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Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783 Exercise 18
Case study: Pain Patient Profile R.D. is a 62-year-old man being evaluated for a change in his pain therapy for chronic malignant pain from metastatic cancer. Subjective Data
• Patient desires zero pain but will accept pain level of 3 to 4 on a scale of 0 to 10.
• He has been taking two Percocet tablets q4hr while awake but his pain is now usually at 4 to 5 with the medication.
• Patient reports that pain varies over 24 hours from 5 to 10.
• He always awakens in the morning with pain at 10 with nervousness, nausea, and a runny nose.
• When pain becomes severe he stays in bed and concentrates on blocking the pain by emptying his mind.
• He is worried that increased pain means his disease is worsening.
• He is afraid to take additional doses or other opioids because he fears addiction. Objective Data
• Height: 6 ft, 0 in (183 cm)
• Weight: 150 lb (68 kg)
• Rigid posturing, slow gait
-Priority Decision: Based on the assessment data provided, what are the priority nursing diagnoses? Are there any collaborative problems?
• Patient desires zero pain but will accept pain level of 3 to 4 on a scale of 0 to 10.
• He has been taking two Percocet tablets q4hr while awake but his pain is now usually at 4 to 5 with the medication.
• Patient reports that pain varies over 24 hours from 5 to 10.
• He always awakens in the morning with pain at 10 with nervousness, nausea, and a runny nose.
• When pain becomes severe he stays in bed and concentrates on blocking the pain by emptying his mind.
• He is worried that increased pain means his disease is worsening.
• He is afraid to take additional doses or other opioids because he fears addiction. Objective Data
• Height: 6 ft, 0 in (183 cm)
• Weight: 150 lb (68 kg)
• Rigid posturing, slow gait
-Priority Decision: Based on the assessment data provided, what are the priority nursing diagnoses? Are there any collaborative problems?
Explanation
Verified
Verified
Nursing diagnoses:
• Chronic pain relat...
Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
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