NURSING QUESTION Scenario 1 A 25-year-old Arab American man is one day post op f
ID: 123189 • Letter: N
Question
NURSING QUESTION
Scenario 1
A 25-year-old Arab American man is one day post op following a thoracotomy. There have been no post-surgical complications. He tells his family that he is “in terrible pain”, yet he reports ratings of 2 to 3 on 0-10 numeric rating scale to the nursing staff. He requests pain medication every two to three hours, and will not get out of bed or ambulate.
Scenario 2
A 60-year-old African American woman with metastatic ovarian cancer is experiencing chronic pain. Her pain ratings have been between 3 and 7 on the 0-10 numeric rating scale. Her vital signs remain within normal ranges. She is fully able to participate in her daily care. She describes herself as the matriarch of her family, and looks forward to daily visits from her family even when her pain rating is high. Her church pastor calls and visits her several times per week. She anticipates discharge in a few days.
In 100 words or more and based on the two above scenarios, please do the following:
1. Identify 3 nursing interventions for each of the two patients in the above scenarios; provide your rationale for the interventions;
2. Compare and contrast the effectiveness of the nursing interventions (that you have provided in 1 above) for the two patients
Thank you.
Explanation / Answer
1Ans: Scenario 1
Nursing diagnosis: Terrible pain related to post thoracotomy
Nursing Intervention/rationale:
1. Assess the pain -- To konw the intensity
2. Assess vital signs -- To know the complications
3. Administer pain medicine -- To relieve pain
4. Plan adequate nutrion which heals wound and promote health
5. Give psychological support and counselling -- To feel real pain rather than pain related to anxiety because his actual pain score is 2-3 but his illusion is terrible pain.
6. Plan for recreational activity - To divert him from his suffering
1Answer: Scenario 2
Nursing Diagnosis: Pain related to ovarian cancer
Nursing interventions/Rationale:
1. Assess the vital signs -- To know stability of the consition
2. Encourage her spiritual belief as she is able to tolerate severe pain due to strong beleif
3. Administer pain medication -- To releive pain
4. Plan for discharge -- As she is feeling that she is fine and the tolerating the pain, write discharge medications properly.
5. Give health education on personal hygeine to avoid urinary tract infections as she is aging.
2Answer:
25yrs old male has a very low tolerating power of pain where as 60yrs woman has a very high tolerating power of pain. psychologival suppoert and diversional therapy woukd help to cope up with the pain along with pain medication. for 60yrs old male health education on personal hygeine and nutrition is very important to avoid any additional infections.
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