Nursing Care Plan For Pain
Pain is a complex multifactorial phenomenon that includes an emotional experience associated with actual potential.
Subjective assessment includes the following headings:
1. PAIN HISTORY
While taking pain history, a nurse must provide an opportunity for clients to express in their own words. How they view it and their situation. This will help the nurse to understand the means of pain to the client and therefore how the client is coping with it.
2. ONSET AND DURATION OF OCCURRENCE
When did the pain begin? How long has it lasted? Does it occur at the same time each day? How often does it occur?
In which area it is felt? Does the area differ under different circumstances? If several parts of the body are painful, does the pain occur simultaneously? Is pain unilateral/bilateral? Ask the individual to point the site of discomfort or at the site of most discomfort.
The use of pain intensity scale is an easy and reliable method of determining the client’s pain intensity. Most scales are either 0 to 5 or 0 to 10. Currently used scales are numerical scale, descriptive scale & visual analog scale.
Because it is used to check the intensity of the pain
B. OBJECTIVE ASSESSMENT
1. BEHAVIORAL EFFECTS
Assess verbalization because it helps to understand if the patient has pain. The vocal response, facial and body movements & therefore social interaction. Facial expression is often the 1st indication of pain. Vocalization, like moaning, groaning, crying, grunting, and screaming is associated with pain because these are symptoms of the pain.
2. PHYSIOLOGICAL RESPONSES
It varies with the origin and duration of pain. Early in the onset of acute pain, the sympathetic nervous system is stimulated. It results in increased blood pressure, pulse rate, respiration, pallor, diaphoresis, and pupil dilation.
Ineffective airway clearance r/t chest pain. Anxiety r/t past experience of poor control of pain. Altered health maintenance r/t chronic pain. Impaired physical mobility r/t asthmatic pain perception. Knowledge deficit r/t pain. Self-care deficit r/t pain or disease condition.
- Use a pain assessment scale because we need to identify the intensity of pain. Assess and record pain. And therefore its characteristics, condition, quality, frequency & its duration. Administer analgesics as prescribed thus promoting optimal pain. Identify & encourage the patient to use strategies, that have been successful with previous pain. Consider cultural influence on the response. Eliminate the factors that increase the pain experienced. Teach the use of non-pharmacological therapy techniques.
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