Case Study Questions on Mr. Hemsley's Pain Management and Colostomy
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This case study discusses the administration of Morphine for pain management, nursing responsibilities for safe administration, non-pharmacological interventions for post-operative pain, and possible complications of colostomy management in Mr. Hemsley.
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Table of Contents QUESTION1.............................................................................................................................3 QUESTION2.............................................................................................................................3 QUESTION3.............................................................................................................................3 REFERENCES.........................................................................................................................4
QUESTION1. DescribehowtheadministrationofMorphinealtersMr.Hemsley’sconscious perception of pain. Mr. Hemsley, a 56-year-old male, generally presented to the emergency department with having an abdominal pain, nausea as well as vomiting linked with the recurrent episodes of constipation. Within the past four weeks, the patient has experienced an unexplained episode of fatigue. He also observed that his stool becomes narrow and long with having a small amount of bright blood on the toilet paper as well. It is determined by the care professionals by performing the digital rectal examination to simply rule out the haemorrhoids, the colorectal cancer or an anal fissure as well. Mr. Hensley was generally subsequently admitted under the care of a gastrointestinal specialist for further investigations as well as the management of a pain. In this, a psychoactive drug such as Morphine is mainly a chemical which can alters the state of consciousness, mainly the perceptions and moods of Mr. Hemsley. These are generally prescribed by the healthcare professionals to the patients who can not able to bear pain and to manage the pain of the patients, Morphine is given to them. The medication generally influences the consciousness by simply making affecting how the neurotransmitters can operate at the synapses of the central nervous system. In this, many of the medications are agonists, that can mimic the operations of the neurotransmitters, some of them are antagonists, that can simply block the actions or activities of the neurotransmitters (Role of the nurse in supporting the safe use of opioids, 2020). In addition to this, some can work by simply blocking the reuptake of the specific neurotransmitters at the synapses. It is known that the patients who have become physically dependent on the administration of morphine during the course of the care treatment for having a painful harm or an illness that is able to speedily weaned off the drugs afterward, without becoming addict. Hence, the administration of the Morphine drug can effectively alter the conscious perceptions of pain of Mr. Hensley. Discuss the three specific nursing responsibilities required for the safe administration of Morphine. The care nurses are generally involved in the administration of the drugs across healthcare settings. The care nurses can also be involved in both the terms such as dispensing as well as preparing the medications like crushing the pills as well as drawing up a measured amount for the injections. In this, the very three specific care nursing responsibilities that are needed for the safe administration of the Morphine as such as determining the patient at risk for unintended advancing sedation as well as a respiratory depression from the opioid therapy, executing an effective care plan to assess as well as monitor the patients, and last, prevailing to prevent the deteriorating of the adverse events as well. in this, the care nurses generally required to understand the basic pharmacology, its side effects as well as the risks of the opioids in order to ensure the safe administration of the medications. In addition to this, the drug therapy
can play an essential role in the care treatment of a patient. More traditionally, the medications have been prescribed by the healthcare professionals as well as the responsibility of the care nurses is to ensure safe as well as a reliable administration and to effectively monitor the side effects as well. in this, the safety of the patients is generally the key issue as well as the thrust of the reforms is to effectively benefit the vulnerable patients by simply permitting them access to the medications. The care service can benefit because the professional time is freed for those with the more complex needs. Within the healthcare organization, the custody as well as the administration of the medications is generally the responsibility of the care nurses who may represent the responsibility which is specifically instructed by the policy of the workers authority (Rivet, 2019). QUESTION2. Identify and discuss the benefits of three non-pharmacological nursing interventions which may be executed when managing Mr. Hemsley’s post operative pain. Thepossiblethreebenefitsofthenon-pharmacologicalnursingcare interventions which can be implemented when managing the case scenario of Mr. Hemsley’s post operative pain such as the care nurses can apply the hot-cold applications, positioning, effective physical activities, resting as well as the distraction practices at an elevated rate. In this, it has been identified that the positioning method is generally the most often used care method for the post operative pain control as well as the positioning and exercise that can effectively contribute towards the solution of the post-operative issues more specifically the pain. In addition to this, the hot-cold application can be effectively used in the pain control because of the fact that that it exhibits an effective action by effectively decreasing the ischemic pain, removing the metabolic remains, enhancing the secretion of the endogenous opioids and effectively eliminating the muscle spasm. In this, the distraction methods can specifically enable the Mr. Hemsley to pay attention towards the things which they like the most and ultimately can enhances their tolerance power towards pain as well as can decreases the pain threshold effectively. there is a notion that the often-used methods are more specifically taught repetitively within the nursing curriculum in general and these such situations is naturally mirror to one of the care clinical settings. In this, the use of non-pharmacological methods in the post operative patients was generally determined based on the personal statements of the care nurses. Therefore, it was particularly not aimed to identify whether or not these such care practices were specifically applied completely and properly as well for Mr. Hemsley for whom the management of the pain must be performed in the post operative times. There are the care treatments other than the pharmacological, such as exercise, acupuncture, hot applications and many more by the care nurses to treat Mr. Hemsley in order to reduce his pain more effectively. Moreover, by executing such applications and methods on Mr. Hemsley can reveal that the non-pharmacological interventions or methodscan also play an essentialpart in reducing the pain moreefficiently (DeterminingtheUseofNonpharmacologicMethodsbySurgicalNursesfor Postoperative Pain Management and the Influencing Professional Factors, 2019).
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QUESTION3. Identifyanddiscussthetwopossiblecomplicationsanditslinkednursing interventions of priority when managing Mr. Hemsley’s colostomy during the first 24 to 48 hrs post-operatively. The two possible complications which are linked with the case study of Mr. Hemsley such as he is having sedentary life style that resulted in the increase in 20 kgs weight such as 107 Kg is his current weight and he an occasional cigarette smoking on the weekends. The possible care nursing interventions of the priority when effectively managing Mr. Hensley’s colostomy during the first 24 to 48 hrs post operatively like right after the procedure, it can seem that a patient have a lot of gas almost every time. In this, many of the surgeries is generally followed by an uncomfortable, embarrassing symptoms. There are various food elements which can cause gas such as cabbage, onions, eggs and many more must be avoided by the patient. The care nursing interventions can include assess to the oral intake by effectively monitoring their fluid balance on a fluid balance chart to simply determine the patient’s input as well as the output. Auscultate the abdomen for the bowel sounds, if the bowel sounds are present, or the patient they are passing flatus, a clear fluid can effectively commence as well as aperients can be effectively administered. The patient must not commence the oral fluids if the bowel noises are not present as these such findings can depict an ileus. In addition to this, the care nurses must provide a proper diet plan chart for Mr. Hemsley so that he can able to reduce his gained weight more efficiently. The care nurses must guide the patient in consuming the food such as consume food like meat having visible fat, skinless poultry, fish and many other. Providing with knowledge about eating less saturated fats, the processed foods, and enhancing the consumption of fruits and vegetable in his diet plan (Kimet. al.,2021).
REFERENCES Books and Journals: Alenezi, A., McGrath, I., Kimpton, A. and Livesay, K., 2021. Quality of life among ostomy patients: A narrative literature review.Journal of Clinical Nursing,30(21-22), pp.3111-3123. Burch,J.,2021.Stoma-relatedconsiderationsinpalliativepatients.BritishJournalof Community Nursing,26(10), pp.494-497. Gün, E., Kendirli, T., Botan, E., Özdemir, H., Çiftçi, E., Konca, K., Kologlu, M., Göllü, G., Can, Ö.S., Tutar, E. and Akar, A.R., 2021. Temporary diverting end-colostomy in critically ill children with severe perianal wound infection.Advances in Skin & Wound Care,34(6), pp.322-326. Jernigan, C., Johnson, T., Varghese, S. and Fellman, B., 2020, March. Evaluating the Feasibility of a Nurse-Driven Telephone Triage Intervention for Patients With Cancer in the Ambulatory Setting. InOncology Nursing Forum(Vol. 47, No. 2). Kim, Y.M., Jang, H.J. and Lee, Y.J., 2021. The effectiveness of preoperative stoma site marking on patient outcomes: A systematic review and meta‐analysis.Journal of Advanced Nursing,77(11), pp.4332-4346. Rivet,E.B.,2019.Ostomymanagement:amodelofinterdisciplinarycare.Surgical Clinics,99(5), pp.885-898. Online: Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative PainManagementandtheInfluencingProfessionalFactors,2019[Online]Available through:<file:///C:/Users/Acer/AppData/Local/Temp/Rar$DIa13976.7840/READING %20SHORT%20ANSWER%20ASSESSMENT%20Determining%20the%20Use%20of %20Nonpharmacologic%20Methods%20by%20Surgical%20Nurses%20for %20Postoperative%20Pain%20Management%20and%20the%20Influencing%20Professional %20Factors.pdf> Patient-Related Factors Associated With Stoma and Peristomal Complications Following FecalOstomySurgery,2021[Online]Availablethrough: file:///C:/Users/Acer/AppData/Local/Temp/Rar$DIa13976.9760/READING%20SHORT %20ANSWER%20ASSESSMENT%20Patient-Related%20Factors%20Associated%20With %20Stoma%20and%20Peristomal%20Complications%20Following%20Fecal%20Ostomy %20Surgery_A%20Scoping%20Review.pdf Role of the nurse in supporting the safe use of opioids, 2020 [Online] Available through: file:///C:/Users/Acer/AppData/Local/Temp/Rar$DIa13976.10212/READING%20SHORT %20ANSWER%20ASSESSMENT%20Role%20of%20the%20nurse%20in%20supporting %20the%20safe%20use%20of%20opioids.pdf