During assessment, Mr. Fellows relates a history of sudden onset chest pain rated at 10 on a 1 to 10 scale, relieved by rest, which started while he was mowing the lawn. He describes the pain as "crushing, like a truck ran over my chest." His blood pressure is 200/110 mm Hg, temperature is 36.7, pulse is 106 beats/min, and respirations are 24 beats/min. The pulse is irregular and thready, and the respirations slightly dyspneic (labored). The cardiac monitor reveals atrial fibrillation. During the assessment, his wife confides to the nurse that Mr. Fellows was treated 3 years ago for alcohol dependence. Currently, he is complaining of nausea and indigestion. His skin is pale and diaphoretic. He is restless and anxious. His wife is sitting at the bedside very tearful and emotional.
Based on the scenario, discuss your interpretation, analysis, evaluation, inference, explanation, self regulation and how would you use these to resolve a situation related to the PATIENT'S PAIN.
Interpretation (Clarify what the behavior means)
Analysis(During the Assessment, what questions should the nurse ask to determine the best plan of care?)
Evaluation(What outcomes do you expect to achieve with your patient today?)
Inference (What conclusion [explanation for behavior] could the nurse make, based on the analysis)
Explanation (During implementation, how can the nurse justify the actions being initiated)
Self-regulation(What issues should the nurse reexamine to correct or improve the nursing care?)
