A terminally ill client with a history of lung cancer with multiple metastasises has 4/24 Regular and PRN S/C pain relief and antiemetic's. On examination you find: T: 36.6, Pulse 105, Resps 30, BP 160/90 SaO2 89%. GCS is 12 and mildly diaphoretic. The clients observations appear stable, the client is groaning and has their knees drawn up to their chest. You are concerned that the patient is not getting continuous pain relief. How would you go about accessing and reviewing information on current best practice for pain management?
Answer :
* Client is terminally I'll.
* vitals are Temperature : 36.6 degree Celsius.
* pulse : 105 beats per minute.
* Respiration : 30 breaths per minute.
* Blood pressure is : 160/90 mm of hg.
* saturation : 89 %.
* GCS is : 12.
* so based on symptoms like groaning and knees drawn up to the chest indicates he is having more pain.
* by using visual analog scale we can assess the severity of pain by seeing facial expressions.
Best practices for pain management :
* Medications : pain Relief medications should be given like analgesics and NSAIDS.
* Restorative movement therapies : by providing passive and active exercises we can restore the fit ness and some what pain relief may happens.
* Interventional procedures : by giving injections like nerve blocks.
* Complementary and Integrative health care : like acupuncture is best complementary treatment for side effects of chemotherapy in cancer patients.
* Behavioural health and psychological interventions : through providing psychological support and emotional support, and some behavioural modifications techniques.
Through this best practices we can reduces some what pain and improve the client stability and restoration of health.
A terminally ill client with a history of lung cancer with multiple metastasises has 4/24 Regular...
The nurse is counseling a client with a poor appetite and weight loss. Which priority intervention should the nurse recommend? Eat your favorite foods to get additional calories, no matter what they are. Consume high protein, high-calorie replacement drinks between meals. Take a daily vitamin. Eat 6 small meals each day. A client is prescribed a diet that can be advanced as tolerated. How does the nurse recognize that the client is ready to be started on regular food? Select...
A nurse is collecting data from an adolescent client who has experienced sexual abuse. Which of the following statements by the client should the nurse recognized as the use of the use of defense mechanism of suppression? I drink beer as often as I can so that I don’t have to think about all of the times it happened. My mother is the real reason for it all because she doesn’t live in the real world. Sometimes I get angry...
11. The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would indicate further teaching in required? A. “I will have my blood drawn every month.” B. “I will assess my skin for a rash.” C. “I will take aspiring for my headache.” D. “I will use an electric razor to shave.” 12. If an interpreter is not available when a patient speaks a language different from the nurse’s language, it is appropriate...