Nursing Interventions:
·
Assess pain severity on scale of 1-10 every hour
by asking patient.
·
Monitor vital signs
·
Provide medications per physician order
·
Elevate leg and arm. Provide ice pack.
·
Give patient a bath and provide fresh linens to
help her relax and provide comfort.
·
Observe non-verbal cues to assess pain.
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Rationale:
·
Initial assessment provides baseline &
comparison.
·
Usually altered in acute pain.
·
Meds will help alleviate pain and provide
comfort.
·
Elevation and ice help with swelling and provides
pain relief.
·
Bathing can help pain mgt and provide relaxation.
·
How a patient sits, holds body or facial expression can reveal a lot
about how a patient feels |
Client Response:
·
Patient states pain is 8/10 on pain scale.
·
BP 117/50
HR 56 RR 18
Temp 97.6 oral 92% O2
·
After oral pain medication patient states pain is
5/10
·
Patient stated she felt much more comfortable
with elevation and ice.
·
After bath, lotion, massage and clean gown,
undergarments and linens she said her pain was 3/10.
·
Patient still guarded but appears much more
relaxed and was able to eat and keep down breakfast and lunch.
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