Acute Pain Nursing Care Plan


Acute Pain Nursing Care Plan

What are the nursing diagnosis for acute pain?

Nursing Care Plan 3 – Nursing Diagnosis: Acute Pain related to psychological distress as evidenced by patient verbalizing pain, moaning and crying, narrowed focus and altered passage of time, and pallor. Desired Outcome : Within 4 hours of nursing interventions, the patient will demonstrate a reduction in crying and pain verbalization.

Intervention Rationale
Assess to what extent cultural, environmental, intrapersonal, and intrapsychic factors may be contributing to pain. These influences alter the patient’s expression of the pain experienced. This assessment can be used to evaluate each patient’s unique response.
Respond immediately to reports of pain. If the patient is experiencing an altered passage of time due to pain, fear about delayed pain relief can exacerbate the pain experience. Prompt responses to reports of pain reduce anxiety and promote trust.
Promote periods of rest for the patient. Fatigue can contribute to pain. A quiet, darkened room with minimal noise and interruptions can promote rest and reduce pain.
Use relaxation and breathing exercises and/or music therapy. These techniques help produce a sense of tranquility for the patient. The goal is to reduce pain related to tension or stress,

What are some interventions for acute pain?

Table 1. PICOTS –

PICOTS Elements Inclusion Criteria
Population Adults with acute pain related to the following conditions:

  1. Acute back pain (including back pain with radiculopathy)
  2. Acute neck pain (including neck pain with radiculopathy)
  3. Other musculoskeletal pain
  4. Peripheral neuropathic pain (related to herpes zoster and trigeminal neuralgia)
  5. Postoperative pain after discharge
  6. Dental pain
  7. Kidney stones
  8. Sickle cell crisis (episodic pain)

*Special populations:

  • General adult
  • Older populations >65 years
  • Patients with history of substance use disorder
  • Patients currently under treatment for opioid use disorder with opioid agonist therapy or naltrexone
  • Patients with a history of psychiatric illness
  • Patients with history of overdose
  • Pregnant/breastfeeding women
  • Patients with comorbidities (e.g., kidney disease, sleep disordered breathing)
Interventions Opioid therapy: a–e. Any systemic opioid, including agonists, partial agonists, and mixed mechanism opioids.f. Instruments, genetic/metabolic tests for predicting risk of misuse, opioid use disorder, and overdose g. Use of risk prediction instruments, genetic/metabolic tests h. The following factors: (1) existing opioid management plans; (2) patient education; (3) clinician and patient values and preferences related to opioids; (4) urine drug screening; (5) use of prescription drug monitoring program data; (6) availability of close followup Nonopioid therapy: Oral, parenteral, or topical nonopioid pharmacological therapy used for acute pain (acetaminophen, nonsteroidal anti-inflammatory drugs, skeletal muscle relaxants, benzodiazepines, antidepressants, anticonvulsants, cannabis). Noninvasive nonpharmacological therapy: Noninvasive nonpharmacological therapies used for acute pain (exercise, cognitive behavioral therapy, meditation, relaxation, music therapy, virtual reality, acupuncture, massage, manipulation/mobilization, physical modalities )
Comparators Opioid therapy: a–d. Usual care, another opioid, nonopioid drug, or noninvasive, nonpharmacological therapy e. Usual care, another opioid, nonopioid drug, or noninvasive, nonpharmacological therapy, no opioid/nothing prescribed f. Reference standard for misuse, opioid use disorder, or overdose; or other benchmarks g. Usual care h. Not utilizing the factors specified in interventions (h) above Nonopioid pharmacological therapy: Other nonopioid pharmacological therapy or noninvasive nonpharmacological therapy Noninvasive nonpharmacological therapy: Sham treatment, waitlist, usual care, attention control, and no treatment; or other noninvasive nonpharmacological therapy
Outcomes Opioid therapy: a–d, g, i. Pain, function, pain relief satisfaction, and quality of life, harms, adverse events (including withdrawal, risk of misuse, opioid, opioid use disorder, overdose).e. Persistent opioid use f. Measures of diagnostic accuracy h. Opioid prescribing rates Nonopioid therapy: pain, function, pain relief satisfaction, quality of life and quality of life, harms, adverse events, opioid use Noninvasive nonpharmacological therapy: pain, function, pain relief satisfaction, quality of life and quality of life, harms, adverse events, opioid use
Time of followup <1 day; 1 day to <1 week; 1 week to <2 weeks; 2 weeks to <4 weeks; ≥4 weeks
Setting Emergency department (initiation of therapy and following discharge), physician’s office, outpatient or inpatient surgical center, dental clinic or oral surgery center, inpatient (sickle cell only)
Study design All KQs: RCTs; in addition: e. cohort studies (for long-term opioid use) f. studies assessing diagnostic accuracy h. cohort studies and before-after studies assessing effects on prescribing rates

Abbreviations: RCT = randomized controlled trial

What are nursing interventions for a patient with pain?

Factors that help to close the gates include feeling relaxed, regular exercise, distraction, certain medications, and other types of stimulation (such as massage, heat, ice, or acupuncture). This theory is often used to explain why non-medication nursing interventions for acute pain can be so effective.

What is a smart goal for acute pain?

Future goals –

  • A decrease in pain levels within 24 hours after receiving pain medication.
  • Demonstrate the use of appropriate diversional activities and relaxation skills.
  • Patient uses pharmacological and nonpharmacological pain-relief strategies.
  • Patient displays improvement in mood, and coping.
  • Increase in activities of daily living (ADLs) with pain control

How do you write a good nursing diagnosis?

Nursing diagnoses must include the problem and its definition, the etiology of the problem, and the defining characteristics or risk factors of the problem. The problem statement explains the patient’s current health problem and the nursing interventions needed to care for the patient.

What are the 3 nursing interventions?

Classification of Nursing Interventions – There are three types of nursing interventions: independent, dependent, and collaborative. (See Figure 4.12 for an image of a nurse collaborating with the health care team when planning interventions.) Figure 4.12 Collaborative Nursing Interventions

What are the goals of acute pain treatment?

The goals of acute pain management are to relieve suffering, facilitate function, enhance recovery, and satisfy patients. After surgery, additional goals are to achieve early postoperative mobilization and reduce length of hospital stay.

What is acute pain assessment?

The assessment of acute pain should include a thorough general medical history and physical examination, a specific ‘pain history’ (see Table 2.1) and an evaluation of associated functional impairment (see Section 2.3). In acute pain management, assessment must be undertaken at appropriate frequent intervals.

What is the goal of care for pain?

Enhancement of Physical Functioning – In group-based pain management programs, patients are encouraged to participate regularly in exercise (including stretching, cardiovascular conditioning, and weight training), and to increase their activity under supervision.

What are the priority problems in nursing?

The first-level priority problems are health issues that are life-threatening and require immediate attention. These are health problems associated with ABCs; airway, breathing, and circulation, such as establishing an airway, supporting breathing, and addressing sudden perfusion and cardiac issues.

The second-level problems are health conditions that are next in importance. They require immediate intervention to prevent further deterioration. The secondary level can be remembered using the MAA-U-AR method of priority setting which stands for: mental status change, acute pain, acute impaired urinary elimination, untreated medical problems, abnormal diagnostic test results, and risks.

A change in mental status indicates general changes in brain function, such as confusion, amnesia, loss of alertness, problems in judgment or thought, etc. Mental status changes that are neglected could lead to injury, falls, or permanent brain damage.

Acute pain could reveal the presence of actual or potential tissue damage. Pain often means that something is wrong. Untreated pain can lead to tense muscles, restricted ability to move around, skin breakdown, or infection. Acute urinary elimination problems could suggest obstructions in the bladder or urethra.

Complications of untreated urinary retention include urinary tract infections, bladder damage and chronic kidney failure. Untreated medical problems can lead to a quick deterioration of a patient’s health or even death. An example is a diabetic patient who needs insulin; without insulin the patient could experience diabetic ketoacidosis.

Abnormal lab values can signify potentially severe problems and require further investigation. It could indicate a possible problem with the liver, heart, or kidneys. It is essential to address infections to prevent further worsening. Infections can cause inflammation, pain, delayed wound healing, sepsis, and death.

Safety and security issues can lead to an increased risk of falls, injuries, and trauma. The third-level priorities are matters essential to patient health but can be attended to after the more critical health problems are addressed. Long-term interventions are required to treat these problems.

What is a 2 part nursing diagnosis?

COMPONENTS OF NURSING DIAGNOSIS – A nursing diagnosis has basically three components; the Problem statement or diagnostic label, the Etiology and the Signs and symptoms. PROBLEM STATEMENT : The problem statement or diagnostic label indicates the client’s problem or response for which requires nursing intervention. This also has two parts that is, the focus of diagnosis and the modifiers or qualifiers, For example, in the following nursing diagnosis “Risk for injury related to impaired sensory function of vision as evidence by patient is blind in both eyes”, the focus of diagnosis is the “injury” and the qualifier is the “Risk for”.

Qualifier/Modifier Focus of the Diagnosis
Deficient Fluid volume
Imbalanced Nutrition: Less Than Body Requirements
Impaired Gas Exchange
Risk for Injury

ETIOLOGY/RELATED FACTORS/RISK FACTORS : This is the “related to” portion of the nursing diagnosis. This indicates the possible cause of the problem listed. Nursing interventions should be directed at the etiological factors in order to remove the underlying cause of the nursing diagnosis.

  1. SIGNS AND SYMPTOMS/DEFINING CHARACTERISTICS: These are the major and minor clinical cues that validate the presents of an actual nursing diagnosis.
  2. These are the actual signs and symptoms the client present.
  3. Defining characteristics are written “as evidenced by” or “as manifested by” in the diagnostic statement.

WRITING THE NURSING DIAGNOSTIC STATEMENTS There are three ways of writing nursing diagnosis or the nursing diagnostic statement. These are: The One-Part, Two-Part and Three-Part Nursing Diagnosis. ONE-PART NURSING DIAGNOSIS : Wellness or Health promotion nursing diagnosis are mostly written in the one-part format.

Readiness for Enhance BreastfeedingReadiness for Enhanced Coping

TWO-PART NURSING DIAGNOSIS: Risk Nursing Diagnosis are written in the two-part format. The first part indicates the diagnostic label and the second part indicates the presence of risk factors or confirmation for a risk nursing diagnosis. Example: ‘Risk for infection related to compromised immune system”.

  • THREE-PART NURSING DIAGNOSIS: Also known as the PES ( P roblem, E tiology and S igns and symptoms) format.
  • These are used when writing Actual or Problem-focused nursing diagnosis.
  • This consist of; the diagnostic label, the contributing factors or etiology (“related to”) and the signs and symptoms (“as evidenced by”).

References Roseman University of Health Sciences. (2014, July 9). What is a three-part nursing diagnosis? Retrieved from Roseman University of Health Sciences: Vera, M. (2019, February 3).

What does Nanda stand for?

From Wikipedia, the free encyclopedia

NANDA International (NANDA-I)

NANDA International (NANDA-I)
formerly the North American Nursing Diagnosis Association (no longer used)
Founded 1982
Headquarters Mountain, WI, US


Members 533
Key people Dr.T. Heather Herdman (PhD, RN, FNI, FAAN), CEO

NANDA International (formerly the North American Nursing Diagnosis Association) is a professional organization of nurses interested in standardized nursing terminology, that was officially founded in 1982 and develops, researches, disseminates and refines the nomenclature, criteria, and taxonomy of nursing diagnoses,

  • In 2002, NANDA became NANDA International in response to the broadening scope of its membership.
  • NANDA International published Nursing Diagnosis quarterly, which became the International Journal of Nursing Terminologies and Classifications, and then later was reconceptualized as the International Journal of Nursing Knowledge, which remains in print today.

The Membership Network Groups foster collaboration among NANDA-I members in countries ( Brazil, Colombia, Ecuador, México, Peru, Portugal, and Nigeria – Ghana ) and for languages: the German Language Group ( Germany, Austria, Switzerland ) and the Dutch Language Group ( Netherlands and Belgium ).

How do you prioritize nursing diagnosis?

Airway, Breathing, Circulation Nurses should apply the concept of ABCs to each patient situation. Prioritization begins with determining immediate threats to life as part of the initial assessment and is based on the ABC pneumonic focusing on the airway as the priority, then breathing, and finally circulation.

What is acute pain diagnosis?

New-onset Pain Due to an Injury or Illness – Improves Within One to Three Months – Acute pain is the type of pain that starts suddenly after an injury or with the onset of an illness. It is caused by a specific situation like an accident, injury, illness, or a normal life event such as giving birth.

What is the medical diagnosis acute pain?

Acute pain symptoms and risks – Pain is diagnosed as acute when:

Pain does not last more than a few months Pain has a specific cause, such as a broken bone Pain is sudden and sharp

Although acute pain is defined as lasting for only a short period, that does not mean the pain is always minor. Acute pain can be mild or severe, depending on the cause. Symptoms can come and go, and pain levels can increase or decrease. Acute pain can disappear in just a few seconds, or last for days or weeks.

Why is acute pain a priority nursing diagnosis?

What is acute pain? – The International Association for the Study of Pain (IASP) defined pain as ” an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage,” Another great and influential definition of pain is from Margo McCaffery, a nurse expert on pain, who defined it as ” pain is whatever the person says it is and exists whenever the person says it does,” The unpleasant feeling of pain is highly subjective in nature that may be experienced by the patient.

  1. Pain is whatever the person says it is and exists whenever the person says it does.” Margo McCaffery – Pain Management Nurse Pioneer Acute pain is pain, as defined above, that has a duration of less than 3 months and relief can be anticipated or predicted.
  2. In contrast, chronic pain is has a duration of more than 3 months without an anticipated or predictable end.

The physiological signs of acute pain emerge from the body’s response to pain as a stressor. Acute pain provides a protective purpose to make the person informed and knowledgeable about the presence of an injury or illness. The unexpected onset of acute pain reminds the patient to seek support, assistance, and relief.