Clinical Judgment: Postoperative Pain Name: University: Course: Tutor: Date: Introduction Pain management is a very important nursing process especially for surgery patients because postoperative pain can impact negatively on the patient. This is because patients need a holistic care (Selimen & Isikandsoy, 2010)…
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Yet, regardless of this, many patients still have to deal with excruciating pain after surgical processes operated on them. Nurses still don’t have the necessary skills for pain management and this continues to affect patients in a very negative way. This document looks at this issue from a case study point of view with a regard to understanding this issue and looking at how the individual nurses can use the Tunner’s Model which is a four step model for nurses to apply clinical Judgement. Part I There are a number of advantages associated with treating post-operative pain. The main advantage is related to the fact that nursing is about returning the patient to his or her normal state before the health problem at hand. Surgical operation on a patient treats one health issue but can leave the patient with other health issues such as excessive pain. In such a case, a surgical process cannot be considered as complete in terms of healing the person until the pain associated with it is overcome. Treating the patient in order to manage this pain and eliminate it is therefore a vital part of treatment and the sooner the pain is dealt with the sooner the patient can get back his or her health (D’Arcy, 2012). Failing to manage this pain would mean that the patient will not be able to get their health back. Pain varies in intensity and postoperative pain can be so excruciating to the amount of death if not well managed. Different people respond differently to pain and this difference can lead to different health implications for different individuals. In this regard, it is the role of the nurse to be able to look at the patient and understand how the postoperative pain is affecting their health and be able to deal with this as soon as possible and in the most efficient way possible (Bell & Duffy, 2009). Failing to manage postoperative pain can lead to two main issues. To being with, it can lead to over-delayed discharge of the patient which will definitely affect the efficiency of the hospital as well as the cost of healthcare to the patient or whoever is footing the bill for the patient. At the same time, it can lead to complications on the patient’s recovery process and sometimes lead to more issues which were not existent before the surgery. However, the bottom line of postoperative pain treatment should be based on the fact that the patient has a right to minimised pain in post-operative situations (Layzell, 2008). Part II Noticing Noticing is a very important part of the clinical judgement process as it provides for the basis of treatment before any other implicit knowledge is gained with regard to the customer (Tanner, 2006). With regard to Josie, there are a number of issues which the nurse could be able to look at in this regard. As seen in the case study, Josie has a history of other medical issues which may contribute to her response to the post-operative pain not being very well. As a diabetic, there may be other issues which the nurse may want to consider as Josie goes through the process of surgery. These include such explicit information such as her glucose levels, her body temperature levels, her heartbeat rates etc. These details are important in order to identify any issues which might arise during and or after the survival process. After the surgery, tracking information about her heartbeat, the glucose levels (especially due to her diabetic condition), her
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