Study of Mr. James Thompson
Pain management is a critical aspect of nursing care that affects not only physical health
but also emotional and psychological well-being. Nurses are uniquely positioned to
provide comprehensive, patient-centered care by combining evidence-based
pharmacological treatments with holistic and integrative approaches. These may include
non-pharmacological therapies such as relaxation techniques, mindfulness, physical
modalities, and complementary practices that honor patient preferences and promote
healing from multiple angles.
Case Study
Mr. James Thompson is a 68-year-old patient recovering from abdominal surgery. He
reports severe post-operative pain (8/10) and appears anxious and restless. His current
pain management plan includes IV opioids every 4 hours as needed. Despite receiving
medication, he continues to experience high pain levels and frequently requests additional
relief.
Mr. Thompson shares several concerns: he feels “foggy” and constipated from the
opioids, fears that side effects may delay his recovery, and expresses frustration that his
pain and emotional needs are not being fully acknowledged. He also mentions that prior
to surgery, he successfully managed his chronic arthritis pain at home using heat therapy
and meditation.
Discussion Prompt
, Choose ONE of the following four topic areas and respond thoroughly:
Identifying and Assessing Pain Types
What type) of pain might Mr. Thompson be experiencing, and how would you perform a
thorough pain assessment?
Integrating Holistic Pain Management Strategies
Which holistic and evidence-based non-pharmacological interventions could be included
in his care plan, and how would you implement them?
Nursing Advocacy for Individualized, Holistic Care
How can nurses advocate for pain management that addresses both physical and
emotional patient needs?
Evaluating Integrative and Pharmacological Approaches
What are the advantages and limitations of combining integrative therapies with
medication in post-operative care?