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The patient situation we are going to analyse involves a patient who was diabetic under observation as shown below using the 5 R’s.
Reporting: This patient’s blood sugar level was at 16mmol and he was on an insulin infusion with an hourly observation for his blood sugar levels. He also had a naso-gastric tube in place with blood pressure under a two hourly observation routine and he was due for an x-ray on that specific day at 2 p.m. When dealing with the patient he was not feeling and in pain, his naso-gastric tube was not in place. As a result, we should have attended to the patient immediately as instructed by the doctor which unfortunately we did not.
Responding: Our first duty was to respond to the patients needs and I being in charge of the other nurses should have advocated for response to be undertaken immediately. We should have administered the normal saline dose immediately and stayed with the patient and give support to reduce anxiety. Anxiety is usually known for heightening pain and staying with the patient while relieving and stroking him would assist in relieving the pain since distraction assists in reducing pain (McGuire 86).
Relating: Due to my experience as a healthcare professional, I should have been able to relate pain and psychological experience caused by anxiety. I would have applied a stop gap measure for the pain. Apart from administering drugs, I would have made the patient comfortable and re-assured him that the pain would go away soon. Since these non-pharmacological interventions are effective in relieving pain compared to the use of drugs (Lester 89).
Reasoning: Based on this situation, the ultimate goal was for us to relieve pain and prepare the patient for an x-ray. Therefore, the best practice would have been to make use of painkillers and administer insulin and monitor his vital signs. In this case, monitoring blood sugar level and pressure while at the same time checking on the patient’s pain
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