Patient Name:xHospital Number:0000DOB:1-1-1931
ASSESSMENTPLANNINGIMPLEMENTATION paygrade
DATA
8th/10/2008
NURSING DIAGNOSIS
GOAL
discussion
RATIONALE FOR INTERVENTION
NURSING CARE DELIVERED under superintendence of my preceptor
GOAL MET, NOT MET, PARTIALLY MET
OBJECTIVE DATA
On admission the tolerant vital signs were
Temperature 36.2oc
Spo2 96% pulse 74 bm7.2 mmol
BP 115/69 weight is 88 kg
Height is 5 ft 7in.
(See appendix 3).
The patients urinalysis was ordained for blood and ketones as well as leucocytes msu was sent to the testing ground for culture and sensitivity .the patient is oriented to person station and time.
PRIORITY #1
Pain secondary to condition progression and magnified tumor and metastasis
Tthe patient will voice a decrement in ache in the neck in the ass to no pain by discharge.
accord pain meds as prescribed.
Nsaids
Steroids
Opioids
Administer break finished pain meds when required
Monitor and tax pain using a pain scale chart
Nsaids are useful in metastasis deck out pain and are effective against mild pain.
Steroids reduce bump inflammation and compression resulting from tumor growth.
Opioids interfere with pain comprehension in the brain.
(Doenges et al 2005)
Pain can vary through out the day and can increase when carrying out whatever activities of daily living
(Carpenito-moyet 2004)
Pain scale charts are a practised way of identifying the level for pain at which the patient is at and evaluating effectiveness of pain medication given
(Juall et al2004)
1.get patient to use pain scale chart.
2 check drug chart and care pain meds
3 ensure drugs are for right patient check name badge of drug chart.
4 evaluate their effectiveness using a pain scale chart.
5 administer break through pain relief to begin with exertion on carrying out adls
As well as eating and transferring from bed.
Ask patient to...If you want to get a full essay, order it on our website: Ordercustompaper.com
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