- Engage Fundamentals Pain Clinical Judgment Case Study With Concept Map Case Study The Nurse Is Caring For A 36 Year Old 1 (178.48 KiB) Viewed 19 times
Engage Fundamentals Pain Clinical Judgment Case Study with Concept Map Case study The nurse is caring for a 36-year-old who has chronic back pain. The client has come to the provider for a checkup and to request refills of the narcotic pain medication they have been using for many years. The client reports using less pain medication than prescribed due to fear of addiction. The client is also taking a non-narcotic pain medication. The client's goal is to reduce the amount of pain medication being used because they also do not like the adverse effects of both types of medication. The adverse effects of the non-narcotic pain medication include nausea, tiredness, and dry mouth. The provider instructs the nurse to provide the client with non-pharmacologic options for pain management in addition to the heat therapy, hot tub, and relaxation the client already uses. The client reports a baseline pain score of 4 out of 10 and an ideal pain score of 2 out of 10. The client is generally able to carry out their daily activities as needed but occasionally has days where they are unable to perform daily activities. On the days the client is unable to function as desired, they rely on their spouse to assist with cooking and cleaning chores and delays other activities to another day. Assessment Questions 1. Identify the relevant subjective and objective assessment information related to the client's condition and place the findings in the assessment data box below. (Recognizing Cues; Assessment) 2. Based upon assessment information, identify and prioritize the top 3 client problems. Write one client problem in each of the Client Problem boxes below. (Analyze Cues; Analysis and Prioritize Hypothesis; Planning) 3. Below each client problem, determine and enter the relevant assessment information that supports the identified client problem. (Analyze Cues; Analysis and Prioritize Hypothesis; Planning) 4. Identify important nursing interventions that should be taken to address each client problem and enter them in the related intervention box for the associated client problem. (Take Action; Implementation)