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Postoperative Pain Case Study

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Postoperative pain
Postoperative pain is an unpleasant sensory and emotional discomfort associated with the tissue damage caused by the surgery. Postoperative pain management should include a precise and a systematic assessment to manage appropriately. Pain is an internal subjective experience which cannot be seen by others or detected by investigations. Therefore the postoperative pain assessment largely rely on the clients complain and should be ongoing, individualized and documented. As the etiology is clear in postoperative pain, a single dimensional pain scale, that measures the intensity of the pain, is usually used that rates the pain out of 10 through the clients self-reporting. In some cases a multi-dimensional pain scale is used …show more content…
The expected outcome of pain reduction should be evaluated by reassessment of the pain. This will indicate whether the interventions implemented were effective and sufficient. Usually the client will be reassessed with the pain scale regularly along with all other observations. If the outcome is not met or the interventions made are not so effective, the interventions should be changed and modified. As an example if the pain is not relived by non-opioid analgesics, mild opioids should be used appropriately. In addition the client should be asked and inspected for adverse effects of the interventions made such as allergic reactions, hypotension, respiratory depression (usually with the use of strong opioids) and managed accordingly. (Hamilton, …show more content…
DVT is a condition in which a thrombus is developed that blocks the deep veins of the leg or pelvis causing inflammation. Assessment of postoperative DVT and its risk factors is very important in preventing and managing DVT and thromboembolism. (Knott, 2013) Postoperative patients should be assessed for DVT, if they have risk factors, which can lead to thromboembolism, typically to a pulmonary embolism (PE). Risk factors for developing DVT can be surgery related, patient related or both. Surgery related risk factors include infections, immobilization, dehydration and type of surgery whereas patient related risk factors include cancer, previous DVTs, advancing age, varicose veins and estrogen use. (Zurawska, et al., 2007) According to the NICE recommendations, if the client is presenting with signs and symptoms of DVT, an assessment of the general medical history and a physical examination should be done. Assess for signs and symptoms of DVT including edema or swelling of the calf, pain and tenderness along the line of deep veins in calf or thigh, distension of superficial veins, increase in skin temperature around the swelling, redden skin, hard thick palpable vein and a low grade fever. (Tidy, 2012) Look for signs and symptoms of PE including dyspnea, chest pain, cough and hemoptysis, tachypnea, tachycardia,

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