Pain assessment

University of Technology Sydney

13 Apr 201411:29

Summary

TLDRThe video script portrays a realistic clinical scenario with a role-play involving a student nurse, a registered nurse, and a patient post-knee replacement. It demonstrates effective communication, pain assessment, and the process of administering medication, including the importance of checking medication with a second nurse and monitoring the patient's response. The interaction also touches on potential side effects, such as constipation, and how to address them.

Takeaways

😀 The video script is an educational role-play for nursing students, demonstrating a patient interaction during clinical placement.
👩‍⚕️ Sue Wong is a registered nurse and facilitator at UTS, guiding the role-play scenario.
👨‍🎓 Raza Zahidi, a third-year nursing student, plays the role of a first-year student to show effective communication with patients and nurses.
👵 Jeannette Bryant is portrayed as a patient who has undergone a knee replacement surgery.
🤝 The interaction begins with a friendly greeting and introduction, setting a positive tone for patient care.
🔍 The nurse assesses Jeannette's pain level using a zero to ten scale, identifying it as a six on the scale.
💊 The patient requests Panadeine Forte for pain relief, and the nurse checks the medication order and preferences.
📚 The script highlights the importance of using resources like MIMS for drug information and understanding side effects.
👥 The medication administration process requires two registered nurses to ensure accuracy and safety.
📝 Proper documentation and verification are emphasized, including checking the medication against the patient's chart and updating records.
📈 The script demonstrates the process of monitoring the patient's response to medication and adjusting care as needed, such as addressing constipation.
👍 The role-play concludes with a positive patient outcome, showing the effectiveness of the nursing care provided.

Q & A

What is the role of Sue Wong in the role-play scenario?
-Sue Wong is a registered nurse and one of the facilitators at UTS, guiding the student through the interaction with the patient.
Who is Raza Zahidi in the role-play?
-Raza Zahidi is a third-year nursing student role-playing as a first-year student for the purpose of the scenario.
What procedure has Jeannette Bryant undergone?
-Jeannette Bryant has undergone a knee replacement surgery.
How does Jeannette describe the pain she is experiencing after the knee replacement?
-Jeannette describes the pain as 'aching' and quite severe when she moves her knee, rating it around a six on a scale from zero to ten.
What is the purpose of the role-play for the nursing students?
-The role-play is designed to help nursing students learn how to communicate with patients and other nurses effectively during clinical placements.
What medication is Jeannette Bryant prescribed for her knee pain?
-Jeannette Bryant is prescribed Panadeine Forte for her knee pain.
What is the significance of having two nurses check out medication from the drug cupboard?
-Having two nurses check out medication ensures accuracy and accountability, especially for Schedule 4 drugs which require careful handling.
What does MIMS stand for and why is it used in the script?
-MIMS stands for Monthly Index of Medical Specialities, a resource used by healthcare professionals to find detailed information about drugs.
What are the potential side effects of Panadeine Forte mentioned in the script?
-The potential side effects of Panadeine Forte mentioned are gastrointestinal upset, constipation, and drowsiness.
How does the script illustrate the process of administering medication in a clinical setting?
-The script shows a step-by-step process including checking the medication against the order, verifying the patient's identity, administering the medication, and documenting the administration in the medication chart.
What is the follow-up action taken by the nurses after administering Panadeine Forte to Jeannette?
-The nurses return after about thirty to forty-five minutes to check if the medication has worked and to see if the pain level has decreased.
How does the script address the issue of patient education regarding medication side effects?
-The script shows the nurses discussing the potential side effect of constipation with Jeannette and suggesting measures such as increasing water intake and fiber in her diet to manage it.

Outlines

00:00

😀 Introduction to Pain Assessment Role-Play

The video script begins with Sue Wong, a registered nurse and facilitator at UTS, introducing a role-play scenario designed to prepare nursing students for clinical placement. She is joined by Raza Zahidi, a third-year nursing student role-playing as a first-year student, and Jeannette Bryant, a patient who has undergone knee replacement surgery. The interaction demonstrates communication techniques between healthcare professionals and patients, focusing on pain assessment following surgery.

05:01

🤔 Pain Assessment and Medication Administration

In this paragraph, the focus shifts to the practical aspects of patient care, specifically pain assessment and medication administration. Raza, as the student nurse, inquires about Jeannette's pain levels and describes it, using a scale of zero to ten. Jeannette rates her pain as a six. The script then covers the process of administering Panadeine Forte for pain relief, including checking the medication against the patient's medication chart, ensuring two nurses are present for verification, and discussing potential side effects such as constipation. The importance of accurate record-keeping and patient verification before medication administration is emphasized.

10:02

🕒 Post-Medication Follow-Up and Patient Care

The final paragraph details the follow-up care after medication has been administered. Approximately thirty minutes after taking Panadeine Forte, Jeannette reports a reduction in her pain level to a two on the pain scale. The script also addresses a side effect of constipation, suggesting remedies such as increased water intake and dietary adjustments. The healthcare providers reassure Jeannette of their availability for further assistance and emphasize the importance of patient communication and comfort in the recovery process.

Mindmap

Keywords

💡Pain assessment

Pain assessment is a critical component of patient care, particularly in postoperative scenarios like the one depicted in the video. It involves evaluating the intensity and nature of a patient's pain to determine appropriate treatment. In the script, the nurse asks the patient to rate her knee pain on a scale from zero to ten, which is a common method for quantifying pain levels.

💡Nurse

A nurse is a healthcare professional who provides care and support to patients. In this video, the roles of different nurses are highlighted, including a registered nurse, a student nurse, and a facilitator. The script showcases the collaborative nature of nursing, with experienced nurses guiding students in clinical practice.

💡Clinical placement

Clinical placement refers to the practical component of nursing education where students apply theoretical knowledge in a real-world healthcare setting under supervision. The video is designed to prepare students for such placements, emphasizing the importance of communication and assessment skills.

💡Knee replacement

Knee replacement, or arthroplasty, is a surgical procedure to replace damaged parts of the knee joint with prosthetic components. The patient in the video has undergone this procedure, and the script discusses her postoperative care, including pain management and physical therapy.

💡Pain scale

A pain scale is a tool used to measure the severity of a patient's pain. The script mentions a zero to ten scale, where zero is no pain and ten is the worst pain imaginable. This scale helps healthcare providers gauge the effectiveness of pain management strategies.

💡Communication

Effective communication is essential in healthcare for understanding patient needs and providing appropriate care. The video demonstrates various communication techniques, such as active listening and empathetic responses, used by the nurses when interacting with the patient and her husband.

💡Medication administration

Medication administration is the process of giving patients their prescribed drugs safely and accurately. The script details the steps taken to ensure this, including verifying the patient's identity, checking for allergies, and documenting the medication given.

💡Panadeine Forte

Panadeine Forte is a medication mentioned in the script, which is an analgesic and antipyretic used for moderate to severe pain relief. The video illustrates the process of selecting, verifying, and administering this medication to the patient, highlighting the importance of medication safety.

💡Side effects

Side effects are unintended consequences of medication that may occur alongside the desired therapeutic effects. The script discusses constipation as a potential side effect of Panadeine Forte, emphasizing the need for healthcare providers to monitor and manage these effects.

💡Physical therapy

Physical therapy, or physiotherapy, involves the use of exercises and physical manipulation to help patients recover and improve their physical abilities. The script mentions that a physiotherapist will visit the patient to assist with her knee recovery post-surgery.

💡Documentation

Documentation is the process of recording patient information, including medication administration and clinical observations. The script shows the importance of accurate documentation for legal and clinical purposes, as seen when the nurses record the medication given and the patient's response.

Highlights

Introduction of the role-play scenario by Sue Wong, a registered nurse and facilitator at UTS.

Raza Zahidi, a third-year nursing student, role-plays as a first-year student to demonstrate patient communication.

Introduction of patient Jeannette Bryant and her husband Raymond, setting the context for the interaction.

Greeting and initial interaction between the nurse and patient, establishing rapport.

Identification of Jeannette's recent knee replacement surgery and inquiry about her condition.

Pain assessment using a zero to ten scale, with Jeannette rating her pain as a six.

Discussion about the onset and description of Jeannette's knee pain.

Request for pain relief medication and the decision to administer Panadeine Forte.

Explanation of the medication selection process and the role of the second nurse in verifying medication.

Use of MIMS to find more information about Panadeine Forte for the student nurse.

Procedure for checking out medication from the drug cupboard with two registered nurses.

Discussion of Panadeine Forte's effects, including its use for pain and fever, and potential side effects.

Verification of medication with expiration date and order details before administration.

Double-checking medication balance against the medication chart to ensure accuracy.

Administration of Panadeine Forte to Jeannette with verification by two nurses.

Follow-up on Jeannette's pain level after medication, showing a reduction to a two on the pain scale.

Addressing Jeannette's constipation as a potential side effect and providing advice for relief.

Closing of the role-play with a reminder for the patient to use the buzzer if needed and a thank you from the nurses.