Assessment Task 2: Interactive Oral Presentation Case study based on Mrs Smith “A person-centred case assessment
Introduction
- Smith [A pseudonym] is a 75 years old female who resides in a community-based aged care facility.
- The patient has medical history of hypertension, mild-cognitive impairment and
- She was admitted in the facility following a fall at the home and this led to superficial skin tear and fractured pubic
- However, Mrs Smith has already been suffering from a leg ulcer and this further complicated her
- Her daughter depicted that Mrs Smith has been showing decreased participation in certain activities which she used to enjoy
- This case has been providing significant opportunity of implying a person-centred pain assessment framework for Smith.
- Specific focus will be implied on considering focus on ethical, professional and cultural
Students exploring nursing concepts and patient-centred care approaches can access additional academic resources through our best assignment help Australia services.
Analysing the pain and underlying pathophysiology
- The pain comprises with fall and fracture; this is classified as noncieptve, this is particularly recognised as a somatic pain arising from tissue injury in pelvis area.
- Burning and throbbing pain is due to leg ulcer; this comprises with neuropathic domains and signifies about nerve involvement or
- The pelvic fracture of Smith comprehends with periosteal nerve fibers and bone and this is providing inflammation signals “prostaglandins” and this further sensitizes nociceptors (Achterberg et al, 2019).
- This movement is aggregating tissue strain and inflammation which is leading to develop extreme
- However, the ulcer’s pain is due to activation of peripheral nerve from tissue and this is providing nerve damage and inflammatory mediators (Chan and Chan, 2022).
- Smith condition shows that she had chronic ulceration and thereby, she is experiencing perpetuating pain even after the tissue has healed.
Person-centred approach for pain assessment
- Provocation [P] - Mrs, Smith reported that her pain becomes severe during movement, particularly when she is walking or standing and this has further worsened after her fall. During rest the pain found to be less intense but it keeps increasing while movement, standing and walking.
- Quality [Q] - The pain at pelvic area presents with the episode of stabbing sensations and aching; while, the leg ulcer pain is characterised by burning and throbbing sensations.
- Region [R] - The pain is at the pelvis and groin
- Severity [S] - The pain score is 8/10 while resting and it becomes 9/10 during
- Time [T] - The pain keeps persisting however, it gets worsens in afternoon when Smith tries to perform any activity. She is further not able to sleep due to pain discomfort.
Cultural and ethical consideration
- Smith’s is British by her cultural background and she prioritises independence; she has also expressed her belief and stated that pain is normal part of aging process and she wanted to know about the management.
- The prior ethical principles that were integrated are Autonomy, Beneficence and
- The autonomy of Smith was respected and accordingly, she was involved in decision making process (Horgas, Wu and Booker, 2023).
- Moreover, clear communication with the patient was established and she was consistently
- The principle of beneficence and non-maleficence was considered and accordingly, accurate assessment strategy that concerned with appropriate pain identification and its impact was considered. The motive was to support patient while identifying the details regarding the
Conclusion
Enjoy Additional Savings on WhatsApp order!
Scan the QR code with your mobile to unlock an exclusive offer!
use my discount
- The present case signifies about the importance of holistic and person-centred care approach for undertaking pain
- Smith case analysis demonstrated that it is important to consider individual preferences and accordingly, actions require to be taken.
- Furthermore, it has been evident that integration of ethical and cultural aspects is important for supporting
Understanding pain management, age-related health conditions and individual care needs is an important aspect of Aged Care Nursing Assignment Help.
References
-
Achterberg, , Lautenbacher, S., Husebo, B., Erdal, A., & Herr, K. (2019). Pain in dementia. Pain reports, 5(1), e803. https://doi.org/10.1097/PR9.0000000000000803
-
Baril, L., Nguyen, E., Dufresne-Santerre, , Émond, V., Émond, M., Berthelot, S., ... & Mercier, E. (2021). Pain induced by investigations and procedures commonly administered to older adults in the emergency department: a prospective cohort study. Emergency Medicine Journal, 38(11), 825-829.
- Chan, K. I., & Chan, C. P. I. (2022). Managing chronic pain in older people. Clinical medicine, 22(4), 292-294.
- Coll, M., & Jones, R. (2023). Pain assessment and management for people with dementia in the community. Nursing standard (Royal College of Nursing (Great Britain) : 1987), 38(4), 64–68. https://doi.org/10.7748/ns.2023.e12091
- Dufort, , & Samaan, Z. (2021). Problematic opioid use among older adults: epidemiology, adverse outcomes and treatment considerations. Drugs & Aging, 38(12), 1043-1053.
- Fitzgerald, , Tripp, H., & Halksworth-Smith, G. (2020). Assessment and management of acute pain in older people: Barriers and facilitators to nursing practice. Australian Journal of Advanced Nursing, 35(1), 48–57.
- Hasnain, I., Staab, E. M., Kagarmanova, , Mackiewicz, M., Ari, M., Thompson, K., ... & Laiteerapong, N. (2025). Primary Care Clinician Perspectives on Older Adult Chronic Pain Management and Clinical Decision Support: Qualitative Study. JMIR Formative Research, 9(1), e74381.
