Acute Pain

Published on May 2016 | Categories: Documents | Downloads: 83 | Comments: 0 | Views: 322
of 2
Download PDF   Embed   Report

Comments

Content

Assessment

Diagnosis

Scientific Rationale Acute lymphocytic leukemia (ALL) occurs when the the body produces a large number of immature white blood cells, called lymphocytes. The cancer cells quickly grow and replace normal cells in the bone marrow. Bone marrow is the soft tissue in the center of bones that helps form blood cells. ALL prevents healthy blood cells from being made. Lifethreatening symptoms can occur.

Plannimg

Intervention 1. Investigate reports of pain. Note changes in degree (use scale of 0 to 10) and site. 2. Monitor vital signs and note nonverbal cues, such as muscle tension and restlessness. 3. Provide quiet environment and reduce stressful stimuli: noise, lighting, and constant interruptions. 4. Place in position of comfort, and support joints and extremities with pillows and other padding. 5. Reposition periodically and provide or assist with gentle rangeof-motion (ROM) exercises.

Rationale 1.Helpful in assessing need for intervention and may indicate developing complications. 2.May be useful in evaluating verbal comments and effectiveness of interventions. 3.Promotes rest and enhances coping abilities.

Evaluation

Subjective: “Puro pasa yung katawan niya at hinang-hina siya.” As verbalized by the mother. Pain Scale:3/5 Objective: decreased RR(25cpm), decreased CR(90bpm), sunken eyeballs, pale-looking, petechiae, fever (temp:38.0)

Acute pain related to physical agents—enlarged organs and lymph nodes, bone marrow packed with leukemic cells, chemical agents— antileukemic treatments, psychological manifestations— anxiety, fear

After 24 hours of nursing intervention client will be relieved of pain in relation to having signs and symptoms of acute lymphocytic leukemia, will appear relaxed and able to sleep and rest appropriately, and will demonstrate behaviors of managing pain.

After 24 hours of nursing intervention client was relieved of pain in relation to having signs and symptoms of acute lymphocytic leukemia, appeared relaxed and able to sleep and rest appropriately, and demonstrated behaviours of managing pain.

4.May decrease associated bone and joint discomfort.

5.Improves tissue circulation and joint mobility.

Sponsor Documents

Or use your account on DocShare.tips

Hide

Forgot your password?

Or register your new account on DocShare.tips

Hide

Lost your password? Please enter your email address. You will receive a link to create a new password.

Back to log-in

Close