SLEEP
Tries to be brave facing pain, rationlizes to explain pain, responsive to explanations, can identify location and describe pain.
What is a school age child's response to pain?
Mild to severe, high pulse and respiratory rate, high B/P, dilated pupils, related to tissue injury, may be anxious.
What is acute pain?
Developing persistant guilt, lowered self esteem, personal relationships worsen, becoming symptomatic on the anniversary of the loss, minor events trigger symptoms of grief.
What is complicated grieving?
Stiffening of the body that occurs 2 to 4 hours after death.
What is rigor mortis?
May have multiple symptoms that have vague symptoms, may percieve pain as a part of aging, may describe pain as an ache, a hurt or a discomfort.
What is older adult pain experience?
Something that triggers the pain or makes it worse and other symptoms, such as dizziness or blurred vision.
What are precipitating factors and associated symptoms of pain?
Comes to terms with loss, may wish to begin planning a living will, may have decreased interest in surroundings and support people.
What is acceptance?
Soiled area of body cleaned, absorbant pads under body, clean gown placed on body, hair arranged, jewelry removed, linenes adjusted to cover client. After family viewing, identification tags on wrist and toe, body wrapped in shroud, identification put on shroud.
What is postmortem care?
Pain is mild to severe, vitals normal, dry, warm skin, pupils normal or dilated, usually depressed and withdrawn, lasting usually over 6 months.
What is chronic pain?
An interactive method of pain management that permits clients to treat the pain by self administering doses of analgesics.
What is the patient-controlled analgesia?
Refuses to believe loss is happening, unready to deal with practical problems, may assume artificial cheerfulness to prolong this response to grief.
What is denial?
The behavioral process in which grief is resolved or altered. It is influenced by culture, spiritual beliefs and custom.
What is mourning?
This pain originates in the skin, muscles, bone or connective tissue. Resembles the sharp pain as in a paper cut.
What is somatic pain?
Massage, application of heat or cold, acupressure, contralateral stimulation, music therapy, self-hypnosis are forms of this.
What is non-pharmacologic interventions of pain control?
Fears a lingering death, may fantasize that death could be defied, acts out defiance through wreckless behavior.
What is concept of death for a 12 to 18 year old?
Urinary retention, respiratory depression, N & V, sedation and constipation.
What are common opioid side effects?
Inability to fall asleep or remain asleep. Individuals suffereing from this do not awaken feeling rested.
What is insomnia?
Using a FLACC scale, or a numeric 1 to 10 scale will assess this.
What is the intensity of pain?
This is emotional suffering often caused by bereavement.
What is grief?
Relaxation of facial muscles, difficulty speaking, difficulty swallowing, diminished sensation, mottling and cyanosis of extremities, rapid, shallow, irregular respirations.
What is signs of impending clinical death?
Crying along with a patient, using appropriate non verbal communication techniques such as a smile and theraputic touch and showing acceptance by offering the patient a tissue.
What is appropriate nursing actions for the nurse to perform when the patient is suffereing from impending death/grief?