Post-operative pain is the form of acute pain which is obvious but unwanted experience after the surgery. Effective postoperative pain management is a crucial element of good quality of care. The nurse should be able to provide adequate treatment for pain relief, failing to do so is considered unethical (Gunningberg & Idvall 2007). Post-operative pain control aims to reduce patient discomfort, assist with easy recovery and early mobilisation and prevent acute pain to develop into chronic pain (Engwall 2009). In Josie case, she is going to suffer from acute pain from open reduction and internal fixation of fractured right wrist. In order to prevent harmful physiological and psychological effects from pain, it is very important to carefully planned effective pain management for Josie (Abdalrahim et al. 2010). Since, pain has been linked to slow recovery and complication, well executed pain management can help her to shorten her hospital stay and also reduce healthcare cost (Engwall …show more content…
Typically in first approach, nurse working in postoperative care notices clinical situation of the patient, his/her response to the pain level and his/her emotional and social status. And nurses identify the physiological and pathophysiological mechanisms for pain once they know the condition of the patient. For Josie, the nurses should notice a series of subjective and objective observation starting with her vital sign followed by neurovascular observation, her level of consciousness and pain assessment. The nurse should also assess Josie’s wound for any drainage and inflammation. Since she is Type 1 diabetic, it is very important to monitor her BGL. Her mental and emotional status, especially how she is coping with the pain is also essential to