Nursing 344

Guided Note Taking Guide

Week 2 -Pain

Learning Outcomes
1. Review the concept of pain
2. Review the principles of safe medication administration and management (including the
10 rights, 3 checks) from Nursing 345.
3. Discuss pain as it is experienced in acute illness and post-operatively across the
lifespan.
4. Discuss the nursing process and patient care for a patient with acute pain.
5. Discuss the use of nursing process when assessing a patient's need for and response to
pharmacological and non-pharmacological interventions.
6. Explore the concept of safety as it applies to pharmacological and non-pharmacological
interventions with patients experiencing pain
Concept(s)
Pain

Concept Definition(s)
• “an unpleasant sensory and emotional experience associated with actual or
potential tissue damage or described in terms of such damage.
(International Association for the Study of Pain as cited in Giddens, 2017, p.
289-3)
• Pain is whatever the experiencing person says it is, existing wherever
he/she/they says it does (2017, p. 283
Key points from Unintended Consequences and a Closer Look:
-
-
Do we need an updated definition of Pain?
-
Important terms:
 ● Nociceptors/nociception
● gate control
● transduction
● transmission
● perception
● modulation
Alterations:
-acute pain
-chronic pain
-classification

Populations at risk/Risk Factors:

-infants and children
-older adults
-hospitalized patients

Interrelated Concepts
-What are they?
Nursing Process
Clinical Reasoning:
 -Assessment (Noticing):
-Interpreting (Red/yellow/green):

Clinical Reasoning
Diagnoses
-identifying
-prioritizing
Planning:
-goal setting
-patient expectations

Key Aspects of Clinical Management

Primary Prevention
Secondary Prevention
Clinical Interventions
o Pharmacotherapy
o Treatment
o Nutrition/Fluid
o Holistic
o Invasive/Surgical

Patient Education/Discharge Planning

Evaluation/Reflection
Working through exemplars and care plans:
Ms. Malone (on eCLass)