Diagnosis
Goals
Interventions
Assess area and intensity of Mrs. Laure’s pain together with the changes in the pains characteristics hourly
Elevate neck and leg slightly using either a pillow or bed adjustments
Discuss the pain and places it is felt putting into perspective why and how it is felt. Acknowledge the presence of the said sensations as Mrs. Larue’s real pain.
Instruct Mrs. Larue on the appropriate use of appropriate use of patient-controlled analgesia not forgetting effective pain management measures.
Issue PRN medications in a prescribed manner for breakthrough pain, employing opioid and nonopiod medicine.
Assess symmetry, the degree of Mrs. Larue mobility and strength.
Advice for effective isometric exercises when required
Monitor pain as it can limit mobility and any other activity.
Examine mobility on bed proceeded by the effort to sit with the need for support or lack of support and the ability get up from a sitting position.
Determine cause of poor mobility considering both physiological and physical fear.
Initial assessment on the second day revealed Mrs. Larue positioned with a pillow behind the left leg’s knee presented her with a throbbing pain on the entire left leg.
After issuance of PCA, Mrs. Larue reported a downward trend in pain. Final examination at the end of the Mrs. Larue revealed a pain of 4 of 10.
Expected
The patient can perform physical activities individually or with minimal assistance.
She is also free of mobility complications or pain as witnessed by normal bowel patterns.
