Page 27 - Advanced Communication in Nursing

b. Write down your nursing interventions based on these case scenarios.

CASE 1
The patient is Ms E. The subjective data is her utterance that her leg sometimes hurt. The
objective data is the pain scale of 7/10. The facial expression of the patient looks grimace and
she has guarded behavior. From the assessment, the nursing diagnosis developed is acute pain
related to irritation of nerve endings secondary to surgical procedure as evidenced by pain scale
of 7/10. Acute pain is a type of pain that typically lasts less than 3 to 6 months directly related
to soft tissue damage.
There are two goals, short-term and long-term. The short-term goal is after 8 hours of nursing
interventions, the patient is going to be able to report that pain is relieved or controlled. While
the long-term goal is after 2-3 days of nursing interventions, the patient is going to be able to
demonstrate the use of relaxation techniques and diversional activities for individual situations.

CASE 2

Mrs. O’Grady is a 55-year-old female with a history of angina and recent hospital admission for
complaints of chest pain and shortness of breath. It is determined that she did not suffer a
myocardial infarction. Mrs. O’Grady’s health care provider has scheduled her for a cardiac
catheterization after learning that the results of her dipyridamole (Persantine) myocardial
perfusion imaging study (stress test) were abnormal. Mrs. O’Grady is having a cardiac
catheterization today. The cardiac catheterization lab nurse assigned to care for Mrs. O’Grady will
provide teaching, check to see that there are no contraindications for Mrs. O’Grady consenting
to the procedure, and provide pre- and post-procedure care.

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