Question

Case 1

Ms. Sue Pine, a 78-year-old-obese woman, has been admitted to an orthopedic unit following a repair of a fractured hip. She has a history of osteoarthritis and type 2 diabetes. She has the following post-operative orders:

Oxycodone, 5 to 10 mg, PO, q4hr, PRN for pain

Acetaminophen, 325 to 650 mg, q6hr PRN

Ms. Pine is currently alert and watching TV while talking with her family. You ask Ms. Pine about her pain, and she tells you, “I am in so much pain, I’d rather be dead.” Her vital signs are:

37.9, 102, 24, 142/92

• Is Ms. Pine in pain? If so, how would you classify her pain?

• How would you describe Ms. Pine’s pain response?

• Describe the components of a pain assessment.

• How will you ethically and effectively treat Ms. Pine’s pain? Brainstorm two ways to ethically treat her pain and two ways to effectively treat her pain.

Answer 1

Ms.Sue pine complaints pain after repair of her fractured hip,after the surgery orderd the medicines such as oxycodone that is the opioid analgesic and Acetaminophen that is analgesic and also antipyretic action.After surgery,pain is no longer achy and arthritic but seems from wound healing ,swelling and inflammation.the patient often report pain there where no differences in postoperative pain or opioid analgesic use based on surgical repair or fracture type.in this case she is having chance for  low level of pain due to surgical cases, other way she is having the history of osteoarthritis that may be causes constant,deep,aching pain and stiffness that worse with decreased range of motion,and extremes of hip motion often causes pain .

A numeric scale is using for rating pain for the patient,to assess the patients rest pain after surgery in the hospital days.THe discrete scale ranges from 0 to 10,with 0 corresponding to no pain, and 10 corresponding to the worst pain possible. assessment of the pain every 15 mts in PACU and every 4 hours in other locations.

The components of pain assessments are history and physical assessment,functional assessment,psychosocial assessment,multidimensional assessment are the main components.

The importance of pain relief as acore of the medical ethics is clear,The relief of pain is a classic example of bioethical principle of beneficence.The principle of nonmaleficence prohibits the infliction of harm.Chronic untreated pain inflicts both physical and psychological harm to the patient.

The main way to manage pain management strategies are pain relieving medicines,physical therapies,psychological therapies,mind and body techniques,occupational therapy,eat healthy diet,provide psychological support to the patient and educate the patient and we have an ethical responsibility to provide clinically excellent care to address the patient pain.