Nursing Process – SAMPLE Nursing Diagnosis
| NANDA (North American Nursing Diagnosis)
Chronic Pain related to unknown etiology as evidenced by self-reports of pain “I feel pain when sitting or lying down mostly at night” using a standardized pain scale, 4/10 on a 0 to 10 numeric rating scale. The patient reports an altered sleep-wake cycle. |
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| Patient Goal/Outcome | Interventions | Rationale for Interventions | Evaluation of Each Goal/Intervention |
| 1)The Patient’s pain will reduce and her sleep will promote by using nonpharmacological methods such as supplements or enhance pharmacological interventions within the next three months. | 1a) RN will in addition to administering analgesics, support the client’s use of nonpharmacological methods to help
control pain, such as distraction, imagery, relaxation, and application of heat and cold. 1b) RN will ask the client to describe prior experiences with pain, effectiveness of pain management interventions, responses to analgesic medications (including occurrence of side effects), and concerns about pain and its treatment (e.g., fear about addiction, worries, anxiety) and informational needs. |
1a) Evidence
suggested efficacy and satisfaction when complementary therapies are integrated into pain treatment plans of older adults (Bruckenthal, 2016 as cited in Ackley et al., 2022, p. 723). 1b) Sleep disturbance and decreased physical activity are adverse effects of people with chronic pain. In a study of clients with chronic pain, those who participated in a 4 week multiprofessional program that included psychoeducation and training related to pain, sleep, exercise, and activity training had improvement in sleep quality and pain intensity (de la Vega, 2019, as cited in Ackley et al., 2022, p. 721). |
1a) Goal partially met. Patient’s pain decreased to level 2/10, with relaxation therapy such as meditation and usage of heat pads.
1b) Goal met. Patients starts to drink Valerian root tea and states “It reduced the amount of time takes me to fall asleep and helped me sleep better.” |
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