Question

A 25-year-old Arab American man is one day post-operative following vascular surgery. There have been no post-surgical complications. He tells his family that he is “in terrible pain,” and he reports ratings of 2 to 3 on 0-10 numeric rating scale to the nursing staff. He requests pain medication every two to three hours, and will not get out of bed or ambulate.

Identify factors that affect your assigned patient’s pain/discomfort perception.

Identify the actual and potential physiological and psychological responses to the pain/discomfort, for your assigned client.

Base your initial post on your readings and research on this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250-word minimum.

Answer 1

VASCULAR SURGERY: is a surgical subspeciality in which diseases of the vascular system or arteries, veins and lymphatic circulation are managed by medical therapy, invasive catheter procedure or by surgical reconstruction.

FACTORS THAT AFFECTING PAIN/DISCOMFORT IN PATIENT: After a vascular surgery, it is mandatory to assess the pain and the etiological factors related to pain in patients. An understanding of the underlying pain mechanisms is helpful in the logical direction of treatment, particularly in chronic pain. In this case, the patient had no symptom of complications like infection related surgery but

\\'[except pain. In addition to this, the patient experience a pain rating scale of 2 or 3 which means the patient experiences chronic pain. Chronic pain in vascular disease includes post-amputation pain, for which well-known risk factors include high pain levels before amputation and in the immediate post-operative period, emphasizing the importance of good pain control in the peri-operative period.

POTENTIAL PHYSIOLOGICAL AND PSYCHOLOGICAL MANAGEMENT TO PAIN/DISCOMFORT: Pain is a key feature after vascular surgery, with a major impact on quality of life and function. Acute pain such as postoperative pain, subsides as healing takes place but chronic pain needs long-term management to decrease the pain. When the patient feel pain, the person may become depressed or anxious and has physically harmful effects on patients. To meet the patient's need, pain should be reassessed after each intervention to evaluate the effect and determine whether modification is needed. After recovery from anesthesia, pain management should be based on the patient's self-report to pain and cognitive response. Analgesics can be given to reduce pain with the relevant guidelines. Stress management and explain the reason of pain helps to improve patient coperation to further treatment.