Trinity Valley Community College Associate Degree Nursing Focused Clinical Activity – Level III Concept: Comfort/Grief Clinical Objectives: 1. The student will be able to differentiate between acute and chronic pain. 2. The student will describe the treatment regimen for chronic pain control. 3. The student will participate in a verbal conversation dealing with a patient/family dealing with some sort of “bad” news. Instructions: 1. The student should identify 2 different patients with comfort needs 2. The student should complete the table comparing chronic and acute pain. Clinical Activity 1 Acute Chronic Vital sign Vital signs Describe the pain Describe the pain Effect of pain on lifestyle 1. Effect of pain on lifestyle 1. 2. 2. 3. 3. Nurse response to the of pain: Nurse response to the of pain: patient’s report patient’s report Treatment Acute Chronic Treated according to HCP orders on a PRN Treated per HCP orders requires a sustained basis medication and a breakthrough medication IVP Morphine or Dilaudid; Sustained; Fentanyl patch or MS Contin Stadol in Maternal child Breakthrough; Roxanol liquid or sometimes P.O. Percocet, NSAID p.o. short acting narcotic Problem producing pain is identified and Problem not able to be identified or if resolved identified cannot be resolved Bowel Regimen: Prepare drug cards for morphine, hydromorphone, Stadol, NSAID Fenanyl patch, MS Contin, Roxanol liquid, Stool softners, bulk laxative Discuss patient with known or suspected drug seeking behaviors, children, and elderly.
Trinity Valley Community College Associate Degree Nursing Focused Clinical Activity – Level III Concept: Comfort/Grief Clinical Objectives: 1. The student will be able to differentiate between acute and chronic pain. 2. The student will describe the treatment regimen for chronic pain control. 3. The student will participate in a verbal conversation dealing with a patient/family dealing with some sort of “bad” news. Instructions: 1. The student should identify 2 different patients with comfort needs 2. The student should complete the table comparing chronic and acute pain. Clinical Activity 1 Acute Chronic Vital sign Vital signs Describe the pain Describe the pain Effect of pain on lifestyle 1. Effect of pain on lifestyle 1. 2. 2. 3. 3. Nurse response to the patient’s report of pain: Nurse response to the patient’s report of pain: Treatment Acute Chronic Treated according to HCP orders on a PRN basis IVP Morphine or Dilaudid; Stadol in Maternal child P.O. Percocet, NSAID Treated per HCP orders requires a sustained medication and a breakthrough medication Sustained; Fentanyl patch or MS Contin Breakthrough; Roxanol liquid or sometimes p.o. short acting narcotic Problem producing pain is identified and resolved Problem not able to be identified or if identified cannot be resolved Bowel Regimen: Prepare drug cards for morphine, hydromorphone, Stadol, NSAID Fenanyl patch, MS Contin, Roxanol liquid, Stool softners, bulk laxative Discuss patient with known or suspected drug seeking behaviors, children, and elderly.
Week%208%20Comfort%20&%20Grief.docx