NUR 104 
Nursing Care Concepts
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UNIT 1E - COMFORT AND REST
 
Theory schedule
   Unit 1-A
   Unit 1-B
   Unit 1-C
   Unit 1-D
   Unit 1-E
   Unit 1-F

   Unit 2-A
   Unit 2-B
   Unit 2-C

Appendix A

Lab

Clinical

 
  • Objectives:
  • Identify alterations in the basic needs of comfort and sleep.

    • 2. Discuss nursing care of the client experiencing pain.
    3. Describe integrative therapies used in pain management.
    4. Utilize technology such as PCA (patient controlled analgesia) pumps in helping clients control pain.
    5.   Identify therapeutic communication techniques to promote sleep and comfort, taking into account cultural diversity.
    6. Discuss ethical issues in pain management.
    7.  Describe the role of the nurse as a patient advocate in relation to sleep and comfort.
    8.   Describe the role of pain medications in end of life care.
    9. List community resources for clients experiencing pain.
     
     
    Theory
    Content
    Lab
    Assignment
    Clinical
    Clinical Assignment

    A.  Sleep
         1.  definition
         2.  stages of sleep
         3.  sleep cycle
    B.  Pain
         1.  types of pain
         2.  pain responses of individual 
         3.  relationship of pain and culture
         4.  ethical considerations in 
              pain management
    C.  Nursing process in promotion of sleep and 
         comfort
         1.  assessment factors
              a.  objective signs
              b.  subjective symptoms
              c.  influence of culture
         2.  nursing diagnosis
              a.  sleep pattern disturbance
              b.  alteration in comfort: pain, 
                   chronic pain
         3.  planning and implementation 
              to promote sleep and comfort
         4.  evaluation of outcomes of nursing 
              interventions to promote sleep 
              and comfort

    Readings:
    Kozier: pp.1113-1130, 1133-1168
    Lewis: pp.  131-157
    A.  Applying Heat/ Hot Water Bag and 
         AquaThermia pad Kozier p. 838-839
         And Ice p. 884-888 (in SDLP)

    C.  Epidural narcotic analgesia Kozier p. 1157

    D.  44-1 PCA

    E.  Teaching Progressive Relaxation p. 230
     
     
     

    Readings:
    Kozier: pp. 884-88; 229-231, 1155-1162

    Videos:
    McCaffery:
      Epidural Analgesia
      Improving the Quality of Pain Management
      Pain in the Elderly
      Preventing Opiod Induced Respiratory Depression
    Patient Controlled Analgesia

    Web Sites for further information:
    http://adultpain.nursing.uiowa.edu/
    http://www.aapainmanage.org/
    http://nurse.cyberchalk.com/nurse/   Click on
    Pain Management and then these units:
         -A Nurse's Guide to Pain Management
         -Pain Management (requires Flash which we have here at Oakton. Very good with lecture and quizzes)

     
    A.  Perform an assessment of your client 
          and  develop a list of nursing 
          diagnoses, goals and outcome criteria.
    B.  Assess client for pain and sleep 
          pattern disturbance.
         - review list of client's medications
    C.  Implement nursing interventions to 
          reduce pain  and promote sleep
    D.  Evaluate effectiveness of nursing
          interventions  for comfort or sleep.
    E.  Student Activities: 
         In conference:
    1. Discuss assessment findings related to comfort and sleep.
    2. Discuss effect of medications on comfort and  sleep.
    3. Compare doses and metabolism of medications for selected clients.
    4. Identify nursing/nonpharmacological interventions to promote comfort and sleep.
    5. Discuss your assessment, nursing diagnoses, goals and outcomes.
         Student Activities:
    Attend selected support groups/ Community education program related to pain management (option)  Investigate opportunities for service learning in related agencies.

     
    ........
    Please direct general questions or comments about this page to its author: Kim Lubesnick, mikey@oakton.edu.
    Last update 10/05/02