NURS 121 Notes

jasmine's version from 2016-01-19 13:44

Section 1

Question Answer
5 common sources of discomfort End-of-life care, Fatigue, Fibromyalgia, Sleep-rest disorders, and Pain
Prevention of discomfort Begins with the client; Nurses provide essential client education that can encourage clients to change their behaviors to decrease the risk of developing a chronic disease or experiencing an acute illness or injury
Personal preferences, lifestyle habits, and culture are all factors in the development of... Chronic diseases and other contributors to discomfort, and only the client can change behaviors that increase the risk of discomfort
Infant/Toddlers Verbalize discomfort by crying; Discomfort in otherwise healthy infants may be related to milk components; Ask parents for descriptions of the infant’s manifestations of pain, including suspected location and how the pain influences eating, sleeping, and behavior: Should be comforted by being held, rocking, murmuring soothing words, and rubbing or patting the torso or extremities
Children Involve in describing any discomfort, yet also ask parent or guardian about behaviors related to discomfort; Explain procedure to child to help reduce anxiety and/or demonstrate procedure on the parent; May be comforted by being held, hugging, holding hands, or receiving treat, pending on age; If performing painful procedure, ask parent to offer child comfort or distraction
Adolescents May respond to treatment and comfort better if interact with them as adults rather than as young kids; May reject any offer of comfort
Adults If diagnosed with chronic or fatal disease, adults may find comfort in knowledge; Take time to describe the disease and what to expect for tests, medications, and other interventions, and to answer any questions they have; Comfort is a subjective experience, so listen carefully when the client is describing any feelings of discomfort, and care for the client accordingly
Pregnant Women May be very anxious about their health and the health of their baby; Take time to explain the expected growth and development of the fetus and expected maternal changes; Answer any questions; Provide tips about self-care, physical activity, and sleeping positions that will help ease discomfort; Encourage adequate nutrition, hydration, and sleep-rest
Older Adults More likely to suffer from chronic conditions such as diabetes, chronic pain, heart disease, cancer, and arthritis; Provide safe and comfortable environment for regular appointments, and foster a healthy nurse-client relationship to promote comfort; Explain procedures and medications at each visit, as some clients have memory deficits; Provide written instructions and explanations; Provide assistance with movement as needed, especially for clients with chronic pain or arthritis
End of Life Provide adequate pain relief with pharmacologic agents as ordered; Promote psychosocial comfort by offering to arrange a visit from a spiritual leader and/or loved ones; Facilitate referrals for grief counseling for the family and other loved ones; Honor the client’s and family’s decisions about end of life care

Section 2

Question Answer

Section 3

Question Answer