Case Study: Rest, Comfort, Mobility, and Pain Management Mr

Case Study: Rest, Comfort, Mobility, and Pain Management Mr. Daniels is a 42-year-old male who is 3 weeks post-operative following an open reduction and internal fixation (ORIF) of a fractured femur sustained in a workplace accident. He was discharged home 5 days ago and is receiving outpatient physical therapy. Mr. Daniels reports persistent pain rated 6 to 8 on a 0 to 10 pain scale at rest and 9 to 10 during ambulation and physical therapy exercises. He states that the pain interferes with his sleep, limits his mobility, and makes it difficult to complete activities of daily living. He has begun avoiding physical therapy sessions because movement increases his discomfort. His spouse reports concern that he spends most of the day in bed and seems reluctant to move despite encouragement. Mr. Daniels asks the nurse whether a stronger pain medication is available because the current medications do not always provide adequate relief during rehabilitation. The nurse must evaluate the effectiveness of the medication regimen while promoting comfort, rest, mobility, and safe recovery. PMH: Hypertension; chronic low back pain PSH: ORIF left femur (3 weeks ago); appendectomy at age 18 Current Medications: Acetaminophen/oxycodone 5/325 mg (2 tablets every 6 hours as needed for pain rated 7-10); Ibuprofen 800 mg (1 tablet three times daily); Lisinopril 40 mg PO daily Allergies: No known drug allergies Vital Signs: BP 138/86 mmHg; HR 102 bpm; RR 18/min; Temp 98.6°F; SpO2 98% on room air Group Questions to Answer and Focus: Illustrate the clinical situation, pharmacologic management, and nursing care implications. Create a concept map and nursing management plan focused on pain control, comfort, rest, and mobility. 1. Who is the patient? What is his story and current health situation? 3. What manifestations (signs, symptoms, and functional limitations) related to pain, comfort, rest, and mobility is the patient experiencing? 4. What medications are prescribed for the patient? Identify the classifications of acetaminophen/oxycodone and ibuprofen. 5. What are the mechanisms of action of acetaminophen/oxycodone