How to Answer Clinical Practice Pain Questions (Complete Guide)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to clinical practice pain and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves clinical practice pain. A strong answer should include explanation, application, and examples.

Original Question

M6.3 Clinical Practice: Pain/Comfort Assessment Evaluate You will be using the following scales to rate the intensity of the patient’s pain or discomfort: Kolcaba’s comfort verbal rating scale, Kolcaba Comfort Daisies Scale, FLACC, Wong-Baker FACES, Numerical Rating Scale (NSR), Checklist of Nonverbal Pain indicators (CNPI) or Pain Assessment in Advanced Dementia Scale (PAINAD). D’Arcy, Y. M. (2013). Checklist of Nonverbal Pain Indicators (CNPI) based on Feldt’s work (Links to an external site.) Hinkle (2014). Numeric Rating Scale Download Numeric Rating Scale Kolcaba (2019). Comfort Verbal Rating Scale Download Comfort Verbal Rating Scale Kolcaba (2019). Comfort Daisies Scale Download Comfort Daisies Scale Merkel (1997). FLACC Pain Rating Scale Download FLACC Pain Rating Scale Warden (2003). Pain Assessment in Advanced Dementia Scale (PAINAD) (Links to an external site.) Whaley &Wong (1985). FACES Pain Rating Scale Download FACES Pain Rating Scale To complete your assignment: First, download the Patient Scenario Download Patient Scenario document. Then for each scenario: Use one (1) of the following valid pain assessment tools: Kolcaba’s Comfort Verbal Rating Scale; Comfort Daisies Scale, FLACC, Wong-Baker FACES, Numerical Rating Scale, Checklist of Nonverbal Pain indicators (CNPI) or PAINAD. Identify the (1) validated tool you would use to assess each patient’s pain. Provide the rationale that you used to select each tool. Record your answers on the Clinical Practice: Pain/Comfort Assessment Documentation Form Download Clinical Practice: Pain/Comfort Assessment Documentation Form. Submit by uploading your completed Clinical Practice: Pain/Comfort Assessment Documentation Form This is considered an assignment and combined assignments of all modules total 35% of final course grade. Patient One: Malik is an eight-week-old who had abdominal surgery for pyloric stenosis two days ago. He is in his mother’s arms when he comes in for a post-operative check. HIs pulse is 20 beats per minute above his baseline of 120 and his B/P is high at 100/60. He draws his legs up to his abdomen He cries loudly when positioned on his back and will not console in his mother’s arms. He will not take a pacifier and his fists are clenched. He arches his back when his mother touches him. Patient Two: Emma is a three-year-old who is beginning a program for special education children in a classroom at a large elementary school for the first time today. She has been home with her mother and twin brother since she was born prematurely. She begins to cry loudly when her mother leaves the building and the teacher calls the school nurse for help. She is crying loudly and asks for “mommy.” Tears are streaming down her cheeks and her nose is running. She does not want to be picked up and she tries to run towards the classroom exit. She says, “go home now” between tears. She is not interested in a toy when presented with a doll. Patient Three: Ronald is a 4-year-old African American boy who is in the clinic from a daycare facility. He was diagnosed with sickle cell anemia as a newborn. He is crying and he withdraws his leg and foot when the nurse examines him. He tells the nurse that his foot hurts and says, “don’t touch it!” He wants his mother, who should be arriving in about an hour. He is tachycardic and hypertensive. He is hyperventilating. His temperature is 101 and the daycare worker says he has had a cough. Patient Four: Louisa Goodyear is a 47-year-old woman who comes in complaining that she cannot sleep. She has been healthy and works as a data entry person for a large firm. She mentions that she feels like her coworkers have been difficult to work with lately and that she “snapped” at one of them. Her three children in their 20’s live in three different states. She cares for her parents who are in their late 70’s and live nearby. She reports that she has developed irregular menses over the past year and has not had a period in 4 months. She is flushed and the nurse notes perspiration on her brow. Her vital signs: 98.7- 70-15 130/62 Patient Five Joseph Sandberg, age 58, is a construction worker who developed low back pain which is also referred to posterior upper leg. The pain developed without a known injury. He lives alone and comes to the clinic after the pain does not go away in one week. He is complaining of pain, muscle spasms, and limping. Joseph has been limiting physical activities, and reports feeling tired and lacking energy. His sleep is intermittent. He has not been able to participate in his weekly bowling league. Just getting to work has been a challenge. Vital signs: 98.2 84-16 126/70. Patient Six: Mrs. Yoder is an 82-year-old who comes to the clinic from a memory care unit. She has a history of multi-infarct dementia and falls. She has arthritis and urinary tract urgency. She has become a little belligerent when staff approach her, and she shouts “ouch!” when the nurse palpates her radial pulse. She is withdrawing from favorite activities and is reluctant to get up and move. She tells you that she is at her mother’s house when asked where she is currently. She calls the nurse by her son’s name. Her speech is not garbled, but she is talking about baking cakes. She moans during urination when the UAP (Unlicensed Assistive Personnel) takes her to the bathroom. Her vital signs: 101.2-81-16; 112/70. Patient Seven Mr. Nguyn, age 78, is retired teacher who is being admitted because his wife is no longer able to care for him at home. He has bone cancer that spread from a tumor in his prostate. He was living at home with his wife until recently and is becoming increasingly weak with increasing pain. She has been giving him acetaminophen and gabapentin around the clock. His wife says that he is very irritable when she asks him a question. This morning she cannot even get him to answer at all. He turns over in bed repeatedly during the night, but he did not turn even once last night. He is not eating or sleeping. He is difficult to arouse this morning. When the nurse stimulates him, he gasps out loud and grasps the sheets firmly. He is grimacing and has clenched teeth. His vital signs are: 97-98-22 160/90. Patient Eight Mr. Cassidy is a 90-year-old former tax auditor from an assisted living facility. He recently lost his wife of 60 years. He takes medications for a medical history positive for diabetes, hypertension, and osteoarthritis. The facility reports that he has worsening agitation and insomnia. This morning he is disoriented and cannot remember where he is. He is normally cooperative, but he attempted to hit the UAP (Unlicensed Assistive Personnel) when she disturbed him. Recently, he has been complaining of his shoes not fitting well and he will only wear his slippers. He has fallen twice in the past 60 days when ambulating to the bathroom in his room. He has been refusing to walk more than a few steps for the past week or two. A 4X6 cm necrotic area is noted on his medial malleolus when the nurse removes his socks. It is surrounded by a reddened area. His vital signs: 101.4 -76-16 114/72. Clinical Practice: Pain/Comfort Assessment Documentation Form. Patient number Tool selected to assess pain Rationale for selection of tool Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 Patient 6 Patient 7 Patient 8

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."