exacerbations,
reports their quality
and intensity, and
obtains relief
Uses pain relief
strategies
appropriately and
effectively
Identifies strategies
to avoid
complications of
analgesic use (eg,
constipation)proper pain-relief modality
and provide baseline for later
comparison.
2. Bumping the bed is an
example of an action that can
intensify the patient's pain.
3. This will provide added
support and is more
comfortable. Protecting the
patient from injury protects
him from additional pain.
4. More support, coupled with
reduced movement of the
part, helps in pain control.
5. Radiation therapy may be
effective in controlling pain.
6. Analgesics alter perception
of pain and provide comfort.
Regularly scheduled
analgesics around the clock
rather than PRN provide
more consistent pain relief.
7. Opioid analgesics and
inactivity contribute to
constipation.scale.
2. Avoid activities that
aggravate or worsen pain.
3. Because pain is usually
related to bone metastasis,
ensure that patient's bed has
a bed board on a firm
mattress. Also, protect the
patient from falls/injuries.
4. Provide support for affected
extremities.
5. Prepare patient for radiation
therapy if prescribed.
6. Administer analgesics or
opioids at regularly
scheduled intervals as
prescribed.
7. Initiate bowel program to
prevent constipation.Nursing Diagnosis: Impaired physical mobility and activity intolerance related to tissue hypoxia,
malnutrition, and exhaustion and to spinal cord or nerve compression from metastases
Goal: Improved physical mobility
Achieves improved
physical mobility
Relates that short-
term goals are
encouraging him
because they are
attainable
1. This information offers clues
to the cause; if possible,
cause is treated.
2. Analgesics/opioids allow the
patient to increase his
activity more comfortably.
3. Support may offer the
security needed to become
mobile.
4. Assistance from partner or
others encourages patient to
repeat activities and achieve
goals.
5. Encouragement stimulates
improvement of
performance.
6. See Nursing Diagnosis:
Imbalanced nutrition: less
than body requirements.1. Assess for factors causing
limited mobility (eg, pain,
hypercalcemia, limited
exercise tolerance).
2. Provide pain relief by
administering prescribed
medications.
3. Encourage use of assistive
devices: cane, walker.
4. Involve significant others in
helping patient with range-
of-motion exercises,
positioning, and walking.
5. Provide positive
reinforcement for
achievement of small gains.
6. Assess nutritional status.Collaborative Problems: Hemorrhage, infection, bladder neck obstruction
Goal: Absence of complications