My patient is an eighty-one year old female experiencing pain after a fall, which led to a broken wrist and a laceration to her forehead. This acute pain has led to loss of appetite, decreased energy level, and disinterest. Before her fall, she had previous acute pain related to compression fractures in her spine. Her knowledge of pain management before her fall was insufficient. Teaching my patient how to manage her pain will hopefully lead to better health.
Teaching my patient how to maintain her pain would aid in improving her comfort level. Impaired comfort related to acute pain would be my top priority nursing diagnosis in teaching my patient. Improving her comfort level will also improve her rest patterns, as well as her appetite. Comfort can have a lot to do with other factors dealing with health. Along with her pharmalogical pain management, relieving her impaired comfort will promote improved pain management by means of nonpharmacological management of pain (Nurse’s Pocket Guide, 2013, p.212).
To accomplish learning about pain management there are goals and learning needs that will need to be met in order to obtain this. Firstly, she will need to understand pain and the quality of pain of which she is experiencing. According to the International Association for the Study of Pain and the American Pain Society pain is… “An unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (Fundamentals of Nursing, 2011, p. 726).
Along with understanding what pain is, she will need to understand the quality of pain. Learning about the quality of pain will help her to communicate better when she is in pain. Numerous adjectives are used to express what quality of pain a patient is in. The words I would teach my patient to express would be, “dull, aching, throbbing, stabbing, burning, ripping, searing, or tingling” (Fundamentals of Nursing, 2011, p. 727). Describing its quality is extremely important as well as describing the length of time the pain is occurring. Using the words, constant, intermittent, or episodic will give my patients health care providers a better idea of how long she is experiencing her pain (Fundamentals of Nursing, 2011, p. 727).
Pain is subjective. To better understand what type of pain my patient is having I first need to understand what my patient’s perception of pain is (Fundamentals of Nursing, 2011, p. 733). My first goal for my patient would be communication. Communicating with a member of a health care team can play a vital role in controlling the pain before it becomes unbearable. When reviewing her chart and interacting with her, I’ve noticed that she seldom verbally expresses her pain until she is asked about it. If I can educate her on the importance of reporting the pain as soon as it occurs we can try and eliminate the pain before it becomes agonizing.
According to Elsevier another goal would be to acknowledge the reactions and side...