Podcast
Questions and Answers
Which of the following are common NANDA-I nursing diagnoses related to pain? (Select all that apply)
Which of the following are common NANDA-I nursing diagnoses related to pain? (Select all that apply)
- Ineffective coping (correct)
- Acute pain (correct)
- Difficulty coping
- Chronic pain (correct)
Which of the following is an example of a common ICNP nursing diagnosis related to pain?
Which of the following is an example of a common ICNP nursing diagnosis related to pain?
- Disturbed sleep pattern
- Anxiety
- Readiness for enhanced comfort
- Acute pain (correct)
What does acute pain related to a long-bone fracture typically include as evidence?
What does acute pain related to a long-bone fracture typically include as evidence?
Reported pain of 10/10, pain with movement, and request for pain medication.
What can cause anxiety in patients regarding pain management?
What can cause anxiety in patients regarding pain management?
Which of the following is a goal of collaboration in pain management?
Which of the following is a goal of collaboration in pain management?
Which tasks can be delegated to UAP in pain management? (Select all that apply)
Which tasks can be delegated to UAP in pain management? (Select all that apply)
What is the desired outcome for patients in reporting pain management goals?
What is the desired outcome for patients in reporting pain management goals?
Under treatment of pain is a commonly encountered ethical dilemma in pain management, especially among ____ patients.
Under treatment of pain is a commonly encountered ethical dilemma in pain management, especially among ____ patients.
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Study Notes
Common NANDA-I Nursing Diagnoses Related to Pain
- Acute pain, chronic pain, ineffective coping, anxiety, disturbed sleep pattern, and readiness for enhanced comfort are typical diagnoses.
Common ICNP Nursing Diagnoses Related to Pain
- Similar to NANDA-I, includes acute pain, chronic pain, and difficulty coping.
Examples of Pain-Related Diagnoses
- Acute pain can stem from a long-bone fracture, with indicators such as 10/10 pain severity and pain upon movement.
- Chronic pain may result from joint deformities, evidenced by limited mobility and difficulty in daily activities.
- Ineffective coping is associated with severe pain, marked by insufficient help-seeking behavior and poor appetite.
Additional Pain-Related Diagnoses
- Anxiety may arise from fear of increased pain, shown by restlessness and elevated blood pressure.
- Disturbed sleep patterns can be linked to pain from chronic illness, demonstrated by complaints of insomnia and fatigue signs.
- Readiness for enhanced comfort can be indicated by inquiries about reduced medication dosages and mild pain ratings.
Collaborative Patient Care in Pain Management
- Nurses must adhere to ethical and legal standards outlined by the ANA, the Code of Ethics for Nurses, and The Joint Commission (TJC).
Ethical Dilemmas in Pain Management
- Common dilemmas include inadequate pain treatment, particularly among elderly populations, and the challenges of comprehensive pain management.
Goal of Collaboration
- Focuses on advancing the patient's journey towards effective pain relief outcomes.
Delegated Tasks for Unlicensed Assistive Personnel (UAP) in Pain Management
- UAP can help with administering back rubs, repositioning patients, ensuring oral hygiene, changing linens, communicating with patients, and creating a restful environment by darkening the room.
Goal Statements for Effective Pain Management
- Comfort: Aim for a pain level below 3/10 within 5 postoperative days.
- Tolerance: Enable the patient to perform activities of daily living (ADLs) with pain at 3 or less within one week of medication commencement.
- Cognition: Increase concentration ability within 2 hours after analgesic administration.
- Anxiety: Decrease anxiety signs, with no restlessness, within 3 days of hospitalization.
- Sleep: Achieve 6 to 8 hours of sleep each night within the first 3 days of hospitalization.
- Readiness: Plan a meeting with a pain specialist to discuss medication dosage reduction within 2 weeks.
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