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RESIDENT_____________________________________

 

 

DATE

 

PROBLEM

 

 

GOAL

 

TO DATE

 

INTERVENTIONS

 

RESP

DISC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Potential for decreased or disrupted activity participation related to

 

 

Pain

 

 

As evidenced by:

 

Resident complains of pain during activities

 

 

Resident will complete activities without  pain

 

Resident will verbalize comfort with activities

 

 

 

Discuss with resident activities that precipitate pain and what may reduce it

 

Assist resident to choose activities that promote optimum comfort

 

Instruct resident about the role of distraction in pain relief

 

Unless contraindicated, time pain medication to allow the medication to take effect prior to an activity the resident enjoys

 

Monitor resident during activities for nonverbal signs of pain and discomfort such as  Favoring one extremity, Guarding body part, Knees pulled up, Rocking, Rubbing body part, Wringing hands, Grimacing

 

Relaxation programs and activities: Music,

Massage, Guided imagery

 

Bonding activities such as pet visit

 

Spiritual support and activities

 

Comfort food

 

Inform Nursing staff of resident discomfort

 

See Nursing care plan

 

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