Gregorio Halverson is an 82-year-old diabetic patient with several other co-morbidities in addition to recent withdrawal from alcohol after he was admitted for emergency bowel obstruction surgery.He is both hearing-impaired and visually-impaired.His wife states that Gregorio has only an eighth-grade education and has occasional bouts of depression.The anesthesia provider classified Gregorio as an ASA IV for his surgery.He is now postoperative day 1,in the ICU,and exhibits confusion and delirium.His presentation suggests disorganized thinking,pain,and an acute onset of change in mental status.What risk reduction strategy before Gregorio's surgery might have provided substantial information for the care team to proceed with implementing corrective measures?

Question

Quizplus · Accepted Answer

It is of pivotal importance to determine the patient's interpretation of pain in the assessment phase.The following mnemonic can be used for assessing pain in demented and nonverbal elders:
B:What Behaviors did you see?
O:How Often did the behaviors occur?
D:What was the Duration of behaviors?
I:How Intense were the behaviors?
E:How Effective was the treatment,if given?
S:What made the behaviors Start or Stop?
Recognize that older adults are at great risk for undertreated pain.

Gregorio Halverson Is an 82-Year-Old Diabetic Patient with Several Other