Need help with interventions on pain
- 0need help for interventions of pain r/t decreased o2 supply to tissues please someone help meLast edit by sirI on Jan 24, '08 : Reason: reduced font size
- 1hi, mybabyjhay, and welcome to allnurses!
you have given us a nursing diagnostic statement of pain r/t decreased oxygen supply to tissues. breaking this down it represents the following:
nursing diagnosis (patient problem): painfirst of all, you've got a big problem with the diagnosis and related factor here. if you will refer to a nanda nursing diagnosis reference you will find that you have diagnosed this incorrectly and the related factor you have listed is not an appropriate related factor for pain. you need to correct that. if this patient is, indeed, having a decreased oxygen supply to his tissues, then pain is not his main problem, and a different diagnosis is needed: ineffective tissue perfusion and it will need to be related to some underlying pathophysiology of his/her disease process--not pain. pain is merely a symptom of the problem.
related factor (etiology, or cause, of the problem): decreased oxygen supply to the tissues
here are weblinks that have nanda information on the nursing diagnoses of acute and chronic pain. the difference between the two is the length of time that the pain has existed. read the definition of the two diagnoses very carefully before deciding which diagnosis to use. the patient will need to have symptoms of the pain. you will find symptoms (defining characteristics) of the pain listed on the websites listed below.
- [color=#3366ff]acute pain
- [color=#3366ff]chronic pain
- 1Quote from mybabyjhaydo you have a nursing diagnosis reference? you need to refer to one to get this diagnosis worded (and classified) correctly. what are your patient's symptoms of the anemia?how about ineffective peripheral tissue perfusion r/t impaired circulation. the disease is anemia... thanks really need your help
ineffective tissue perfusion ([color=#3366ff]ineffective tissue perfusion specify type: renal, cerebral, cardiopulmonary, gastrointestinal, peripheral and http://www1.us.elsevierhealth.com/me...ex.cfm?plan=55) must be specified as being renal, cerebral, cardiopulmonary, gastrointestinal or peripheral. that can only be decided based upon your patient's symptoms. the related factors for this diagnosis are:
- altered affinity of hemoglobin for oxygen
- decreased hemoglobin concentration in blood
- enzyme poisoning
- exchange problems
- impaired transport of oxygen
- interruption of blood flow
- mismatch of ventilation with blood flow
- page 229, nanda-i nursing diagnoses: definitions & classification 2007-2008
and, again, what are the symptoms of their anemia. i'm looking for things like:
- light headedness
- shortness of breath
- inability to concentrate
OBJECTIVE: fatigue, weakness, generalized malaise, skin pallor, tachycardia, and shortness of breath
ASSESSMENT: Ineffective peripheral tissue perfussion r/t impaired circulation.
EVALUATION: The patient should maintain optimal tissue perfussion to the periphery, AEB strong peripheral pulses, good capillary refill, and good movement.
thank you very much for your help :spin:
- 1Quote from mybabyjhayok, now we're getting somewhere. in your nursing textbook(s) you need to look in the index at the back of the book for each of these things:thanks
symptoms are: fatigue, weakness, generalized malaise, skin pallor, tachycardia, and shortness of breath... i need interventions for that symptoms... i'm so confused and tired...
- shortness of breath (dyspnea)
hope that helps and gets you started with this assignment. maybe you should get some rest and then start again on this when you are more refreshed and have had some time to think about all this.
- 1Quote from mybabyjhayno! the above is all wrong!anemia
objective: fatigue, weakness, generalized malaise, skin pallor, tachycardia, and shortness of breath
assessment: ineffective peripheral tissue perfussion r/t impaired circulation.
evaluation: the patient should maintain optimal tissue perfussion to the periphery, aeb strong peripheral pulses, good capillary refill, and good movement.
objective: ineffective tissue perfusion, peripheral r/t [you still don't have a proper cause identified - this is based on what is causing the patient's anemia - see the list i gave you above]
assessment: fatigue, weakness, generalized malaise, skin pallor, tachycardia, and shortness of breath
planning: the patient should maintain optimal tissue perfusion to the periphery, aeb strong peripheral pulses, good capillary refill, and good movement; patient's fatigue and malaise will be improved; patient will be able to move about without any shortness of breath
interventions: to be developed
evaluation: was the patient's problem(s) resolved? were the goals achieved? are the interventions appropriate and still current, or do they need to be changed and updated?