HESI CASE STUDY FUNDAMENTALS PAIN

HESI CASE STUDY FUNDAMENTALS PAIN

He has had 3 weeks of radiation therapy and now has pain located in his lips external and internal , tongue, hard and soft pallet, and some on the inside of both cheeks. Newman is a year-old, 90 kg, Caucasian male whose parents immigrated from Germany. She agreed to inpatient hospice care. Atarax 50 mg every 4 to 6 hours as needed effectively controlled her anxiety. At night she cries, when she thinks no one can hear her. Gypsy needed Step III drugs.

Sando’s physical condition has deteriorated significantly since her last visit. They are concerned that he might aspirate in his sleep. She rates the pain in the area of her incision between dressing changes as on a 0 to 10 scale but calls her pain a 10 during dressing changes. An admission history takes place between you, the hospital nurse, and Janelle. He told her there were therapies that could be used to control her cancer but that none of them could cure her cancer. She had not realized how much distress the urinary urgency had caused her until the Foley relieved it. She described the pain as a dull ache that increased at night.

Preoperatively he indicated that he had a very low tolerance for pain. Hedi pain was reported as located in her shoulder and arm, but when she used a body outline to show where her pain was located, the etiology of her pain was clear to her pulmonologist.

She learned the test results from her pulmonologist.

Pain Management: Case Studies

Atarax 50 mg every 4 to 6 hours as needed effectively controlled her anxiety. She and her son are frequent visitors to the emergency room where you work.

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It was difficult for her to undergo diagnostic staging scans only four days after he died and biopsy bronchoscopy two days before Christmas, two weeks after her first hemoptysis. She began the amitriptyline at 25 mg to minimize anticholinergic effects and escalated the dose to 50 mg after 4 days. One night, they rushed sgudy the emergency room with Janelle in hard labor after only a week gestation. I feel so good.

hesi case study fundamentals pain

Gypsy inquired about the possibility of radiation treatment to her thigh, but it was denied since the bone scan was negative. Her radiation oncologist prescribed a swish fundamentald swallow solution of Mylanta, Xylocaine, and Benadryl to relieve her dysphagia.

Maintaining control was important to Gypsy and she achieved this goal. Sando becomes increasingly sicker, it is clear she is at a crossroads in her bout with end-stage ischemic cardiomyopathy. In accordance with the first step of the Analgesic Ladder, a nonsteroidal anti-inflammatory agent, Naprosyn mg Cas was used in addition to antitumor therapy.

Based on these data, her physician prescribes Morphine mg IV q hours. Sando is a year-old woman paln end-stage ischemic cardiomyopathy. Weak and thin, Mr. You encounter his family while on rounds. In the hallway outside the intensive care unit, the older daughters tell the ICU nurse and Gloria to “let her go peacefully.

As a hospice nurse, describe the subcutaneous drug and dose you think would be effective for Mr. It was during this time that she stated, “How can I be dying? He is quite upset.

Her radiation oncologist prescribed a swish and swallow solution of Mylanta, Xylocaine, and Benadryl to relieve her dysphagia. After all, she had a smoked 1 to 2 packs of cigarettes per day for 50 year, and her father died from lung cancer at age He sat down next to Gypsy and talked with her hwsi her lung cancer.

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hesi case study fundamentals pain

Three months after her thigh pain started, another bone scan finally revealed metastatic disease in the right femur and T12 to L4 vertebrae to which 10 radiation treatments were administered. He was gentle and kind as fundamentsls told her she had poorly differentiated nonsmall cell lung cancer metastatic to the other lung, both kidneys, and possibly the cervical spine.

The acute pain caused by the antitumor therapy resolved after three weeks, but Gypsy did not remain pain-free. Because of the pain, Gypsy’s functional status declined to the point of using a walker to ambulate in her house and a wheelchair for activity outside.

He sat down next to Gypsy and talked with her about her lung cancer. She readily agreed and was amazed at the amount of comfort it provided her.

He funddamentals diagnosed with Stage 4 cancer in the head and neck region. He developed necrotizing enterocolitis and required surgery to remove part of his intestine. She had not realized how much distress the urinary urgency had caused her until the Foley relieved it.

Both the nurse and physician were amazed at her direct approach to the issue.