Jump to content

HELP...Nursing diagnosis on Chronic Pain

Posted

I am doing my care plan on a 39y female who has had uncontrolled DM and has developed Diabetic Neuropathy from this. I am using Chronic Pain for her priority nursing diagnosis. She always rates her pain at a 10 and says not even an hour later that her pain is at a 10 again. I have trouble with the outcomes...such as Client will by (certain time on a certain day) state that her pain has decreased from a 10 to at least a 6 on a scale of 0-10. I need at least 2 of these, i am fine with my interventions its just outcomes.

If anyone can help that would be GREAT!! I will be checking back alot so if you need more information i can give it to you. This is due monday for me.

Daytonite, BSN, RN

Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience.

Outcomes are the predicted results of your nursing interventions. If you are "fine" with your interventions, then your outcomes merely need to reflect what should happen as a result of your interventions being successful.

CRIMSON

Specializes in Cardiac, Derm, OB.

A good intervention to add would be teach pain scale to patient, defining 0 as absolutely no pain and 10 is the absolute worst pain ever. And then a good outcome would be patient verbalizes understanding of scale and rates pain at ___/10.

If she still rates pain at 10/10 @ all times, does she exhibit pain? increase HR/bp, grimacing, guarding ect?? You might need to think dependency and then pain.

OR.. you can simply state goal not met, even with narcotic analgesic,_____, administered as ordered (detail it) and repositioning, distraction patient still rates 10/10 pain at all times. Physician notified.

Best I can do without actually seeing the whole shebang (assessment/chart ect).

Hope this helps.