After reviewing the admission assessment of a client with chronic pain, which intervention(s) should the nurse include in this client’s plan of care? (Select all that apply.)
A.
Provide comfort measures such as topical warm application and tactile massage.
B.
Assist the client to ambulate as much as possible during waking hours.
C.
Determine client’s subjective measure of pain using a numerical pain scale.
D.
Encourage increased fluid intake and measure urinary output every 8 hours.
E.
Implement a 24-hour schedule of routine administration of prescribed analgesic.
The correct answer and Explanation is :
The correct interventions for the client with chronic pain are:
A. Provide comfort measures such as topical warm application and tactile massage.
C. Determine client’s subjective measure of pain using a numerical pain scale.
E. Implement a 24-hour schedule of routine administration of prescribed analgesic.
Explanation:
- Comfort Measures (A): Providing comfort measures like topical warm applications and tactile massage can help alleviate pain and improve the client’s overall comfort. Heat applications can promote blood flow and relax muscles, while tactile massage can help reduce tension and enhance relaxation, both of which are beneficial in managing chronic pain.
- Subjective Pain Assessment (C): It’s crucial to determine the client’s subjective measure of pain using a numerical pain scale. Chronic pain is a subjective experience, and understanding the client’s pain level is essential for tailoring interventions. Regular assessments allow for adjustments in the pain management plan based on the client’s current experience, which is vital for effective pain management.
- Analgesic Administration (E): Implementing a routine schedule for administering prescribed analgesics helps maintain consistent pain control. Chronic pain often requires regular medication rather than PRN (as needed) administration to prevent pain from escalating. A 24-hour schedule ensures that the client has continuous relief and can engage in daily activities without the interruption of pain.
Interventions Not Included:
- B (Ambulation): While ambulation is important for maintaining mobility and preventing complications, it should be balanced with pain management. The nurse must assess the client’s pain level and physical capability before promoting ambulation.
- D (Fluid Intake): While increased fluid intake is important for overall health, it is not a primary intervention for managing chronic pain unless the client is dehydrated or at risk of urinary complications.
In summary, effective pain management requires a comprehensive approach that includes both physical comfort measures and appropriate medication management tailored to the client’s individual pain experiences.