pain management
Diseases Process
SN instructed patient to take pain medication before pain becomes severe to achieve better pain control. Always refill your meds before you run out of them. SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, positioning ,etc. SN instructed to report to physician if experiencing pain level not acceptable , pain level greater than 6/10, pain medications not effective, unable to tolerate pain medications, and pain affecting ability to perform normal activities
Patient was instructed on pain caused by pressure ulcers. Pain can be classified as acute or chronic. Cyclic acute pain, which is periodic and corresponds to the pain experienced during repeated management, such as dressing changes or patient repositioning and non-cyclic acute pain, which is accidental, including pain experienced during occasional procedures such as debridement or drain removal.
SN to instruct caregiver on disease process management, medication regimen and management of behavior disturbances.
The patient was instructed in hyperparathyroidism in the procedure of assistive devices like walker, cane. The patient was taught to level pain on a rule and to define pain so as to improved monitor pain and painkilling helpfulness. The patient was encouraged to pain medication on calendar moderately than as needed. The patient was advised in a plan for using other pain-relieving ways rather than depend on on pain medication. The patient was advised to elude using enemas or laxatives.
SN instructed patient that phantom pain is very real but not everyone who has an amputation has phantom pain. The pain may feel like cramping, burning, stabbing or shooting pain. Some things that can make the pain feel worse are being too tired, too much pressure on the amputated arm or leg, changes in the weather, stress and infection.
Instructed in various factors that help alleviate pain without, or in addition to, analgesics such as frequent position changes, relaxation techniques, heat or cold, regular rest periods, pillows to support painful area, etc.
Instructed in management of chest pain, to sit or lie down and rest immediately at onset of pain, if NTG available to take as instructed and/or call 911.
Instructed patient on management of chest pain. These steps are to be followed in case of occurrences: sit or lie down and rest immediately at onset of pain, if NTG available take as instructed and/or call 911.
The patient was advised in pain management in arthritis applying heat or cold to a painful joint for temporary relief avoiding temperatures extremes. The patient was recommended to maintain a regular exercise program that provides stretching and joint mobility. The patient was encouraged to coordinate pain medication with activities. The patient was recommended to use assistive and/or protective devices, as needed, to support affected joints. The patient was advised in the importance of maintaining a safe home environment to prevent falls (removal of small rugs, handrails in showers, tubs, or toilets etc. The patient was encouraged that eating well-balanced diet.
The patient was advised to avoid lifting/stooping in order to decrease back pain. The patient was encouraged to avoid or stop smoking (nicotine decreases diskal circulation).