Aubrey Rose A.
Vidon August 29, 2020
BSN 3Y1-2
Course Task #1
Belle is a young, healthy adult who slipped off the stairs going down to the basement
and struck her forehead on the cement flooring. Belle did not lose consciousness but
did sustain a mild concussion and a hematoma that was 5cm in width and protruded
about 6cm. she experienced immediate acute pain at the site of injury plus a pounding
headache.
1. After an immediate assessment of the localized pain, based on the patient’s
description, what does the nurse anticipate regarding the pain assessment?
Monitor the Intracranial Pressure. Since acute pain triggers the body’s fight-
or-flight mechanism, which is often resulting in faster heartbeats and
breathing rates, encourage Belle to relax and take a deep breathing.
2. During the assessment process, the nurse attempts Belle’s physiologic and
behavioral responses to her pain experience. The nurse is aware that the patient
can be in pain yet appear to be “pain free” what is the behavioral response
indicative of acute pain?
The behavioral response indicative of acute pain are restlessness, reduced
social interactions, anxiety, increased wandering, not eating properly and
sleeping problems.
3. The nurse uses distraction to help Belle cope with her pain experience. What
suggested activities can help her cope?
The activities that can help her to cope with her pain experience are listening
to music, reading books, create artwork, take a walk, this can get her into a
different frame of mind and to relax her body.
4. After treatment, Belles is discharge to home while still in pain. What should the
nurse do?
Health Teaching
Instruct the client to promote adequate rest.
Advice patient to comply with treatments.
Advice the patient to follow up if there’s any diagnostic exams needed.
Discuss the medication to her.