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Assessment Subjective: Masakit ang likod ko Pain rated as 5/10, characterized as throbbing, located at the back of the patient,

t, precipitated when moving and can be relieved by rest and certain medication. Objective: Facial mask of pain Irritable Limited movement Narrowed focus Nursing Diagnosis: Acute pain related to destruction of tissues/bone as evidenced by verbal reports. Medical Diagnosis: T/C Multiple myeloma

Explanation of the Problem Multiple Myeloma is a malignant disease of the plasma cell that infiltrates bone and soft tissues whereas there is bone erosion and possible pathologic fractures which causes bone pain especially at the back.

Goals/Objectives Short Terms: Within 8hours of nursing intervention the patient: Will be able to demonstrate relaxing techniques. Pain rate will decrease from 5/10 to 3/10 or lesser.

Nursing Interventions Diagnostics: Determine pain history, e.g., location of pain, frequency, duration, and intensity using numeric rating scale (0 10 scale), or verbal rating scale (no pain to excruciating pain) and relief measures used. Evaluate/be aware of painful effects of particular therapies; i.e., surgery, radiation, chemotherapy, biotherapy. Provide information to client/SO about what to expect.

Rationale Information provides baseline data to evaluate need for/effectiveness of interventions.

Evaluation Short Terms: After 8hours of QUALITY and EFFECTIVE nursing intervention the patient: Was able to demonstrate relaxing techniques such as focused breathing and imaging. Pain rate was decreased from 5/10 to 3/10.

A wide range of discomforts are common (e.g., incisional pain, burning skin, low back pain, mouth sores, headaches), depending on the procedure/agent being used. Pain is also associated with invasive procedures to diagnose/treat cancer. To earn the trust of the patient and can be thoroughly assess. Promotes relaxation and helps refocus attention.

Therapeutics: Establish rapport. Provide nonpharmacologic comfort measures (e.g., massage, repositioning, and backrub) and diversional activities (e.g., music, television). Assist on patients ADL if necessary.

To prevent furthermore pain and injury.

Administer analgesics per Doctors order.

Educative: Inform client/SO of the expected therapeutic effects and discuss management of side effects. Instruct the use of relaxation techniques (e.g., focused breathing, imaging). Encourage the verbalization of feeling about pain.

A wide range of analgesics and associated agents may be employed aroundthe-clock to manage pain. This information helps establish realistic expectations, confidence in own ability to handle what happens. Promotes relaxation and helps refocus attention. To treat the pain earlier prevent furthermore complications.