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Concept Map On Acute Pain

A 57-year-old male patient who underwent a partial bowel resection for a strangulated inguinal hernia was experiencing acute pain on his second post-operative day. His vital signs were elevated and he was restless with abdominal pain rated at 7/10. The nurse assessed the patient's pain, administered analgesics, and provided pain relief education focusing on requesting medication before activities and at the onset of pain. The patient's pain level decreased to 2/10 but he was still hesitant to cough, deep breathe and try relaxation techniques.

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Katherine Conlu Bengan
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2K views1 page

Concept Map On Acute Pain

A 57-year-old male patient who underwent a partial bowel resection for a strangulated inguinal hernia was experiencing acute pain on his second post-operative day. His vital signs were elevated and he was restless with abdominal pain rated at 7/10. The nurse assessed the patient's pain, administered analgesics, and provided pain relief education focusing on requesting medication before activities and at the onset of pain. The patient's pain level decreased to 2/10 but he was still hesitant to cough, deep breathe and try relaxation techniques.

Uploaded by

Katherine Conlu Bengan
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CONCEPT MAP

LC 6'3" 200 lb. 57 y.o. male Strangulated inguinal hernia --> Partial bowl resection --> 2nd post op day

Acute Pain
c/o abdominal pain (7/10) restless HR = 90 (baseline 70) BP = 158/82 (baseline - 140/80) Resp = 24 (baseline 18-10/min) legs drawn up to chest skin pale, moist pupils dilated Expression of satisfaction with pain control T, C, DB with a minimum of discomfort by 2nd postop day Uses analgesics appropriately Uses non-analgesic relief measures Reports symptoms to health care professional Uses preventive measures Slight to no: Reported pain Protective body positioning Restlessness Pupil dilation Perspiration Change in BP, HR, R from normal baseline date

Acute pain r/t tissue injury 2 o surgical intervention

Pain Assessment (with VS and PRN)

Teaching (after pain relieved)

Administer Analgesics

Provide quiet, nondisruptive environment

Check willingness to use nonpharmacologic measures

To request medication before activities

Evaluate effectiveness

Demonstrate & teach relaxation techniques

To request pain medication at onset of pain

Outcome Partially Met States pain is 2/10 Requests analgesics at onset of pain Requests analgesic 30 minutes before ambulation Hesitant to C & DB even following analgesic administration Willing to try relaxation techniques but has not done so to date VS returned to baseline Skin pink and dry No protective body positioning Outcomes Nursing Interventions/Activities Evaluation/Reassessment

Legend: Assessment

Nursing Diagnosis

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