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An elderly chronic pain client with a hip fracture
A client with a heroin addiction and back pain
A young female client with advanced multiple myeloma
A child with an arm fracture and cystic fibrosis
Encourage expression of fears on past experiences.
Provide accurate information about use of pain medication.
Explain that addiction is unlikely among acute care clients.
Seek family assistance in resolving this problem.
Assist the client with preparation of a sitz bath.
Monitor the client for signs of discomfort while ambulating
Coach the client to deep breathe during painful procedures
Evaluate relief after applying a cold application.
Prepare the medication and hand it to the physician
Check the hospital policy regarding use of the placebo.
Follow a personal code of ethics and refuse to give it.
Contact the charge nurse for advice.
Closely assess for nonverbal signs such as grimacing or rocking.
Obtain baseline behavioral indicators from family members.
Look at the MAR and chart. to note the time of the last dose and response.
Give the maximum PRS dose within the minimum time frame for relief.
IM or subcutaneous
Deliver the bolus dose per standing order.
Contact the physician to increase the dose.
Try non-pharmacological comfort measures.
Assess the pain for location. quality. and intensity.
Diversional therapy. such as playing cards or board games
Massage of back and neck with warmed lotion
Side-lying position with knees to chest and pillow against abdomen
Transcutaneous electrical nerve stimulation (TENS)