healthcare problem The problem presented is pain control in children postoperatively. Currently there are no proven ways to accurately measure postoperative pain in children. Hospital staff tend to under estimate the pain of children. Staff have only the word of patients and caregivers‚ combined with pain scales‚ which can be less than reliable due to the fact that many of them are utilizing opinions and visual cues. It is more difficult to gauge the pain of a child‚ especially under the age of 5
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as a pain nurse specialist‚ I am involved in the care and management of patients with intrathecal (IT) catheters mainly for patients with intractable cancer pain. Patients who have been tried and failed on escalating doses of various opiates‚ and continue to have unsatisfactory pain management with intolerable side effects are often referred to our service for consideration for an intrathecal catheter. Intrathecal catheters have been used for many years now in effort to target the specific pain pathways
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focus on the patient. This means listening empathically‚ believing and legitimizing the patient’s pain‚ and understanding to the best of her ability and capability what the patient might be experiencing. A healthcare empathic understanding of the patient’s pain experience and accompanying symptoms confirm that there is a genuine interest in the patient as a
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chest X-ray to exclude right lower lobe pneumonia. Full pain assessment (COLDSPAA)‚ and assessment for nausea. Assess for skin integrity: wound‚ infection‚ rashes‚ excoriations or bruises. Potential for acute pain and discomfort related to the inflammation and obstruction of the gall bladder and its associated ducts. Potential for nutritional deficiency related to nausea and vomiting and anorexia. Potential for anxiety and frustration related to pain‚ frequent hospital changes and upcoming cholecystectomy
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Reflective Account Level 3 Diploma Health and Social Care Candidate Name: Aneta Gasiuk Unit Title: 212 - Provide support to manage pain and discomfort. Reflective Account Assessor Use Only- Assessment Criteria Met Candidate to provide narrative under each statement of how they meet the criteria. You must provide answers to each question that allow your examiner to properly assess what work duties you are doing or what role you have within your work. It expected that you will need approximately
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‘assessment‚ assessment‚ assessment’ and ‘if it is not written it is not done’. In a post-surgical setting‚ assessment is also pre-emptive and communication and documentation is imperative. Assessment must extend beyond the vital signs to include a focus on pain‚ skin colour (for cyanosis/shock)‚ respiratory rate (including depth and nature)‚ skin temperature (for hypo/hyperthermia)‚ pulse (rate volume and rhythm)‚ conscious levels (presence of reflexes – swallowing/cough/tears) and signs of haemorrhage or
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utilize leadership‚ management‚ and research theory and skills to identify a nursing problem and propose the implementation of an evidence-based solution to the nursing problem. Student Information Name: Judy Corcoran Address 8678 Westfield Park Dr. City‚ State‚ Zip: Olmsted TWP.‚ Ohio 44138 Cell Telephone: 216-280-7335 Student Kaplan E-mail: jjmparrot@gmail.com 1. Capstone Project Nursing Problem: The lack of knowledge of RN Case Managers in hospice regarding pain management needs to be improved
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never obtains a cholecystokinin (CCK) stimulus to empty; thus‚ the concentrated bile remains immobile in the lumen. Cholecystitis regularly shows as a pain in the right upper quadrant. The gallbladder may possibly be tender and distended. Pain is in the beginning intermittent‚ but then it presents as constant and severe. The pain may be referred pain that is felt in the right scapula instead of the right upper quadrant. It may also show a relationship with eating fried‚ greasy‚ fat foods. Diarrhea
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Following surgery Sally has returned to the ward with an intravenous cannula in her right hand and a plaster of paris cast encasing her left lower leg and foot. The focus of this essay is Sally’s two priority nursing problems‚ which are post surgery pain related to Tendo Achilles lengthening and the plaster cast application‚ and secondly peripheral tissue integrity related to pressure from the cast (Ackley‚ Ladwig‚2010). The essay will cover the two priority nursing interventions for both of these
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Cues Nursing diagnosis Nursing objective Planning Nursing intervention Rationale Subjective Cues: “Nahihirapa n akong umihi‚‚ madalas sya pero pakonti konti lang » as verbalized by the client. Objective Cues: Distended abdomen Frequency Hesitancy T-38.3 P-105Bpm R-24 bpm BP-130/90 mmHg Impaired Urinary Elimination r/t Inflammatio n of bladder mucosa As evidence by the objective cues. __________ _ Scientific Explanation : Disturbance in urine elimination. After 8 hrs of
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