NURS 6630 Assignment Assessing and Treating Clients With Pain

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NURS 6630 Assignment Assessing and Treating Clients With Pain

NURS 6630 Assignment Assessing and Treating Clients With Pain

 

Pain can greatly influence an individual’s quality of life, as uncontrolled pain negatively
impacts mood, concentration, and the overall physical and mental well-being of clients.
Although pain can often be controlled with medications, the process of assessing and
treating clients can be challenging because pain is such a subjective experience. Only
the person experiencing the pain truly knows the intensity of the pain and whether there
is a need for medication therapies. Sometimes, beliefs about pain and treatments for
pain can have an adverse effect on the provider-client relationship. For this Assignment,
as you examine the interactive case study consider how you might assess and treat
clients presenting with pain.
Learning Objectives
Students will:
 Assess client factors and history to develop personalized therapy plans for clients with pain
 Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring therapy for pain
 Evaluate efficacy of treatment plans for clients presenting for pain therapy
 Analyze ethical and legal implications related to prescribing therapy for clients with pain
Learning Resources
Note: To access this week’s required library resources, please click on the link to the
Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings

Note: All Stahl resources can be accessed through this link provided.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and
practical applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential Psychopharmacology, 4th ed
tab on the Stahl Online website and select the appropriate chapter. Be sure to read all
sections on the left navigation bar for each chapter.
 Chapter 10, “Chronic Pain and Its Treatment”
Stahl, S. M., & Ball, S. (2009a). Stahl’s illustrated chronic pain and fibromyalgia. New
York, NY: Cambridge University Press.

To access the following chapter, click on the Illustrated Guides tab and then the
Chronic Pain and Fibromyalgia tab.
 Chapter 5, “Pain Drugs”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge
University Press.

To access information on the following medications, click on The Prescriber’s Guide,
5th ed tab on the Stahl Online website and select the appropriate medication.

Review the following medications:
For insomnia
 amitriptyline
 amoxapine
 carbamazepine
 clomipramine
 clonidine (adjunct)
 desipramine
 dothiepin
 doxepin
 duloxetine
 gabapentin
 imipramine
 lamotrigine
 levetiracetam
 lofepramine
 maprotiline
 memantine
 milnacipran
 nortriptyline
 pregabalin
 tiagabine
 topiramate
 trimipramine
 valproate (divalproex)
 zonisamide

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental
disorders (5th ed.). Washington, DC: Author.

National Institute of Neurological Disorders and Stroke. (2019). Chronic pain information
page: What research is being done? Retrieved from
https://www.ninds.nih.gov/Disorders/All-Disorders/Chronic-Pain-Information-Page
Required Media
Laureate Education (2016a). Case study: A Caucasian man with hip pain [Interactive
media file]. Baltimore, MD: Author

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Note: This case study will serve as the foundation for this week’s Assignment.
To prepare for this Assignment:
 Review this week’s Learning Resources. Consider how to assess and treat clients requiring
therapy for pain and sleep/wake disorders.
The Assignment
Examine Case Study: A Caucasian Man With Hip Pain. You will be asked to make three
decisions concerning the medication to prescribe to this client. Be sure to consider
factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
 Decision #1
o Which decision did you select?
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #1 and the results
of the decision. Why were they different?
 Decision #2
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #2 and the results
of the decision. Why were they different?
 Decision #3
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #3 and the results
of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and
communication with clients.
Note: Support your rationale with a minimum of three academic resources. While you
may use the course text to support your rationale, it will not count toward the resource
requirement.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK7Assgn+last name+first
initial.(extension)” as the name.
 Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.
 Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria
from this area.
 Next, from the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.
 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my
paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 7 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 7 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 7 Assignment

Making Connections

Now that you have:
 Assessed clients presenting with pain and sleep/wake disorders
 Developed personalized plans of therapy for clients with pain and sleep/wake disorders
 Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring therapy for pain and sleep/wake disorders
 Explored ethical and legal implications of prescribing therapy to clients with pain and sleep/wake
disorders

Next week, you will build on your assessment and treatment skills as you examine
clients presenting for therapy for impulsivity, compulsivity, and addiction.
To go to the next week:
Week 8

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