Reference no: EM133768386

Question

Creating a clinical nursing concept map involves identifying key patient issues, setting desired outcomes, and planning appropriate interventions with rationales. Here's a detailed breakdown for your patient: Priority Concept #1: Pain Management Desired Outcome: The patient will report a reduction in pain symptoms to a manageable level (e.g., 2-3 out of 10 on the pain scale). System Specific Assessments: Patient states her pain as 5 out of 10 on the pain scale. Nonverbal cues indicating an increase in pain (grunting, anxious, fidgety). Patient expresses discomfort while changing positions in bed. Elevated heart rate and diaphoretic (sweating). Interventions: Administer prescribed pain medications (e.g., Toradol) as ordered. Rationale: Toradol (ketorolac) is a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce pain and inflammation. Evaluation: Assess pain levels 30 minutes after administration to determine effectiveness. Encourage the use of non-pharmacological pain relief methods such as deep breathing exercises, guided imagery, and positioning for comfort. Rationale: Non-pharmacological methods can complement medication and provide additional pain relief. Evaluation: Monitor patient's pain levels and observe for signs of relaxation and reduced discomfort. Monitor vital signs regularly (e.g., every 4 hours) to assess for signs of pain and discomfort. Rationale: Changes in vital signs can indicate pain levels.