pain assessments

[tigermum]

Have q on one assignment. my patient is taking morphine for pain what are 4 areas of assessment for pain, justify each answer. please help??????????

[FireStarterRN, BSN, RN]

Not sure what you're asking, but I would want to know 1)Onset 2)Intensity 3)Location 4)Contributing factors 5)What relieves it 6)Does it radiate? 7)Have they ever had this type of pain before

That's all I can think of.

[tigermum]

Not sure what you're asking, but I would want to know 1)Onset 2)Intensity 3)Location 4)Contributing factors 5)What relieves it 6)Does it radiate? 7)Have they ever had this type of pain before

That's all I can think of.

Your patient is receiving morphine for pain. What are four (4) areas of assessment that is required for a patient receiving an opioid for pain relief? Justify each answer.

I appreciate the answer but with this question there are so many that can be answered. or I am just tired of asignment writing and my brain is getting a little tired

tigermum thanksyou

[Daytonite, BSN, RN]

There is a link to a pain assessment tool on this post of the Health Assessment Resources, Techniques, and Forms Forum in the Nursing Student Assistance Forum

https://allnurses.com/forums/1547776-post11.html

This nursing diagnosis page for Acute pain has good information and rationale regarding the assessment of pain:

http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/index.cfm?plan=40

This nursing diagnosis page for Acute pain has evidence based references regarding the interventions. See the information under Pain Management.

http://www1.us.elsevierhealth.com/Evolve/Ackley/NDH7e/Constructor/careplan_052.php

[GingerSue]

PQRST

P - provocative or palliative (what brings it on? What makes it better? What makes it worse?)

Q- quality or quantity (how does it feel? How intense/severe is it?)

R - region or radiation (where is it? Does it spread anywhere?)

S- Severity scale (How bad is it on a scale of 1 to 10? Is it getting beter, worse, staying the same?)

T- Timing (onset - when did it first occur? Duration - how long did it last? Frequency - How often does it occur?)

U - Understand patient's preception of the problem. what do the patient think that it means?

[FireStarterRN, BSN, RN]

Your patient is receiving morphine for pain. What are four (4) areas of assessment that is required for a patient receiving an opioid for pain relief? Justify each answer.

I would worry about 1) Respiratory Rate 2)Level of Consciousness 3)Bowel Habits 4)Pain Level before and after administration of medication

[deeDawntee, RN]

I would worry about 1) Respiratory Rate 2)Level of Consciousness 3)Bowel Habits 4)Pain Level before and after administration of medication

I would add blood pressure as well.

[FireStarterRN, BSN, RN]

I would add blood pressure as well.

Good point.

[deeDawntee, RN]

Have q on one assignment. my patient is taking morphine for pain what are 4 areas of assessment for pain, justify each answer. please help??????????

1) SIGNS OF PAIN

Vital signs: tachypnea, tachycardia and HTN call all be signs of increased pain, also diaphoresis, pallor, guarding, anxiety etc. Conversely, respiratory rate and blood pressure will have to be watched closely after morphine is given to avoid hypoventilation and hypotension. Be ready to administer Narcan if needed.

Is the patient on a bowel regime? When was the last BM?

2) SYMPTOMS OF PAIN

Pt's subjective symptoms of pain: (as described in other posts). Location, duration, intensity, description, what makes it worse/better, then intervention and then reassessment of the above.

3) LOOK FOR THE SOURCE

What is the cause of the pain? Are we just masking pain which is an indicator of an underlying condition? (such as chest pain) Are the Doctors aware of this pain? If not they should be informed and appropriate diagnostic testing should be instituted. What have the diagnostic testing indicated? Has something been missed.

4) REEVALUATE EFFECTIVENESS

How long has this patient been on Morphine? Can we add NSAIDS or change to oral analgesia, like Vicodin or Percocet? How about complementary therapies like massage, or music... Or if the patient is not getting good relief with Morphine, should we change to Dilaudid or perhaps a PCA pump? Is there some psychological issues involved? Would the patient do better with an anti-anxiety med along with analgesia?

That's all I can think of for now. Very important set of skills to have as a nurse. The patient's pain level is often the only indication we have of something new going on with them.

;);)good question!