Patient Education Tramadol

Running head: PATIENT EDUCATION TRAMADOL
PATIENT EDUCATION TRAMADOL
Name of the Student:
Name of the University:
Authors note:

1PATIENT EDUCATION TRAMADOL
Patient Context:
Mrs Caroline Morris, is a 47 year old women who is divorced and has a past history of
ulcerative colitis of past 30 years (since her teen age years). Mrs Morris has gone through
bowel resection and ileostomy she on her 5th day post-operative treatment ready to be
discharged. She had good job in the field of Information Technology which was hindered due
to her health condition. However, she wishes to return to her IT employment in the future.
Her daughter Shannon is going stay for the next four weeks, and she will also receive
community nursing service.
Cues collected from Scenario:
Mrs Morris is:
 Currently refusing to drink water as she is afraid that she will increase the output of
the bag.
 Reluctant to use the Pain Controlled Analgesic (PCA).
 Her pain level 8 out of 10.
 Not wanting to take any other medication
Medication
Tramadol 50 mg qid, used under the commercial name ULTRAM, is a centrally acting
synthetic opioid analgesic, which is a Mono oxidase inhibitor, it is given in case of moderate
to severe pain. It acts by activating μ-opioid receptor and inhibiting the neurotransmitter
reuptake (Gong et al. 2014). It is preferably used for acute pain management and as a post-
operative medication in older adults (Falzone, Hoffmann and Keita, 2013).
Script Justification

2PATIENT EDUCATION TRAMADOL
Good morning, Mrs Morris, How are you
feeling today? I am a Registered Nurse here.
The pharmacy has sent you medication about
which I need to talk to you before you go home
today.
Effective communication is an essential part of the
nursing practice. According to Kourkouta and
Papathanasiou (2014), frankness between the patient
and nurses is an important step, when the patient is
approaching towards self-management.
I am experiencing a stabbing sharp pain, and
my pelvis, abdomen and back hurts a lot.
Patient shares her concerns about the pain she is
facing, which is important especially in a post-
operative scenario.
Mrs Morris, have you been using PCA?
As your pain level 8/10, which is very severe.
It is important for me to know that whether the PCA
is effective in this case or not.
No, I have a feeling that it may cause me to
stop breathing and make me feel nauseated.
According to Patak et al. 2013, there can be series of
negative reviews and experiences when it comes to
the use of PCA, which is fear of overdose and
addiction.
Mrs Morris, I have a medication for you, which
will relieve your pain. Would it be okay for you
if I sit down, and discuss about your medicines.
It will only take few minutes. And you can ask
question you have on your mind during our
conversation.
At this point I develop my conversation with Mrs
Morris, by sitting down maintaining an eye contact
with her and I assure her that her pain will be
relieved. According to King and Hoppe (2013), it is
important for the healthcare professional to engage
the patient in the conversation as well as
understanding their language.
Okay sure! I want to get relief of this pain and
want go back to my work as soon as possible.
By this point it is understood that she wants to get
relief of her pain and I can proceed with the patient
education, and since her daughter Shannon is along