NURSING PROGRAM PLAN OF CARE ASSESSMENT SUBJECTIVE

1 Patient reports pain and tingling. 2 Patient displays facial grimaces.

ASSESSMENT OBJECTIVE
1 Irritability and restlessness. 2 altered ability to continue previous activities

NURSING DIAGNOSIS
Chronic pain related to osteoarthritis as evidence by reports of pain.

PLANNING PATIENT GOALS

1 Patient reports pain at a level less than 3 to 4 on a 0 to 10 rating scale. 2 Patient uses pharmacological and nonpharmacological pain relief strategies. 3 Patient engages in desired activities without an increase in pain level.

PLANNING NURSING INTERVENTIONS

1 Assess pain level and characteristics. 2 Assess the patients ability to accomplish ADLs. 3 Assess the patients perception of the effectiveness of methods used for pain relief in the past. 4 Assess for side effects, dependency, and tolerance to opioid analgesics. 5 Provide the patient and family with info about chronic pain and options available for pain management.

RATIONALE
1 The most reliable source of information about the chronic pain experience is the patients self report. 2 fatigue, anxiety, and depression associated with chronic pain can limit a persons ability to complete ADLs. 3 An effective pain management plan will be based on the patients previous experience with pain relief measures. 4 Drug dependency & tolerance to opioid analgesics are concerns in the long term management of chronic pain.
5 Lack of knowledge about the characteristics of chronic pain & pain management strategies can add to the burden of pain in the patients life.