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  • Manguiat, Ciara Loreal M. BSN 1-Y1-4 Course Task Unit 8

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    The patient is complaining of continued severe pain despite receiving the maximum dose of pain medication after surgery. To address the patient's complaints and gain their trust, the nurse should clarify that further medication is not possible but ask where specifically they are experiencing discomfort so appropriate actions can be taken. The nurse should also explain that they have many patients to care for, but to alert them to any new concerns. To properly assess the patient's condition, the nurse should ask questions using the OLDCARTES mnemonic to determine details about the pain such as location, duration, characteristics, aggravating/relieving factors, and severity on a scale of 1 to 10.

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    MANGUIAT, CTU 8 TFN

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    The patient is complaining of continued severe pain despite receiving the maximum dose of pain medication after surgery. To address the patient's complaints and gain their trust, the nurse should clarify that further medication is not possible but ask where specifically they are experiencing discomfort so appropriate actions can be taken. The nurse should also explain that they have many patients to care for, but to alert them to any new concerns. To properly assess the patient's condition, the nurse should ask questions using the OLDCARTES mnemonic to determine details about the pain such as location, duration, characteristics, aggravating/relieving factors, and severity on a scale of 1 to 10.

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    55 views1 page

    Manguiat, Ciara Loreal M. BSN 1-Y1-4 Course Task Unit 8

    Uploaded by

    Ciara Manguiat
    The patient is complaining of continued severe pain despite receiving the maximum dose of pain medication after surgery. To address the patient's complaints and gain their trust, the nurse should clarify that further medication is not possible but ask where specifically they are experiencing discomfort so appropriate actions can be taken. The nurse should also explain that they have many patients to care for, but to alert them to any new concerns. To properly assess the patient's condition, the nurse should ask questions using the OLDCARTES mnemonic to determine details about the pain such as location, duration, characteristics, aggravating/relieving factors, and severity on a scale of 1 to 10.

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    © All Rights Reserved
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    of 1

    MANGUIAT, CIARA LOREAL M.

    BSN 1-Y1-4

    COURSE TASK UNIT 8

    A patient just undergone surgery is complaining of pain. He has already had the maximum dose of pain medications. He is
    continuously using his call light demanding for the nurse. He keeps on complaining that his pain is not being taken cared of
    and other patient are receiving better care.

    1. Using the theory of Ida Orlando, how can you deal with patient complaints?
    Ida Jean Orlando emphasizes the reciprocal interaction between the nurse and the patient, and her expertise
    focuses on improving patient behavior. As a result, building a successful nursing practice and therapeutic nurse-
    patient interaction that fosters a patient's well-being is a must. To obtain the patient's trust, the precise protocol must
    be performed along with empathy that exemplifies love and respect for the patient. Thus, improving the clients’ health
    and well-being. Considering that the patient is still in severe pain despite having received the maximum dose of pain
    prescriptions, as a nurse, I would appropriately clarify that the medications had reached their limit and ask where in
    their body they are experiencing discomfort so that I could take appropriate actions. In this manner, the patient will
    feel as though he is receiving care from a healthcare professional and that he has nothing to worry about as I will
    help and assist him in his discomfort. As a result, I would add mention that nurses have a large number of patients to
    care for. That being said, if he (the patient) has any concerns, he must immediately inform us promptly so that we
    can aid him.

    2. What are some questions you should ask to this patient?


    One of the first tasks a nurse must do is assess the patient's condition to gain the patient's trust; hence,
    asking him questions is critical in responding to the patient's complaint. The patient's comfort-function objectives must
    be assessed. This serves as the cornerstone for the patient's individualized pain treatment plan and is used to assess
    treatment efficacy. Documentation of the comfort-function objective, pain level, therapies, and follow-up are critical
    components of effective, individual pain management. The acronym OLDCARTES is a useful mnemonic for recalling
    a standardized series of questions used to acquire additional information regarding the patient’s condition.

    MNEMONICS QUESTIONS
    O Onset When did it begin? How long does it last?
    L Location Where is it? Does it radiate?
    D Duration How long has the pain been going on? How long does an episode last?
    C Characteristics Describe the sign or symptom. How does it feel, look, sound, smell, and
    so forth? an the pain be described in terms such as stabbing, gnawing,
    sharp, dull, aching, piercing, or crushing?
    A Associated factor What other symptoms occur with it? Are there triggers such as
    movement, body position, activity, eating, or the environment?
    R Radiating What makes it better? What makes it worse? Does the pain travel to
    another area or the body, or does it stay in one place?
    T Treatment What has been done to make the pain better and has it been helpful? Is it
    the medication, position change, rest, and/or application of hot or cold
    treatment?
    E Effect What is the effect of the pain on participating in your daily life activities?
    S Severity How bad is it? How would you rate your pain on a scale of 0 to 10, with
    “0” being no pain and “10” being the worst pain you’ve ever experienced?

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