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Care Plan: Nursing Interventions for Acute Pain, NANDA
Care Plan: Nursing Interventions for Acute Pain, NANDA
Advice on Implementation of Acute Pain Nursing Interventions for acute pain
by jagged81 93 Follow ers
In the acute care settings such as medical, surgical, pediatrics, or labor and delivery, you will come across all kinds of people that are in acute pain for many different reasons. You will only get to impart 12 hours, maybe 15 hours after charting is done, of your care as a nurse into the life of the patient. You must realize that you will be working together with other nurses that are on different shifts and even work different days then you. Your Acute Pain can be tricky to treat as a nurse, due to the new experience of the pain by the patient may have a three-day stay in patient. the hospital and have five different nurses take care of them. All of those nurses should be trying to control the acute pain. Most nursing interventions are collaborative, which means it is going to take more than one person in order to effectively complete the nursing intervention. When you receive report at the beginning of your shift the first thing you should do is go establish contact with your patients and determine which ones are having pain and need intervention at that very moment. It is unrealistic to assume that because you just got on shift, that nobody is due for pain intervention. Nursing interventions for acute pain are important because most of the time a patient in acute pain is not used to being in pain. Acute pain by definition is anything less than six months. If you are a nurse that works on the surgical floor, you are going to have a lot of patients that have acute pain. Whether they are about to have surgery due to some type of trauma, or they just got out of surgery and are experiencing pain due to the surgery. The NANDA definition of pain states that pain is whatever the person says the pain is. As a nurse we are not to judge whether the acute pain is real or not. As a nurse we should spend more time treating patients. Acute pain can be a physical and emotional experience that arises due to some type of trauma. Acute pain can happen for many reasons. Obviously, you the nurse should first determine whether the pain is acute or not. If this pain is something that someone has been living with for more than six months the pain is considered chronic. Nursing interventions for chronic pain are slightly different. Patients with chronic
com/hub/Nursing-Interventions-for-Acute-Pain 2/5 . As you begin the nursing interventions for acute pain. I said you can't substitute vital signs over the patient's report of pain. so they must not be. you may come across some of these characteristics that your patient has told you about the acute pain they are experiencing. sleep. and perform their recovery activities satisfactorily. It is okay as a nurse. However. Remember. It will be hard to complete any of your other interventions without consistently trying to meet that goal.hubpages. deep breathe to prevent pneumonia. I did not say that vital signs don't show pain. Nursing interventions for acute Nursing Interventions for Acute pain Pain Explore the need for both opioid and non-opioid pain medicine Determine the clients current medication is effective for the pain relief especially if the patient has taken the pain medicine all day with no relief. NANDA pain can developed certain internal coping mechanisms to help them deal with the pain. pain is always subjective(what the patient says) the pain cannot be proved or disproved. A patient's report of acute pain is the best indicator of that pain. If the patient cannot speak they should be able to point to pain rating scale in order to rate their pain. During your assessment as you gather data to help you select the nursing diagnosis of acute pain. Visible signs that your patient is having acute pain are a loss of appetite. inability to deep breathe. "it doesn't look like my patient is in pain. It is very important that you ask your patient every time if they are in pain. or form activities of daily living. as a nurse there are observable response to pain by the patient that you can use in order to assess acute pain properly. especially in the area that is hurting. If the patient is cognitively impaired them the goal should be that they show a read auction in pain behaviors. Do not just observe and assume because their face doesn't look like they're not in pain then they must be okay. walk." Behavior in vital signs can never substitute what the patient says the acute pain. Patients may try to distract themselves from the pain by crying or even laughing. Patients may be guarded about allowing you to touch them. It is important to establish a goal of where on the scale you and your patient should keep that pain at in order for the patient to comfortably get the things done to get better For example. Then determine the level on the pain scale that the patient can comfortably function at. after surgery patients required to roll over in their beds. the main goal should be to achieve this comfortable pain scale level. The patient should have the ability to speak in order to report their pain on a scale of 0 to 10.4/29/13 Care Plan: Nursing Interventions for Acute Pain. The goals of nursing interventions for acute pain The first thing you should do is identify the current pain intensity using the pain scale 0 to 10. To clarify. and most importantly to begin walking around to promote bowel function. Never say. to suggest to the doctor a patient controlled jagged81.
or they are snoring. find out if the patient has any fear of overdose or addiction to pain medication. · Plan nursing care such as dressing changes.com/hub/Nursing-Interventions-for-Acute-Pain Nurses must lay aside personal biased about pain treatment and judgement of patient reputation. If the patient exhibits excessive sedation jagged81. · When giving opioids check respiratory status and how often the patient is sedated about every two hours for the first 24 hours. ambulation when the patient is comfortable and has been given a pain medication about 30 min. to include side effects and complications. This will promote patient cooperation. shallow. If you can avoid it. Be clear to the patient about how the doctors and nurses are going to provide pain management. Acute Pain in Geriatric patients Pediatric patients and acute pain It takes a patient nurse when caring for pediatric patients in acute pain. type medications to be given. try not to give pain medication intramuscularly due to pain from needle stick. Especially if the drug is new to them.4/29/13 Care Plan: Nursing Interventions for Acute Pain. before care is to be given. It may be appropriate to awaken a patient that is sleeping if their respirations' are irregular. such as therapies. and 30 min. · When giving pain medication determine on a scale 0 to 10 what the patient's pain is before the pain medication is given. NANDA analgesia (PCA) but most the time these are standard for acute pain that develops after surgery. You would be surprised the amount of patients that are hesitant to even take aspirin at home.hubpages. whether ibuprofen or morphine. to an hour after pain medication to see if there has been a change. · Sometimes patients have fears of taking medications they are not used to. showers. Cultural Considerations with interventions for acute pain 3/5 .
do not force movement whether it be bed mobility or transfers. Nursing interventions for acute pain in geriatric patients · take the report of pain in an older patient seriously and ensure the pain is relieved. · Only attempt to teach nonmedication interventions when the pain is well controlled with medication inventions. relaxation. · If the geriatric patient is a total assistance. imagery. and loudly enough for the client to hear. jagged81.4/29/13 Care Plan: Nursing Interventions for Acute Pain. make sure you're speaking clearly.hubpages. use the Wong– Baker FACES scale or the faces pain scale to determine the level of pain present in a child. and heat application as well as cold. make sure that you handle the body gently and let them move at their own pace. · If more than one pain medication is ordered by the doctor. · It may be necessary to get a prescription from the doctor for a stool softener if not already ordered. narcotic medication can slow bowel function.com/hub/Nursing-Interventions-for-Acute-Pain 4/5 . try to pepper the day with those medications to make it possible to treat breakthrough pain. This can be done appropriately without being demeaning by simply asking the geriatric patient if they have trouble hearing. · When assessing pain in a geriatric patient. NANDA notify the physician. · obtain an order for a topical pain medication for child when placing an IV in an infant or child · obtain an order for appropriate dosage in babies that are experiencing moderate to severe pain · in young children(4 and older). Nursing interventions for acute pain in pediatric patients as a nurse teach the mother that is breast-feeding that it can reduce behavioral indicators of pain in those children. · Repeat information as needed make sure that the patient can see appropriately if you are using written material. · Determine if the client would like to use nonpharmacological methods to help control their pain such as distraction. slowly. do not let a diagnosis of dementia prevent you as a nurse from treating pain.
This Hub was last updated on July 29. Patient and family teachings involving acute pain · handout written material on a medication that patients are taking to include side effects and other drug interactions. · Check the patients in the family's knowledge of the side effects and safety cautions of the pain medications that they are taking. · Encourage patients to use prayer to help cope with the pain as appropriate · use culturally relevant pain scales to help assess pain · make sure directions for medication use in the language of the person taking them Nursing interventions for acute pain in a home care setting · incorporate the patient as well as their caregivers in the acute pain intervention plan · construct a medication reconciliation paper. such as not driving or using heavy machinery while taking. · Teach the patient and the family how to use the pain rating scale and to set goals for the patient's comfort. that the patient and caregiver will be able to use as a guide to taking the pain medication. · Avoid using the words drug or narcotics due to the stigma behind such words. or values about how they deal with pain · do not be afraid or ashamed to use safe and effective folk healthcare practices and beliefs as appropriate to the patient · some cultures prefer a family centered approach to care. 2012 jagged81.hubpages. · Make sure the patient and the family know who to contact if the pain medication is not working properly. Instead referring to them as pain medication.4/29/13 Care Plan: Nursing Interventions for Acute Pain. NANDA Nursing interventions for acute pain with cultural adjustments · determine if the patient is made cultural beliefs.com/hub/Nursing-Interventions-for-Acute-Pain 5/5 .