Question

minimum of 100 words

Compare the effectiveness of identified nursing interventions for your assigned patient and your peers’ patients. Include the reasoning or rationale of why you feel the nursing intervention is effective or could be more effective.

Mine =

Intervention: 1) Take a complete pain assessment every 2 hours and 30 min after pain medication or (post-op Protocol), noting the numerical value of pain, frequency, intensity, quality such as sharp, stabbing, throbbing, or achy.

Rationale: Pain management, monitoring for side effects, or complications.

Intervention 2) Administer analgesics as prescribed remembering to watch for mild-moderate and severe pain in the orders for medication or PRN for pain.

Rationale: Alleviate pain, increase patient comfort level, and promote healing.

Intervention 3) Assess precipitating and relieving factors associated with pain during pain assessment.

Rationale: Positioning, thermal therapy such as heat or cold application remembering to only apply for 15-20 min on and off-site. Remembering that heat with increase blood flow and cold with making the vessels constrict. Culture/religious practice such as prayer, worship, etc. In (Ackley, Ladwig, Makic,2017) NANDA-1 Nursing Diagnosis of Acute Pain, assess the influence of cultural beliefs, norms, and values on the client's perception. And the experience of pain, and to also use culturally relevant pain scales to assist with identifying pain intensity May help promote rest, increase comfort, help the patient avoid triggers, and allow for ambulation.

compare to

“Assess for the influence of cultural beliefs, norms, and values on the client’s perception and experience of pain” (Ladwig, Ackley, & Makic, 2017, p. 567).

“In addition to administering analgesics, support the client’s use of nonpharmacological methods to help control pain, such as distraction, imagery, relaxation, and application of heat and cold” (Ladwig, Ackley, & Makic, 2017, p. 566).

For progressive cancer pain, “assist the client and family with handling issues related to death and dying and provide access to palliative care programs and hospice services” (Ladwig, Ackley, & Makic, 2017, p. 566).

Provide your rationale or reasoning for each intervention chosen.

            I would want to make sure that I am being sensitive to her beliefs. In order to have a trusting relationship with her she needs to know that you respect her beliefs and want what is best for her. For those that have fear of morphine in relation to death we need to educate them. “Morphine relieves pain without affecting other senses (eg. sight, touch, smell, hearing) and without causing loss of consciousness” (Burchum, & Rosenthal, 2016, p. 262). We can help her understand the use of morphine and how it prevents pain, but also allows her to function. “When attempting to assess pain, keep in mind that, on occasion, what the patient says may not accurately reflect his or her experience” (Burchum, & Rosenthal, 2016, p. 274). If her spiritual beliefs and prayer help to alleviate or distract her from her pain, encourage her to continue practicing this, but be honest with the medical staff as to how the pain is affecting her. “Treating chronic pain of cancer differs substantially from treating acute pain of other disorders. When treating cancer pain, the objective is to maximize comfort” She should not be fearful of dependence or inability to carry out her daily functions. We need to encourage her and her family to learn more about the cancer, the progression, and what to expect as the cancer overcomes her body. We need to incorporate her beliefs as a religious woman and as an African American woman into her care.

Answer 1

Interventions I	Intervention II	Comparison
1) Take a complete pain assessment every 2 hours and 30 min after pain medication or (post-op Protocol), noting the numerical value of pain, frequency, intensity, quality such as sharp, stabbing, throbbing, or achy.	1) “Assess for the influence of cultural beliefs, norms, and values on the client’s perception and experience of pain” (Ladwig, Ackley, & Makic, 2017, p. 567).	Complete pain assessment frequently will help to monitor the characteristics of pain, which act as baseline data for the further plan of action. Use of culturally competent pain scale will be more accurate. Patient’s characteristics are very important in managing pain.
2) Administer analgesics as prescribed remembering to watch for mild-moderate and severe pain in the orders for medication or PRN for pain.	2) “In addition to administering analgesics, support the client’s use of non-pharmacological methods to help control pain, such as distraction, imagery, relaxation, and application of heat and cold” (Ladwig, Ackley, & Makic, 2017, p. 566).	Pharmacological and non-pharmacological measures should go hand in hand to manage the patient effectively.
3) Assess precipitating and relieving factors associated with pain during pain assessment.	3) For progressive cancer pain, “assist the client and family with handling issues related to death and dying and provide access to palliative care programs and hospice services” (Ladwig, Ackley, & Makic, 2017, p. 566).	Client and family should be considered as one unit to manage the patient’s condition effectively.
4) NANDA-1 Nursing Diagnosis of Acute Pain, assess the influence of cultural beliefs, norms, and values on the client's perception. And the experience of pain, and to also use culturally relevant pain scales to assist with identifying pain intensity May help promote rest, increase comfort, help the patient avoid triggers, and allow for ambulation.

Each patient is unique and it should keep in mind when managing patient with cancer pain. Individualized interventions should be formulated in pain management. Cancer patients may experience two or more type of pain at the same time. They may experience nociceptive and neuropathic pains. Nurse’s role in controlling pain is vital in managing cancer pain. Nurses should understand the beliefs of the patient, identify the characteristics of pain, identify the root of the problem and plan accordingly in the management of pain. Nursing interventions should include assessing pain, communicating, educating, communicating, advocating, counselling and communicating with the client.

Nurses can use pharmacological and non-pharmacological measures to reduce patient’s pain. WHO guideline and drug administration principles should be kept in mind. Nurses can reduce pain by pharmacological measures, Occupational therapy, psychological support and Spiritual support. The nurse must be compassionate and kind while dealing with patients problems. She must gain patients confidence by demonstrating competent skills, good advocacy and proper communication.

Proper planning of care, judicial administration of planned nursing care, evaluation and re-planning is the essential part of nursing care.