Hello Can you please help me with the next question? (The main concept is pain) Helen Mellum is a 78-year-old female who suffered a right fractured hip after falling on the ice. She had a right hip pinning done and has just arrived on the orthopedic floor from the recovery room where she received a dose of hydromorphone (Dilaudid) IV two hour ago. Orders include Dilaudid 1mg every 2 hours prn. She has a history of chronic obstructive pulmonary disease (COPD) and hypertension (HTN). Vital signs: BP 114/62, HR 72, RR 16, temp 37.2, O2 saturation 96%. She is drowsy, but arouses easily. Lung sounds are clear. When sleeping breathes with her mouth open. Heart tones are distant but regular. Feet are cool to touch bilaterally with pedal pulses at 2+. Capillary refill at 1 second. Skin turgor elastic, tongue is dry. Right hip incisional dressing is dry and intact. She complains of constant, sharp incisional pain, rated at 7 on scale of 0-10. She indicates the intensity goes up to a 10 when she moves. She has an IV of normal saline infusing at 50 ml/hr and she is on a clear liquid diet. The assignment is: Planning (Generate Solutions) What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant, time-restricted- Goal setting) Thank you in advance
Hello
Can you please help me with the next question? (The main concept is pain)
Helen Mellum is a 78-year-old female who suffered a right fractured hip after falling on the ice. She had a right hip pinning done and has just arrived on the orthopedic floor from the recovery room where she received a dose of hydromorphone (Dilaudid) IV two hour ago. Orders include Dilaudid 1mg every 2 hours prn. She has a history of chronic obstructive pulmonary disease (COPD) and hypertension (HTN). Vital signs: BP 114/62, HR 72, RR 16, temp 37.2, O2 saturation 96%. She is drowsy, but arouses easily. Lung sounds are clear. When sleeping breathes with her mouth open. Heart tones are distant but regular. Feet are cool to touch bilaterally with pedal pulses at 2+. Capillary refill at 1 second. Skin turgor elastic, tongue is dry. Right hip incisional dressing is dry and intact. She complains of constant, sharp incisional pain, rated at 7 on scale of 0-10. She indicates the intensity goes up to a 10 when she moves. She has an IV of normal saline infusing at 50 ml/hr and she is on a clear liquid diet.
The assignment is:
Planning (Generate Solutions)
What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant, time-restricted- Goal setting)
Thank you in advance
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