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Original Question

Case Study Introduction: Mr David Mason is a ninety (90) year old male who was permanently admitted to Lindon Vale Residential Aged Care Facility (RACF) in 2018. Background: Mr Mason used to work as a pharmacist for 45 years at a local chemist He has been very independent throughout his life and used to live with his only son Nick and dog Charlie, prior to his admission at RACF Nick lives close to the RACF and visits him daily in the afternoon Medical problems: Alzheimer’s disease Hearing difficulty (uses hearing aids) Asthma Hypertension (HTN) Urinary incontinence Kidney stones Chronic pain in both knees Diabetes type 2 Skin cancer on right arm Current situation: You are an enrolled nurse working on a morning shift. You received the following information during the handover from the night nurse. Mr Mason was very anxious, agitated and wandered all night He was vocally disruptive towards night staff He refused to leave his room to attend lifestyle activities yesterday He was incontinent of urine and was showered at 05:00 hrs this morning He has lost 3 kgs in last 2 weeks and has a poor oral intake He requires assistance with denture care and ADL’s (activities of daily living) He complained of pain in both his knees overnight and received pain relief medication by the RN Morning staff to closely monitor Mr Mason and to notify the RN and GP, if his pain worsens References needed comeplete it in table please make it 300 words maximum Question Mr Mason requires regular pain management. Complete the following table about identification and management of his pain: Answer: How would you assess him for pain? What can be the cause for his pain? How would you manage his pain?

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