Chapter 35, Problem 2RP

1.

Summary Introduction

To discuss:

The assurance given to patient X and his mother about pain relief and control.

Case summary:

Patient X is a 5-year-old boy, who had been diagnosed with ulcerative colitis. While he was in the bathroom with his mother, he suddenly holds his stomach and starts to scream that his stomach is hurting very much. The patient’s mother pulls the alarm while his pain is increasing and needed assistance to get off the toilet. He received a smaller dose of pain relief medication that seems to take no action, while patient X still screams and lies in a fetal position while holding his stomach and says his pain seems never to go away.

2.

Summary Introduction

To discuss:

The best way to communicate emotional support and a commitment to provide pain relief to patient X and his mother.

Case summary:

Patient X is a 5-year-old boy, who had been diagnosed with ulcerative colitis. While he was in the bathroom with his mother, he suddenly holds his stomach and starts to scream that his stomach is hurting very much. The patient’s mother pulls the alarm while his pain is increasing and needed assistance to get off the toilet. He received a smaller dose of pain relief medication that seems to take no action, while patient X still screams and lies in a fetal position while holding his stomach and says his pain seems never to go away.

3.

Summary Introduction

To discuss:

The involvement of Ms. M with the trainee nurse in coordinating patient X’s pain management.

Case summary:

Patient X is a 5-year-old boy, who had been diagnosed with ulcerative colitis. While he was in the bathroom with his mother, he suddenly holds his stomach and starts to scream that his stomach is hurting very much. The patient’s mother pulls the alarm while his pain is increasing and needed assistance to get off the toilet. He received a smaller dose of pain relief medication that seems to take no action, while patient X still screams and lies in a fetal position while holding his stomach and says his pain seems never to go away.