Question

Wendy Fisher, a 35-year-old mother of two, visits the pain clinic of the regional medical center in her community. Wrenda is interviewedby a certified pain management nurse. Her chief complaint is recent onset back pain, which has limited her ability to care for her children. Initial assessment includes quality of pain, factors that impact pain perception, and client behaviors such as guarding.

1.Provide five questions the nurse should askMs. Fisher to verify the characteristics of the pain

2.What are some of the factors that could impact Ms. Fisher’s perception of pain?

3. Give fourpossible behaviors Ms. Fisher may demonstrate because of her pain.

Answer 1

The five questions that should be asked by nurse are:

1. when did the pain start?
2. What is the duration of this pain?
3. What is the intensity of pain? Is it mild, moderate or severe?
4. Are there some factors that is aggravating your pain?
5. What is the character of pain, is it intermittent or continuous?

The factors that can impact Ms. Fisher's perception of pain are:

• Pain tolerance
• Medications taken to relieve pain.
• Exposure to extremes of climate
• Underlying disease condition
• Age and gender
• psychological and social factors.
• situational and emotional factors

Behaviours in response to pain are:

1. Guarding
2. Decreased mobility
3. facial expressions like grimace, frowning
4. Verbalization/vocalization like sighing, mourning