Multiple Patients with Pain : How would
Multiple Patients with Pain : How would you reply to the following patient related questions below? Provide explanation for each response. Include two nursing references for two responses using an article, book, nursing central, Evolve/Lewis’s Medical-Surgical Nursing book, etc. Scenario: The patients below are being cared for on a medical-surgical unit during day shift: – Mr. L., a 35 year old man with a history of kidney stones, reports severe back and flank pain intermittently (range 3-8 out of 10). Night shift reports episodic nausea and vomiting with hematuria and dysuria. Mr. L. was admitted through the ER. He is on a PCA pump. – Mr. H., a 28 year old man, is currently in the OR for an inguinal hernia repair. He should return from the OR later in the shift. – Ms. J., a 65 year old woman with end stage multiple myeloma, is receiving palliative pain management; the family is considering hospice care. She has been on the unit for 2 weeks. Her physician signed the DNR order 3 days ago. – Mr. A., a 40 year old man, has been on the unit for 3 weeks. He is receiving IV antibiotics for bacterial pneumonia. He has a history of IV drug abuse and is HIV positive. Mr. A’s oxygen saturations were decreasing the night shift. 1) You decide to round on all the patients. List the priority order to briefly check on these patients. Why did you choose the order? 2) Mr. H. is given a dose of pain medication. One hour later he is anxious and appears uncomfortable and asks, “What’s the matter? Is something wrong? I’m still hurting.” What action should you take first? Why? 3) Ms. J. is having severe pain and admits to it; however, she becomes very anxious when certain family members come and go and refuses to take pain medication. Which adjunct medication would be most useful to Ms. J. to help her manage these episodes? Why? Pediatric Pain Case Study Scenario: Felicia is a 5 year old patient that was hit by a car while riding her bike. Six hours ago she had surgery to repair a liver laceration. Post operatively, she has an IV, NG tube and a clean, dry and intact abdominal dressing. She has multiple scrapes and bruises over her body. Felicia’s mother notes that she is restless and asks that you give her some pain medication. When you enter her room, she is napping and appears in no distress. When you attempt to reposition her, she moans. You ask her if she is hurting anywhere and she shakes her head no. According to her chart she received pain medication before her transfer from the PACU. You have an order for morphine IV every 3-4 hours PRN for pain. What is the timing of pain reassessment as well as assessment for side effects?
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
