Assessment Task In essay format, discuss the nurse role in facilitating successful pain management..
Assessment Task
In essay format, discuss the nurse role in facilitating successful pain management within the context of providing care for an acutely injured child, such as that given in the contextual case. Tailor your response to consider the developmental age of the child, such as Bill. In your response, include specific evidence based nursing approaches to manage pain that may be employed during the initial hospital stay timeframe of 12 hours and in the context of discharge planning and educating parents/carers to undertake care of Bill’s pain at home. Support your discussion points by integrating contemporary and relevant research literature.
NB: It is not necessary to discuss nursing pain management strategies for age groups or clinical conditions other than that provided in the contextual case.Document Preview:
Contextual Scenario Acute pain is a frightening experience for children. Despite wide research, inconsistent overall management of pain in children continues to be identified as a clinical practice issue. This includes lack of systematic and age appropriate assessment and monitoring, prolonged intervals between analgesia as well as use of sub-therapeutic analgesia régimes. Bill, aged 5 years, is admitted to the emergency department with a fractured right radius and multiple skin grazes on his forehead, right elbow, hip and knees. Bill sustained these injuries from a fall while playing with his skateboard on the concrete driveway of his home. Initially, Bill is sitting on his father’s lap and is crying. He points to his forearm when asked to locate where it ‘hurts the most’. His forearm appears swollen and Bill is unwilling to move his arm. Bill is given pain relief in the form of a paracetamol /codeine suspension while he is initially assessed. There is a small amount of bleeding from Bill’s skin grazes. Bill is visibly distressed by the bleeding but refuses to allow any dressing to be applied, pushing the nurse’s hand away and crying loudly. Bill is reviewed by the medical team and later has a closed reduction of his fracture and plaster application in the emergency department, using sedation and further analgesia. At this time his skin grazes are also cleaned and non adherent dressings applied. Assessment TaskIn essay format, discuss the nurse role in facilitating successful pain management within the context of providing care for an acutely injured child, such as that given in the contextual case. Tailor your response to consider the developmental age of the child, such as Bill. In your response, include specific evidence based nursing approaches to manage pain that may be employed during the initial hospital stay timeframe of 12 hours and in the context of discharge planning and educating parents/carers to undertake care of Bill’s pain at…
