Question

10. A nepun CRITICAL THINKING Read the following case study and answer nd answer the questions, REVI ecently up fracture. He visits nitted to your unin 0800. When you bed smiling and Ms. Murphy is a 32-year-old woman admitted allowing an emergency appendectomy at 0800. WH her room at 1400, she is sitting up in bed smili visiting with her family. She tells you she is hurting a for her pain medication. You check her medication record find orders for morphine 5 to 10 mg intravenous push every 4 hours as needed for pain. bring a n his finger ther fore- she is hurting and asks beliefs Choose th 1. Which approp 1. Kni 2. Bur ort: 3. Inju tran disc 4. Wh OCCI say stances on me doctor. 1. List at least seven areas you will assess related to her pain. asing room and son in her 2. Based on your assessment, you discuss administering 10 mg of morphine with the registered nurse, who he intravenous medication. What class of drugs ine belong to? What is its mechanism of 2. Which threat t pain? 1. Fea 2. Ans 3. Sufi 4. Pan hours later, clenched her if she How do you does morphine belong to? What action? Why is it important for you to be these things when the regist the drug? lant for you to be aware of 3. Which opioid when the registered nurse is administen nt currently next sched- 1. Cou 2. Res 3. Tac 4. Add ning and sore or if she to her about

Answer 1

Assessment of pain

1. Physical dimension: It mention effect of anatomical and physiologic structure causes pain. This help to identify the sources of pain. Here patient undergone appendectomy so the usual response after surgery is pain on surgical site.
2. Sensory dimension: It help to identify the location, quality and severity of pain.

Assess the pain whether dull, throbbing, stabbing, shooting or radiating. This can be measured by numerical scale such as 0-10 exhibited behavior in response pain.

Assess the behavior associated with pain such as guarding, splinting, tension up, crying, moaning and massaging to body part.

Here patient need medication for pain, patient administered morphine 4hours for pain.

3.Sociocultural dimension: It influence belief about pain medication, treatment option and hospitalization.

Here patient received morphine intravenously every 4hour, though patient have pain and enquire about pain medication. So assess the preferences of pain management.

4.Cognitive dimension: It refers thought, attitude, belief, intention and motivation related to pain. Evaluate the cognitive capacity of the patient prior to assessment of cognitive dimensions . Patient may refuses opioid due its addition. Here the patient may have the fear about her medication.

5.Affective : It reflect feeling and sentiments in presence of pain. So assess the emotional status of patient and verbalization of feeling essential to reduce pain.

6.Spiritual dimension: Assess the religious practices and spiritual preference for pain.