Alteration in Comfort: Pain

Alteration in Comfort: Pain

(_)Actual (_) Potential

Related To:
[Check those that apply]

(_) Musculoskeletal disorder (_) Visceral disorder (_) Cancer (_) Information (_) Trauma (_) Diagnostic test

(_) Immobility/improper positioning (_) Pressure points (_) Pregnancy (_) Fear (_) Anxiety/stress (_) Overactivity (_) Other:_____________________________ ____________________________________ ____________________________________

As evidenced by:
[Check those that apply]

Major: (Must be present)	(_) Pt. reports or demonstrates discomfort.
Minor: (May be present)	(_) Autonomic response to acute pain: increased BP, P, R diaphoresis dilated pupils guarding facial mask of pain crying/moaning abdominal heaviness cutaneous irritation

Assess ment	Plan and Outcome [Check those that apply]	Target Date:	Nursing Interventions [Check those that apply]	Evaluation
	The patient will:(_) Experience relief of pain A.E.B. verbal reports of relief of pain less autonomic responses to pain (_) Other:		(_) Asses characteristics of pain: location, severity on a scale of 1-10, type, frequency, precipitating factors, relief factors.(_) Eliminate factors that precipitate pain: eg.:__________________ ________________________ (_) Offer analgesics q___ hrs prn (according to physician order). (_) Teach patient to request analgesics before pain becomes severe. (_) Explore non-pharmacological methods for reducing pain/promoting comfort: back rubs slow rhythmic breathing repositioning diversional activities such as music, TV, etc. (_) Other:________________ ________________________ ________________________ ________________________