Pain Paper - He has an elevated temperature pulse and blood...

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
Jennifer Franks 10-1-2010 Acute Pain A young boy and his mother enter the ER at 2:32 pm. He is holding his lower right arm. The mother explains that he fell off of the fireman’s pole during recess at school. An x- ray is ordered. Health History The admissions data reveals the patient is Noah Smith. He is 4 foot 2 inches tall, weighs 42 lbs., and has a temp. of 99.1, a pulse of 98, respirations of 24, and a bp of 108/68. He is currently being treated for asthma. His medication regimen includes one puff of Advair 50/100, one spray of Nasonex in each nostril and 5mg of Singulair once a day. Characteristics of Pain The client has verbalized his arm is in pain. He cries when it is moved and winces when sitting still. He continues to hold the arm as if to guard it. Objective Data The sagging of Noah’s right lower arm is indicative of a break.
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 2
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: He has an elevated temperature, pulse and blood pressure reading. Communication with the Client The client explained that when he fell, he put his arms out to break his fall. He thinks his arm is broke because it is shaped like an S. He claims it doesn’t hurt too bad as long as he doesn’t move. Pain Scale The Wong-Baker FACES pain rating scale of 0-5 was used. The patient chose 2 when sitting still, and 4 when being moved. Nursing Diagnosis The nursing diagnosis is Acute pain due to physical trauma. A related nursing diagnosis would be activity intolerance due to pain. Pain Management After his arm was reset and a cast was put on, a prescription of Tylenol was ordered for every 4 hours as needed....
View Full Document

This note was uploaded on 03/13/2011 for the course NURSING 122 taught by Professor ? during the Spring '11 term at Baker MI.

Page1 / 2

Pain Paper - He has an elevated temperature pulse and blood...

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online