critique please

Ok this is my first dx with goals, intervention and rationale, does it look right? am I on the right track. Please any critisism is fine I might be completely off track i am trying to do this without any back ground. So whatever info or help given is very apprectiated.

Nursing diagnosis number one .(actual) Acute pain r/t tissue trauma associated with surgery, evidenced by a patient rating of 7 on a 0-10 pain scale.

Short term goals: (1) patient will immediately at onset use pain rating scale to identify current pain intensity and determine comfort/function goal. (2) Client will report within 30 minutes that pain management regimen relieves pain to satisfactory level with acceptable and manageable side effects.

Longer term goal: (1) Client will perform activities of recovery with reported acceptable level of pain, if pain is above comfort-function goal, take immediate action that decreases pain or notify a member of health care staff.

Nursing interventions:

(1) *The nurse will determine whether the client is experiencing pain at the time of the assessment. If so, intervene at that time to provide pain relief per physician's orders.

Rationale: key to successful relief of pain is ongoing assessment (Potter & Perry, 2005, 1254/42)

(2) Have client select nonpharmacological interventions that have relieved pain in the past.

Rationale: personal control allows a client to shape immediate circumstances trhough own actions (Potter & Perry, 2005, 1249/42)

(3) Plan nursing care activities when client is comfortable based on the knowledge that oral opiod medications begin to work in approximately 1 hour and IV medications in 5-30 minutes.

Rationale: perception of pain, it is necessary to medicate before doing any activity that causes pain to decrease the perception of pain, most medications take a specific amount of time to come into effect and knowing this ahead of time the nurse can plan activities that could increase the patients pain. (Potter & Perry, 2005, 1254/42)

(4) *Nurse will call and get orders and then administer for supplemental opiod doses to keep pain rating at or below the comfort-functional goal.

Rationale: Client with chronic pain must take an analgesic regulary, even when the pain subsides, regular administration maintains therapeutic blood levels, it is sometimes necessary to use a breakthrough medication when the around the clock analgesics are not working.(Potter & Perry, 2005, 1263/42)