Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

(Chris Devlin) #1

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 10-1

Promoting Patient Comfort (Continued)


Comments

d. Have the patient continue to tighten-hold-relax each
muscle group until the entire body has been covered.
e. Encourage patient to practice at least twice a day, for
10 minutes, and then use as needed to assist with pain
management (Schaffer & Yucha, 2004).


  1. Consider the use of cutaneous stimulation, such as the
    intermittent application of heat or cold, or both. (See
    Chapter 8, Skin Integrity and Wound Care, for additional
    information on heat and cold therapy.)

  2. Consider the use of cutaneous stimulation, such as massage
    (see Skill 10-2).

  3. Discuss the potential for use of cutaneous stimulation,
    such as TENS, with the patient and primary care provider.
    (See Skill 10-3.)

  4. Remove equipment and return patient to a position of
    comfort. Remove gloves, if used. Raise side rail and
    lower bed.

  5. Remove additional PPE, if used. Perform hand hygiene.

  6. Evaluate the patient’s response to interventions. Reassess
    level of discomfort or pain using original assessment tools.
    Reassess and alter plan of care as appropriate.


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