Nursing Care Considerations for Morphine Injection: A Case Study

This article discusses the nursing care considerations for morphine injection in a case study. It highlights the importance of monitoring breathing for upper respiratory obstruction, non-pharmacological pain therapy, and stoma care procedure. The article also emphasizes the need for nurses to understand the pharmacology side effects of morphine and to educate patients about healthy living.

QUESTION AND ANSWER
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TABLE OF CONTENTS
QUESTION 1...................................................................................................................................3
QUESTION 2...................................................................................................................................4
QUESTION 3...................................................................................................................................5
REFERENCES................................................................................................................................6

QUESTION 1
Careful monitoring and follow of the treatment plan is essential part in nursing care for the
wellbeing and easy recovery of the patient. According to the view of Zelga & et.al (2021)
Morphine injection mainly used for reducing the severe pain that is experienced by the patient
but it often gives the side effect if it is heavily and continue used by the patient. In case of Mr.
Helmsley he also witnessing the nausea and constipation problem (Rotondo & et.al 2022).
Therefore, nursing care for this is important, as nurses required to understand the pharmacology
side effects which is linked with morphine and to ensure the better and secure administration of
the medicines. Reason for care consideration is because of the several risk that are associated
with the Opioids like morphine (Kulbokas & et.al 2021). Author further said that nursing care
consideration can be to monitor the breathing for upper respiratory obstruction, as common
symptoms in this are nasal blockage, shortness in breath. Author Riemma & (2020) stated that
Morphine has adverse impact over the respiratory, because of this death are also recorded in
older patients. In case study it is found that patient is admitting the problem which is constipation
and other nausea it is one of the main side effect of morphine. Therefore, the another reason for
considering the monitoring breathing for upper respiratory obstruction helps in diagnosing the
issues faced by the patient.
Another reason for undertake the care concerning for morphine because its overdose can
raise the serious concern, study is found that the patient who longer rely on opioids are seen as
suffer from the opioid use disorder.it affects the immune system. GI tract that cause the
abdominal pain as in the case study it is found that Mr. Helmsley is also witnessing the abdomen
pain. Therefore, in the context of the case study it is identified that the patient is taking the PRN
I.V. 2.5mg morphine for relieving their pain (Argyriou & 2021). In such it is important for the
nurse to monitor the patient’s condition as to check is there any high flow nasal oxygen. Nurses
are required to continuously administrate the oxygen and to maintain the SPO2 in between the 94
and 98 percent if its below 90 then immediate treatments can be applied on patient. Therefore
monitoring the upper respiratory obstruction will help in detecting the side effects of morphine
(Meisenberg& et.al 2018). As for reducing its risk nurse should also require to educate the
patient about healthy life as to eat more vegetables and fruits and whole grains, it will help in
eliminating the constipation problem which is mainly by the morphine dose. With regard to the
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case study nurse can also begin to advise the patient to take the stool softener which easily
moves from the bowels.
QUESTION 2
Non pharmacological pain therapy define as the intervention that does not involve the use of
drugs or medicines to treat the pain. As the main goal of this therapy is to reduce the threat,
distress and anxiety for decreasing the pain effect and to make the patient with a good sense of
control (Gee & et.al 2019). It is important for the nursing care to analyse the chart of the patient.
In context with the case study Mr. Helmsley, he is 56-year-old thus nurse required to proceed
with the non-pharmacological approach based on their medical history, age and degree of pain.
Author Gumus & et.al (2020) said that Many nurses approach with the breathing techniques it
helps in controlling the body’s relaxation response. It is found that breathing decisively effects
autonomic and pain distilling (Iaroshevskyi & et.al 2019). Therefore, in case of Mr. Helmsley,
they can proceed with to undergo with breathing non pharmacological therapy it will help them
to relax their body and release the pain.
Breathing techniques offers many benefit as Author Mahmood & et.al (2019) proposed that,
concentration on breathings encourages the body and mind to enter into the relax stage, it
promotes the healthy circulation of blood, releases the harmful toxins and purifies the body that
ultimately relieve the pain. Author said that non pharmacological is used because it is found that
some of the patient have face the certain allergy or reaction from the medication and also if the
patient has suffered from the side effect of the medicines, therefore this therapy is recommended
to the patient. In regards with the case study it is found that Mr. Helmsley, is facing the problem
because of intake of morphine for the pain relief he is witnessing the side effects of the morphine
which is constipation, nausea and abdominal pain. For relieving their pain it is suggested to
undergo the breathing relaxation therapy for pain management (Lee & et.al 2018). As this
therapy completely oxygenates the body which helps in increasing the focus and enhance feeling
of calmness that leads to reduce the pain impact. Author Gravås & et.al (2019) proposed that
breathing also helps in healing and recovering fast, it also relieve the inflammatory conditions.
Therefore, nurses can proceed to encourage the patient to undergo breathing therapy, they can
begin to encourage deep, slow breathing that can be tolerated by patient. With respect to the case
study with breathing technique it will help in relieving the abdominal pain, constipation as with

this diaphragm can easily activated which can easily develop the gentle massage effect that can
be felt by the internal organs so it helps in relieving the pain.
QUESTION 3
Sigmoid colostomy as part of the colostomy that is located a few inch lower than the other
descending colostomy. Due to its most working colon it put out the strong stool on regular
schedule. As in this surgery there is a removal of the bottom section of colon, thus this surgery
is done for the Mr. Helmsley. Therefore, the nursing consideration for handling the patient with
colostomy is to proceed with the stoma care procedure (Kaski & et.al 2019). This process
encompasses the changing of approach where the bodily waste which is urine and stool that
exists in the body. Therefore, this care mainly helps in protecting the abdominal cavity for
allowing to heal the digestive system part. It also helps in providing the outpatient care for the
patient who underwent the surgery. As per the view of author Telford, (2020) the main purpose
of the colostomy care for the skin protection and to prevent from the stoma related complications
(Dhaliwal & et.al 2019). This process highlights the colostomy creation and also outline the role
of the team to proceed with such processes to help or treat the patient with such condition, it will
help the patient to recover fast. As stoma refers to the exteriorization of the bowel loop which is
through the abdominal wall that is done during the surgery process.
It is important for the nurses to make sure to protect the skin around the stoma, for this use
of the right size of the pouch and also to use the skin barrier opening. Therefore, skin barrier and
pouch are applied together as skin barrier helps in protecting the skin from the stoma and keep
the pouch in place. Author Yang & et.al (2022) stated that in many cases it is seen that if the
opening of pouch is too small then it can easily hurt the stoma which gives the adverse effect
such as swelling and also if the opening is very large then it irritates the skin. In these cases, it is
recommended to replace the pouch with the one that fits well (Jabbour & et.al 2020). It is also
important to clean the skin around the stoma with water and also to make sure to dry the skin
before using the skin barrier. It is also important to watch for the allergies if the skin barriers and
pouch is causing the problem than other solution can be used for the treatment of the patient with
colostomy (Abd El-Rahman & et.al 2020). As stoma nurse can proceed to use the pouch covers
or can begin to make their own and to test before use what if the patient got allergy.
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REFERENCES
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