Acute pain related to biologic and chemical factors
Anxiety related to change in or threat to health status
Hopelessness related to deteriorating physiological condition
Risk for Side effects related to medical therapy
Avoid foods that contain tyramine, such as alcohol and aged cheese.
Avoid drugs such as Tagamet, nitroglycerin and Nifedipine.
Abortive therapy is aimed at eliminating the pain during the aura.
A potential side effect of medications is rebound headache.
Complementary therapies such as relaxation may be helpful.
Continue taking estrogen as prescribed by your physician.
Document the seizure.
Perform neurologic checks.
Take the patient’s vital signs.
Restrain the patient for protection.
Complete admission assessment.
Set up oxygen and suction equipment.
Place a padded tongue blade at bedside.
Pad the side rails before patient arrives.
“You should avoid consumption of all forms of alcohol.”
“Wear you medical alert bracelet at all times.”
“Protect your loved one’s airway during a seizure.”
“It’s OK to take over-the-counter medications.”
The NA assists the patient to ambulate to the bathroom and back to bed.
The NA reminds the patient not to look at his feet when he is walking.
The NA performs the patient’s complete bath and oral care.
The NA sets up the patient’s tray and encourages patient to feed himself.
“I will avoid exercise because the pain gets worse.”
“I will use heat or ice to help control the pain.”
“I will not wear high-heeled shoes at home or work.”
“I will purchase a firm mattress to replace my old one.”
Administer the ordered acetaminophen (Tylenol).
Check the Foley tubing for kinks or obstruction.
Adjust the temperature in the patient’s room.
Notify the physician about the change in status.
A 28-year-old newly admitted patient with spinal cord injury
A 67-year-old patient with stroke 3 days ago and left-sided weakness
An 85-year-old dementia patient to be transferred to long-term care today
A 54-year-old patient with Parkinson’s who needs assistance with bathing