a news story that was published on August 13, 2015 in the New York Times written by Danielle Ofri. The news story discusses the confusing and difficult problem that the prescribing of pain medication has caused. In summary, the news story explains a situation where an old man, in his mid-60s, entered his primary doctor’s office asking for a prescription of oxycodone for pain because the clinic where he used to get it from closed. In the six months that the doctor had been seeing him, he was unaware that his patient was taking narcotic pain medication.

    Read More

  • Opioid Case Study

    1301 Words  | 6 Pages

    This helps provide more patient centered care. Guidelines to follow after opioid administration will vary by hospital but it is still necessary to use sedation scales with acceptable measures of reliability and validity for pain management. The use of sedation scales should be used with consistent monitoring of respirations. Pasero (2009) emphasizes that a comprehensive evaluation of respiratory status that includes depth, regularity, rate, and noisiness of respiration in addition to sedation assessment is essential to decision making during opioid administration for pain management. Respirations should be counted for a full minute while the patient is at rest in a quiet and relaxed environment.

    Read More

  • Pain Assessment Paper

    885 Words  | 4 Pages

    In this crosspost, the author will elaborate on the original threaded discussion by Ellerbee Mburu, Vail, and Barlow and add additional information on pain assessment and management. Healthcare providers are the major group of healthcare professional who perform crucial functions in delivering and providing nursing care to inpatient and outpatients. As mentioned in the threaded discussion by Ellerbee, Mburu, Vail, and Barlow, undertreated pain causes unnecessary distress and negatively affects the quality of life. In additional to the original threaded discussion, pain is a factor that is thought of differently by many. It has been added as the fifth vital sign and is considered to be subjective.

    Read More

  • Affordable Pain Assessment

    434 Words  | 2 Pages

    We all know that pain is usually one of the major complaint of patients with chronic problems or those recovering post operatively thereby making pain evaluation a fundamental requisite in the outcome assessment during hospital visits. Interpreting the data from a pain assessment scale is not as straightforward as it may seem since the provider must consider the intensity, related disability, duration, and affect to define the pain and its effects on the patient (Williamson & Hoggart, 2005). Pain rating scales are used in the clinical settings to measure pain and these include Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), Numerical/numeric Rating Scale (NRS) (Haefeli & Elfering, 2006). Each scale is unique on its own in terms of sensitivity and simplicity that generates data that can be statistically analyzed for audit purposes. The EHR in our hospital utilizes the three rating scales mentioned as part of the pain assessment tool to measure pain that sets the tone for the direction of the type of pain management will .be given to the

    Read More

  • Holistic Care Practices

    335 Words  | 2 Pages

    If these practices are to flourish, and be utilized alongside traditional medical practices, education regarding their importance in gaining patient compliance and in their uses in augmenting treatment protocols must be stressed among practitioners and administrators. For this reason,

    Read More

  • Deteriorating Patient Reflection Paper

    608 Words  | 3 Pages

    Some patients prefer not to take pain medication because they fear addiction or may have a history of substance abuse. Educating the patients on their right to be free of pain and having their pain managed aggressively is a priority in the recovery phase. The goals that I hope to achieve during this clinical practicum

    Read More

  • Animal Assisted Intervention Essay

    460 Words  | 2 Pages

    AAT is a goal-directed intervention, which implies that it is prescribed by patient’s doctor and aims to achieve a particular therapeutic goal (Kruger et al., 2004). In a

    Read More

  • Clinical Problems In Nursing Practice

    1619 Words  | 7 Pages

    Reflect upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem. The problem that was identified in my module 1 is Oxygen desaturation in the pacu patient or post-op surgical patient, patient that is still on opiate analgesics after surgery. The clinical problem that was presented in module 1 reflects on the bodies decrease respiratory capacity after receiving opioid analgesics, or IV anesthesia during the operative setting.

    Read More

  • Six Aims Of Quality Patient Care Essay

    574 Words  | 3 Pages

    Although it may seem easier to the family to push the analgesia for the patient, they must be reminded that the patient is the only one who can truly determine the type and feeling of pain they are experiencing and then have the authority to decide if they need additional medication or

    Read More

  • Pain Management In Nursing Essay

    703 Words  | 3 Pages

    Pain usually resolves during the appropriate healing period. However, untreated pain leads to serious consequences. There are many factors that prevent nurses from adhering to guidelines of proper pain management. Eventually, the ultimate outcome will have severe consequences on patients’ health. For instance, improper communication, Dilhe et al., 2006) lack of availability of protocol.

    Read More

  • Biopsychosocial Model Essay

    4442 Words  | 18 Pages

    Psychological Assessment and Management of Chronic pain Evaluating a chronic pain condition from a biological perspective is limiting, and often fails to fully explain the patient’s symptoms. In contrast to the biomedical model, which explains pain purely in terms of pathophysiology, the biopsychosocial model views pain, suffering and disability, as the result of dynamic interactions among biological, psychological, behavioral, social, cultural and environmental factors. Consequently, assessment requires not only the examination of the biological dimension, but of the psychological and social dimensions as well. A patient’s experience of pain and response to any treatment for pain are affected not only by biologically determined nociceptive (nervous system transmission) processes, but also by psychological factors such as mood (for example, depression, anxiety) and appraisals (thoughts and beliefs about the pain), as well as by psychosocial factors such as the responses of others (for example, family, friends,

    Read More

  • Self Awareness In Nursing

    1239 Words  | 5 Pages

    The patient may need extra time to rest or catch her breath from moving from position to position or from place to place, especially because she had heart surgery. In the future, I need to continue to be aware of how draining these procedures can be on a patient and acknowledge that they could benefit from more rest and

    Read More

More about Pain Intervention Case Study

Open Document