department (ED) with reports of excruciating pain in his back, chest,
and lower extremities. Client is alert and oriented to person, place,
and time. Family is at the bedside. Client appears to have a grayish
cast to his skin tone and jaundiced sclera. Client rates pain at a 10 out
of 10 scale without any relief. Client is in tears and grimaces with any
movement. Client is experiencing shortness of breath, nausea, and
fatigue. He states the pain has overwhelmed him and he can’t eat,
sleep, or hang out with his friends. There is no prior medical history
other than a broken femur from a football incident. Client states he
recently spent 2
,