A 60-year-old African American woman with metastatic ovarian cancer is experienc

Question

A 60-year-old African American woman with metastatic ovarian cancer is experiencing chronic pain. Her pain ratings have been between 3 and 7 on the 0-10 numeric rating scale. Her vital signs remain within normal ranges. She is fully able to participate in her daily care. She describes herself as the matriarch of her family, and looks forward to daily visits from her family even when her pain rating is high. Her church pastor calls and visits her several times per week. She anticipates discharge in a few days.
Initial Discussion Post:
Address the following:
Identify and state a priority nursing diagnosis label for your assigned client related to pain. Develop and state three (3) nursing interventions for this nursing diagnosis label or patient problem. When planning individualized nursing interventions, consider the patient’s type of pain and cultural perspective. Provide your rationale or reasoning for each intervention chosen. Identify another interdisciplinary team member and an action they could take to help resolve the chosen client problem or nursing diagnosis. A 60-year-old African American woman with metastatic ovarian cancer is experiencing chronic pain. Her pain ratings have been between 3 and 7 on the 0-10 numeric rating scale. Her vital signs remain within normal ranges. She is fully able to participate in her daily care. She describes herself as the matriarch of her family, and looks forward to daily visits from her family even when her pain rating is high. Her church pastor calls and visits her several times per week. She anticipates discharge in a few days.
Initial Discussion Post:
Address the following:
Identify and state a priority nursing diagnosis label for your assigned client related to pain. Develop and state three (3) nursing interventions for this nursing diagnosis label or patient problem. When planning individualized nursing interventions, consider the patient’s type of pain and cultural perspective. Provide your rationale or reasoning for each intervention chosen. Identify another interdisciplinary team member and an action they could take to help resolve the chosen client problem or nursing diagnosis. A 60-year-old African American woman with metastatic ovarian cancer is experiencing chronic pain. Her pain ratings have been between 3 and 7 on the 0-10 numeric rating scale. Her vital signs remain within normal ranges. She is fully able to participate in her daily care. She describes herself as the matriarch of her family, and looks forward to daily visits from her family even when her pain rating is high. Her church pastor calls and visits her several times per week. She anticipates discharge in a few days.
Initial Discussion Post:
Address the following:
Identify and state a priority nursing diagnosis label for your assigned client related to pain. Develop and state three (3) nursing interventions for this nursing diagnosis label or patient problem. When planning individualized nursing interventions, consider the patient’s type of pain and cultural perspective. Provide your rationale or reasoning for each intervention chosen. Identify another interdisciplinary team member and an action they could take to help resolve the chosen client problem or nursing diagnosis.

Explanation / Answer

The priority nursing diagnosis is " Acute pain related to disease process as evidenced by reports of pain".

Nursing interventions with rationale:

In the above scenario, the patient is experiencing moderate pain as the numerical pain scale score is between 3-7. The patient who considers herself to be the matriarch of the family is deeply influenced by her family and cultural practices. That is why she expects her family to visit daily even at a high intensity of pain. Cultural and religious belief of being visited by her church pastor boost her morale. This creates a hope to gain better health and encourages her to cope with stress developed to due pain.

The other interdisciplinary team member is the Oncologist who would prescribe her medications to relieve her pain. A health counsellor can also help her to resolve the problem by helping her understand what SO to expect and how to buildup a strong coping mechanism to reduce stress related to pain.

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