all right, here's the problem i would have as you're instructor and it goes all the way back to your assessment of the patient. you have to be more specific about this lady's pain. part of doing a care plan is also looking up information about the medical disease that is involved. the pain of osteoarthritis is not a generalized, all over the body, pain. it is usually confined to the joints and involves inflammatory processes. the reason for the pain would be known from a more thorough assessment of the patient and her pain.
- where is the pain located?
- how long does it last?
- how often does it occur?
- what words does the patient use to describe the pain?
- what triggers the pain?
- what relieves the pain?
- what makes the pain worse?
- what is the level of pain on a scale of 0 to 10
- what is the patient's behavior to the pain: changes in body position, moaning, sighing, facial grimacing, withdrawal, crying, restlessness, muscle twitching, irritability, immobility
pain is a symptom. does the pain only occur with movement or weight bearing? does it go away when the patient is off her feet? is the pain only in specific joints? any stiffness? how is this pain restricting activities? does stiffness occur in the morning after a long period of rest, such as sleep? do the joints involved have any redness, swelling or deformity? knowing all that is going to affect what you are going to do for pain relief. medications aren't the only treatment. and, anyway, medications are a collaborative intervention. dazzle your ci by coming up with independent nursing interventions can you do for pain without a doctor's order. there's a bunch of them for the pain of osteoarthritis.
also there is a problem with your nursing diagnostic statement if the instructor didn't already point it out: chronic pain r/t osteoarthritis aeb client stating she was often in pain
. you can't use a medical diagnosis as a related factor (etiology) of the problem (nursing diagnosis). a possible suitable replacement would be "movement"
or "inflammatory process in joints".
your supporting evidence (client stating she was often in pain)
just isn't specific enough. this again comes from data you collect from your assessment of the patient. it doesn't indicate a very thorough investigation of this patient's pain symptoms. and that is why i think your instructor is saying your interventions need to be more specific. interventions are based on the data you collect. if your data isn't specific enough, how can your interventions be specific?
you can find information on osteoarthritis at the weblinks listed on this thread if you can't find it in your textbooks: