1 Maria Hernandez Simulation Chamberlain University College of Nursing November 27, 2022 PRE-SIM QUESTIONS 2 1. What are some non-pharmacological measures that can be used for pain relief in care for this patient? Relaxation therapy is a nonpharmacological measure that may provide pain relief. Among the possibilities is music therapy. There is also guided imagery as a relaxation technique. According to John Hopkin’s University (2020), “By creating images in your mind, you can reduce pain and other symptoms tied to your condition”. In this case, the patient may watch television or visualize a place where she would be comfortable and happy. Distractions are also good as long as they do not affect the surgical site's integrity. 2. What vital signs could be indicative of complications for this patient? Mrs. Hernandez could experience an elevated temperature during the healing process. This could indicate that the patient is at risk for an infection, which could be a problem for her. Having decreased respiration would be another concern. A patient under a general anesthetic may suffer from bradypnea that could lead to pneumonia if her lungs are not exercised after surgery. 3. Based on what you’ve learned about the nursing process, describe one applicable nursing diagnosis, treatments, and nursing considerations for this diagnosis. A diagnosis of impaired skin integrity might apply to Mrs. Hernandez. Since the patient underwent surgical debridement, the integrity of the skin is compromised. A sterile 0.9% Normal Saline solution could clean the wound and prevent infection. In this case, it is essential to observe how the PRE-SIM QUESTIONS wound is healing and the presence of granulation tissue, slough, and eschar. An increase of 10% in caloric intake is recommended (Hall et al., 2020, p. 1252). 3 PRE-SIM QUESTIONS 4 References Hall, P.P.A.P.P.S. A. (2020, April). Fundamentals of Nursing (10th ed.). Elsevier Health Sciences (US). https://bookshelf.vitalsource.com/books/9780323677721 Herdman, H. & Kamitsuru, S. (2018). Nanda International Nursing Diagnoses: Definitions and classification 2018-2020 (11th ed.). Johns Hopkins Medicine. (2021, June 7). Imagery. The Johns Hopkins University. https://www.hopkinsmedicine.org/health/wellness-and-prevention/imagery
