Question

The nurse who cared for Phil at his primary care office has established a nursing diagnosis for Phil “Chronic pain related to degenerative changes in left knee as evidenced by limp and use of NSAID”. State a measurable outcome for this diagnosis statement and develop a teaching plan designed to meet Phil’s needs.  

Answer 1

Measurable outcome:

Patient will state is within tolerable levels below 3 to 4 within a scale of 10

Ensure that phil is aware of his pain acknwolege by nurse so that she knows the pain is accepted.

He will be having pain of ulcers as the use of NSAIDS.

provide analgesics odered by physician to help alleviate painful sensations.

collaborate with interdisciplinary teams to explore alternative therapy for example pain relief clinic.

Alternative methods of therapy like accupuncture,distraction,biofeedback to control pain.

Teaching plan for phil regarding his condition.

*impaired mobility associated with pain so encourage ROM excercises and physiotherapy.

provide clarification and misconception regarding the disease and socialize with patient.

Encourage phil to use assistive devices with the help of ADLs to promote self care.

Psychological support for both phil and his relative.

Loose or maintain weight.

Avoid forceful repetative movements and teach him appropiate positioning to avoid pressure ulcers.

Hot and cold application to reduce pain.

Nutritional diet .

Instruct and monitor the risk for GI bleeding and upper GI problems owing to intake of NSAIDs.