Pain Management Goals

Improved Essays
I would begin to explain in terms that, the patient would be able to understand. I explain that, in order for the surgeon to access the heart that, there was a 5cm incision made in between the second on third rib, and then his chest muscle with divided and his third rib had been dislocated.
My top two priorities for this patient would being with discussing with the patient on what his acceptable pain management goals would be and to work closely with the patient physician and the patient to monitor the effects of the pain medication, to ensure that these goal are getting met. My next concern would be to monitor for complication of his surgery, such as, bleeding, thromboembolism, infection, heart failure, hypertension, dysrhythmias, hemolysis, and any mechanical obstruction of the value (Hinkle & Cheever, 2014).
…show more content…
Hinkle, J. L., & Cheever, K. H. (2014). Chapter 28: Management of patients with structural, infectious, and inflammatory cardiac disorders. Brunner and Suddarth’s textbook of medical-surgical nursing. Philadelphia, PA: Wolters Kluwer Health / Lippincott Williams &

Related Documents

  • Superior Essays

    Carlie Fleming Mrs. Stanley English 12 27 October 2016 An Anesthesiologist Anesthesiologists are physicians who administer and determine what type of anesthetic treatment is to be used for the patient prior to surgery, as well as positioning the patient on the operating table in a manner that will be helpful to the surgery. Following strict medical guidelines, the anesthesiologist takes into account the patient’s current health, any medications they are taking, and the type of surgery that is being performed. While the surgery is taking place, the anesthesiologist monitors the patient’s critical life functions to make sure no complications arise. After the surgery is over, the patient’s well-being has to be monitored as the anesthetic wears…

    • 1112 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Daniel Hale Willams By; Erica Lamb Daniel Hale Willams was a man ahead of his time. He performed the first known open heart surgery in the United States, and also founded a hospital with an interracial staff during an extremely racial time in history. Daniel Willams was born Jan. 18 1856. He was born African American.…

    • 876 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    No plagiarism detected In conclusion, early ambulation is extremely beneficial to the postoperative cardiac patient in several ways. Patient’s experience a shorter length of stay, fewer postoperative complications (i.e pneumonia/ deep venous thrombosis), and a fewer readmission rate for a 6-month period. Patients experienced less back pain, vascular complications (like DVT), urinary discomfort, and they had an overall better well-being perception. By shortening the length of stay, we decrease the risk of hospital acquired infections, delirium, and many other hospital acquired issues.…

    • 260 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Neck Pain Case Studies

    • 715 Words
    • 3 Pages

    This is a 45-year-old male with a 2-20-2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Sprain of joints and ligaments of unspecified parts of neck, initial encounter 01/11/16 Progress Report describes that 15 minutes were spent in review of the results from the urinary drug screen, which was administered at the previous visit and deciding whether any modifications are appropriate to the treatment regimen. The pain is better and down to a 3/10. The neck pain remained mild.…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Whereas there are some patients on the Surgical ICU who have heart problems, on the Cardiac ICU all the patients’ problems are cardiac centered. The Surgical ICU receives all patients in critical position post-surgery. Similarly to 2900 each nurse, is assigned one-two, three patients at the…

    • 1231 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Same Day Surgery During same day surgery, I shadowed Nurse Laura, BSN, RN. We prepared four patients for their procedures. The first patient was an 81 year old, white male. He was a patient of Dr. Workman in for a medi-port placement. A medi-port is one type of a central venous access device.…

    • 1443 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Scope Of Pain

    • 51 Words
    • 1 Pages

    Majority of doctors have taken the Scope of Pain certification course. Several doctors will not prescribe opioids to patients who are taking antihistamines and muscle relaxants. The consensus is that both combination should be avoided. The combination has been linked to an increase in emergency room visits especially for older…

    • 51 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Annotated Bibliography Cagle, J. G., Zimmerman, S., Cohen, L. W., Porter, L. S., Hanson, L. C., & Reed, D. (2015). Empower: An intervention to address barriers to pain management in hospice. Journal of Pain and Symptom Management, 49(1), 1-12. doi: 10.1016/j.jpainsymman.2014.05.007.…

    • 1088 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Pain Management Case Study

    • 1495 Words
    • 6 Pages

    UNJUST PAIN MANAGEMENT For the African-American Community As nurse, we seek to aide all of those who seek our help. However, not everyone is treated justly when it comes to pain management and pain control. An example of this disparity would be the case Dominique Oliver, an African American male, received a compound fracture to his lower leg while attempting to steal a soccer ball from a player on the opposing team while playing sports in high school.…

    • 1495 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    Aleeyah Davis TN Student Success Mrs.Thomason 16 February 2017 My future career goal is to be an anesthesiologist nurse. An anesthesiologist nurse helps anesthesiologists give a soporific to patients before going into surgery. They also screen essential life signs and ensure everything in the body is working appropriately while under the analgesic. I think I would be great an anesthesiologist.…

    • 434 Words
    • 2 Pages
    Decent Essays
  • Superior Essays

    As a Registered Nurse, I begin my shift by accepting report from the previous nurse. I understand that I am orientating a new Licensed Practical Nurse who is almost complete with her orientation. I have three patients, and I am expecting a new admission from the Emergency Department, who presents with chest pain. My job is to delegate the appropriate patient or patients to a licensed practical nurse after I introduce myself and the LPN. It is very important for me to know how to prioritize the patient care.…

    • 1402 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Pain Assessment

    • 654 Words
    • 3 Pages

    Statement of the Problem Health care facilities are consistently looking for new ways to improve patient satisfaction in all aspects of the hospital experience (Gebremedhn, Chekol, Amberbir, & Flatie, 2015). Patient satisfaction is important for both improving patient recovery and for improving hospital ratings and overall atmosphere of the facility (Gebremedhn et al., 2015). Because of this, hospital staffs are considering different ways to ameliorate the experience of patients, especially in the aspect of pain relief in anesthesiology. Anesthesiology is the practice of medicine dedicated to pain relief. Health care professionals are currently studying further the role of anesthesiology in improving patient satisfaction.…

    • 654 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    As a Registered Nurse prioritizing between patients is crucial. The nursing process steps will be implemented with each patient the nurse has. In these scenarios, I will prioritize my patient by who is more critical and then by which poses the most risk. The cardiac patient will have priority being that he is one-day post-op.…

    • 962 Words
    • 4 Pages
    Superior Essays
  • Great Essays

    • Client will explain actions and precautions to take for cardiac disease Short - Term Expected Outcomes: Client will be free of chest pain, hemodynamic parameters will be within normal limits and…

    • 867 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    Essay On Hip Replacement

    • 545 Words
    • 3 Pages

    WHY IS THE PROCEDURE DONE? A total hip replacement is a surgical procedure where the diseased/damaged cartilage and bone of the hip joint is replaced with artificial materials called implants. This surgery may be considered following a hip fracture or for someone who has severe pain due to arthritis. INDICATIONS FOR SURGERY: When osteoarthritis (also known as degenerative arthritis) is not curable by medical therapy and the patient continues to experience pain while walking, climbing stairs and even getting up from sitting position, the doctor may advise for a hip replacement surgery.…

    • 545 Words
    • 3 Pages
    Improved Essays