How to Write a Nursing Care Plan

Nursing Care Plan for Pain with Diagnosis and Nursing Intervention Nursing Care Plan for Pain with Diagnosis and Nursing Intervention Pain classifications Acute pain: Mild to severe pain lasting less than six months; associated with a sympathetic nervous system response; resulting in increased pulse rate and volume, increased respiratory rate and depth, increased blood pressure, and increased glucose levels; decreased urine production and peristalsis. The protective function of acute pain is to alert the patient of injury or infection. The onset of sudden severe pain prompts the patient to seek solace. The physiological manifestations of acute pain result from the body's tension response to the pain. Acute pain may be exacerbated by the patient's cultural context, emotions, and psychological or spiritual distress. The assessment of pain can be challenging, particularly in elderly patients with cognitive impairment and sensory perception deficits. Chronic ache: Mild to severe pain lasting longer than six months; associated with the parasympathetic nervous system; the patient may not exhibit acute pain-related signs and symptoms. may result in despondency and diminished function Terms for suffering Pain threshold is the minimum quantity of stimulus required to produce a painful sensation. The maximum quantity of pain that a patient is willing or able to tolerate. Pain felt in a location other than the origin of a tissue injury Pain that cannot be relieved by conventional treatments is untreatable. Neuropathic pain: agony caused by a neurological disorder and unrelated to tissue damage Phantom pain: pain felt in an absent body part Radiating pain: pain felt at the source that spreads to other locations. [caption id=\"attachment_15455\" align=\"alignright\" width=\"345\"] Nursing Care Plan and Nursing Intervention[/caption] Plan of nursing care for pain that includes intervention and pain Affiliated with suffering

medical concerns Diagnostic techniques and medical care emotionally and mentally traumatic Aspirational Cultural distress. Desired Results On a scale from 0 to 10, the patient reports adequate pain control with a score of less than 3 to 4. The patient is capable of utilizing both pharmacologic and nonpharmacologic pain relief strategies. Patient feels more at ease, as demonstrated by a regulated pulse, blood pressure, respiration, and calm muscle tension and posture. May be exemplified by. Protective behavior, body protection, egocentric, narrowed focus Relief or diversion methods Pain masking the face Consideration of muscular tone Nursing care plan for pain with intervention and rationale Nursing intervention Rationale Assessment of pain characteristics. ex. Assessment of the pain experience is the first step in Quality, severity, location, onset, duration, planning pain management strategies. The patient is precipitating and relieving factors the most reliable source of information about his or her pain. Some people deny the sensation of pain even though it is present. Paying attention to signs associated Screening for signs and symptoms related with pain can help the nurse assess pain. to pain. A patient with acute pain may have elevated blood pressure, heart rate, temperature, be agitated, and have difficulty concentrating. For scientific findings and symptoms Patients with chronic pain may not exhibit the associated with chronic pain, such as physical changes and behaviors associated with fatigue, decreased appetite, weight loss, acute pain. Pulse and blood pressure are usually change in posture, disruption of sleep within the normal range. patterns, anxiety, agitation, or depression. Evaluate the patient’s response to pain and It is important to assist the patient in presenting the pain management strategies. effect of pain-relieving measures as factually as possible. Discrepancies between the patient’s

behavior or demeanor and what he or she says about pain relief. Assess patient’s expectations for pain Some patients are satisfied with pain relief, while relief. others expect complete elimination of pain, which affects their perception of the effectiveness of the treatment method and their willingness to participate in further treatment. Anticipate the need for pain relief. The most effective way to address pain is to prevent it. Early intervention can reduce the total amount of analgesics needed. Eliminate additional stressors or Patients may experience exaggeration of pain or discomfort whenever possible. diminished ability to tolerate painful stimuli if they experience additional stress from environmental, Provide rest periods to promote comfort, intrapersonal, or intrapsychic factors. sleep, and relaxation. The patient’s perception of pain may be exaggerated by fatigue. In a cycle, pain can lead to fatigue, which in turn can lead to exaggerated pain and fatigue. A quiet environment, a darkened room, and a phone turned off are measures that facilitate recovery. Determine the appropriate method for pain Unless contraindicated, all patients with acute pain relief. should receive a nonopioid analgesic around the clock. Hot or cold compress Heat reduces pain by improving blood flow to the area and reducing pain reflexes. Cold reduces pain, inflammation, and spastic massage by decreasing the release of pain-inducing chemicals and slowing the transmission of pain impulses. Massage of the painful area Increases endorphin levels and decreases tissue edema. This intervention may require another person to perform the massage. Administer analgesics as ordered by a Analgesics are absorbed and metabolized differently physician, evaluate their effectiveness, by patients, so their effectiveness must be assessed and observe signs and symptoms of side by the patient individually. Analgesics usually have effects. side effects that range from mild to life-threatening. Notify the physician if interventions are Patients who request pain medications at shorter intervals than prescribed may actually require a unsuccessful or if current symptoms higher dose or stronger analgesics. represent a marked change from the patient’s previous pain experience. Anticipatory education about the causes of Knowing what to expect can help patients develop pain and appropriate measures for effective coping strategies for pain management. prevention and relief. Patients need to learn the importance of reporting pain early to achieve more effective pain relief. The patient should learn how to Patients must learn to use pain relief strategies to effectively discontinue the medication minimize the pain experience.

dose in relation to potentially unpleasant activities and avoidance of pain spikes. Assist the patient and family in identifying Changes in work routine, household responsibilities, lifestyle changes that can contribute to and home environment may be necessary to promote effective pain management. Guide the more effective pain management. Ongoing support patient to plan activities during the times and guidance for the patient and family will increase when pain is at its greatest relief. the success of these strategies.