Nursing Care Plan

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Medical Diagnoses: Chronic Pain


Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders and Rationale






PR stated she has ‘headache that interferes with my daily activities.” She also said she felt weak.






Client had frown on her face.



Chronic Pain


Long Term:

Client will identify specific pain level that will allow her to perform ADL’s, and pain will stay below the specific lever for remainder of cancer progression.

-In addition to analgesics, support the client’s nonpharmacological methods to help control pain, such as PT, group therapy, distraction, imagery, relaxation, massage and heat/cold applications. Rationale: Cognitive-behavioral strategies can restore the client’s sense of self-control, personal efficacy, and active participation in his or her own care.

-Explore appropriate resources for management of pain on a long-term basis (Hospice, Pain care center) Rationale: Most clients with cancer are treated for pain in outpatient and home care settings for increase comfort for client.

- Assist client and family in minimizing effects of pain on interpersonal relationships and daily activities such as work and recreation. Rationale: Pain can reduce patient’s options to exercise control, diminish psychological well-being, and make them feel helpless and vulnerable. Therefore clinicians should encourage active client involvement in effective and practical methods to manage pain.



-          Client reported decreased pain by using relaxation techniques, and visiting an outpatient pain clinic.





Tumor progression and related pathology






Short Term:

Client’s comfort level will increase within one day of hospital stay and client will be able to rest continuously for 7+ hours each night.

-Assume that pain is present and treat accordingly in clients who have a pathological condition. Rationale: Pain is associated with certain pathological conditions and should be assumed that pain is present and treated accordingly.

-For persistent mild cancer, obtain a prescription to administer nonopioid analgesics. Rationale: A multimodal approach combining analgesics that attack different underlying pain mechanisms is recommended for the treatment of persistent cancer pain.

-Watch for signs of depression with chronic pain; sleepiness, not eating, flat effect, statements of depression, or suicidal ideation. Rational: Clients with chronic pain had twice the rate of suicide than the people without pain.


-          Clients pain level has decreased with the use of opioids and can sleep 7+ hours each night. Client has increased doing her own ADL’s




Patient stating pain of 7 on scale of 1-10 and headache pain that interferes with ADL’s and decrease in sleep







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*I = Implementation.  Check those interventions/actions/orders that were implemented.

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