Question

A patient is requesting pain medication and expresses a pain level of 9/10; however, the patient is up and smiling. How should you proceed?

1) Complete a full physical examination.
2) Check to see when the patient last received the pain medication and administer it if the time is appropriate.
3) Call the provider and suggest a substance abuse consult.
4) Use therapeutic communication techniques to determine the patient's current prescription drug use.

Answer 1

When a patient expresses a pain level of 9/10 but is up and smiling, it is essential to use therapeutic communication techniques to gain more insight into their experience. Administering pain medication may be appropriate based on the timing and dosage regimen. Addressing the patient's pain in a holistic manner is crucial.

Step-by-step explanation:

When a patient expresses a pain level of 9/10 but is up and smiling, it may seem contradictory. However, pain is subjective and can vary from person to person. It is important to listen to the patient's report of pain and take it seriously.

In this situation, the appropriate course of action would be to use therapeutic communication techniques to further understand the patient's pain. This can involve asking open-ended questions, actively listening, and using empathy to explore the patient's experience and gain more insight.

Administering pain medication can be considered if it is appropriate based on the timing and dosage regimen. However, it is essential to address the patient's pain in a holistic manner, considering physical, psychological, and social aspects.