Nursing Interventions - Acute Pain related to Osteomyelitis

Osteomyelitis

Osteomyelitis is an acute or chronic inflammatory process of the bone and its structures secondary to infection with pyogenic organisms.


Symptoms

• Bone pain
• Fever
• General discomfort, uneasiness, or ill-feeling (malaise)
• Local swelling, redness, and warmth

Other symptoms that may occur with this disease:

• Chills
• Excessive sweating
• Low back pain
• Swelling of the ankles, feet, and legs

Nursing Diagnosis for Osteomyelitis : Acute Pain related to inflammation and swelling.

Goal:

Pain and discomfort is reduced, and not the case of recurrence of pain and complications.

Expected outcomes:

There is no pain, the client looks relaxed, no moaning and protect the painful behavior, respiratory rate 12-20 per minute, the temperature of the clients in the normal range (36 º C - 37 º C) and the absence of complications.

Nursing Interventions - Acute Pain related to Osteomyelitis

1. Maintain immobilization on the pain part, with bed rest.
2. Elevate ekstermitas experiencing pain.
3. Avoid the use of sheets, plastic or pillow under extremity pain.
4. Evaluation of pain or discomfort. Note the location and characteristics, including intensity (pain scale 1-10). Note the hint of pain and changes in vital signs of emotion or behavior.
5. Encourage patients to discuss issues in relation to infection in the bone.
6. Perform range of motion exercises and watch passively or actively.
7. Give alternative comfort measures such as massage, back or change in position.
8. Encourage use of stress management techniques, such as progressive relaxation, breath exercises, visualizations imagination, and therapeutic touch.
9. Investigate any unusual pain or a sudden, progressive or bad location unrelieved by analgesics.
10. Explain the procedure before performing nursing.
11. Perform a cold compress first 24-48 hours and as needed.
12. Give analgesics as indicated.