Levett-Ryan's Pain Assessment Case Study

1330 Words6 Pages
John Ryan’s pain specialist refers him to the community nursing service to have an initial assessment from the Outpatient Pain Clinic. The community nurse is about to undertake several visits to this new client’s home to accomplish the assessments and provide care and education. This paper will present the rational priorities of the assessments and the interventions during the community nurse’s initial and follow-up visit on the basis of the Levett-Jones’ Clinical Reasoning process.
According to Levett-Jones’ Clinical Reasoning process (2013), before the first home visit, the nurse should go through all the information about the patient, including John’s medical history, the results of previous observations, assessments and exams, current using
…show more content…
According to the given information, John is suffering from significant ongoing pain for years and the pain is suddenly increasing. By undertaking pain assessment, the nurse could know the detail about John’s pain as in its intensity, location, onset, duration, variation and quality (Tollefson, 2012). Australian Centre for Evidence Based Aged Care (2012) suggests that untreated pain may cause by the health professional’s inadequate knowledge and lack of effective pain assessment. However, the possible consequence of untreated pain includes physical and psychosocial dysfunction (ACEBAC, 2012). 'Assessment is the first stage in the nursing process and must be the first stage in pain management (Mitchell, 2011, para.13) '. Therefore, a comprehensive pain assessment is critical for the nurse to identify the severity of John’s…show more content…
After the psychosocial assessment, the nurse identifies that John’s main issue in the psychosocial assessment is his sleep and rest, as he reports that he has woken up at night by pain. Byers, Lichstein and Thorn (2016) state that sleep disturbance is common in people with chronic pain, while about 53 % up to 88 % patients has the estimates of insomnia symptoms. ACEBAC (2012) suggests that lacking of sleep can cause a heightened perception of pain, which disrupts sleep in return. This indicates that pain perception and sleep have reciprocal influences to each other, which is a vicious circle. The community nurse’s goal would be to improve John’s sleeping quality, thus some nursing interventions need to be taken action. As the sleep disturbance may probably be caused by John’s pain, again the nurse can provide a medication education about his PRN diazepam and his pain relieve drugs, and refer this condition to his pharmacist. Secondly, There are various psychosocial therapies as non-pharmacological interventions recommended by Park (2012), for example, cognitive-behavioral therapy, hypnosis, relaxation, guided imagery, pain support group and pain education program. Andrews, Strong, Meredith and D 'Arrigo (2014) advocate that current materials suggest relaxation therapy and cognitive-behavioral therapy

More about Levett-Ryan's Pain Assessment Case Study

Open Document