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 and state a priority nursing diagnosis label for your assigned client related to pain.

Develop and state three (3) nursing interventions for this nursing diagnosis label or patient problem. When planning individualized nursing interventions, consider the patient’s type of pain and cultural perspective.

Provide your rationale or reasoning for each intervention chosen.

Identify another interdisciplinary team member and an action they could take to help resolve the chosen client problem or nursing diagnosis. .

Answer 1

According toAmerican Society of Pain Management Nursing Conference: The 25 years old American man suffers from appendectomy which is the removal of the appendix as this is carried out through surgery. Appendectomy results from the inflammation of the wall of the appendix which is associated with infection. In his case, they have been no post- surgical complication although the main issue in this case is pain which is experience as it was quite terrible as indicated in the report ratings. A recommendation of should be administered at a constant regular interval until a current progress is made and the patient is up to his feet one again.

Nursing Diagnosis: Acute pain related to medical intervention procedures evidenced byproxy reporting pain, continued use of pain medication, and changes in level of activityand mobility.

Nursing intervention is a crucial element in that nurse have to take care of the patients as they follow a medication process as treatments are well administered to the patient as consoling the and most importantly helping the patients to attain their goals.(Radwin, L. E ,1995). The nurse is well familiar with this condition seen have broad knowledge as well as the experience and critical skills in deciding which intervention suits the patient well.

The three most critical nursing interventions are independents where the nurse is in a position to initiating independence to the patient. The concepts of Dependent whereby in this intervention order require a warrant from another care provider. The patient islikely experiencing a significant amount of pain, even though he has been reporting to thenursing staff a pain rating of 2 to 3 on a 0-10 numeric rating scale. This may be due to culturaldistinctions and expressions of pain as allowed in the Arabic culture. They tend to be quiteexpressive about pain when in the presence of close family members. Their reports tohealth professionals may not accurately reflect the amount of pain being experienced. Theyrespect professionals, such as nurses, and feel very reluctant to take up their time. Anunderstanding of the impact of culture on the pain experience is important in assuring effectiveand culturally-sensitive patient care.Assess pain, noting location, characteristics, severity (0–10 scale). Investigate and reportchanges in pain as appropriate. Nurses should encourage patients to communicate pain status bycontinually using either the numeric pain scale or by picture scale. This is a useful wayto monitor the effectiveness of analgesics and the progression of healing. Lastly and the least the idea of interdependent which the participation of multiple members of the general health team whereby one feel part the community in the hospital (Narayan, M. C, 1997).

Reference

Radwin, L. E. (1995). Knowing the patient: a process model for individualized interventions. Nursing research, 44(6), 364-370.

Narayan, M. C. (1997). Cultural assessment in home healthcare. Home Healthcare Now, 15(10), 663-670.