The surgeon assesses R.O. and orders an immediate return to the operating room. R.O. returns to surgery,
where she has lysis of adhesions, removal of necrotic bowel, and drainage of an abscess.
The surgeon has
left her abdominal wound open and has ordered wound packing changes twice daily and abdominal
irrigation with normal saline. R.O. cries and becomes agitated when you go to perform the procedure.
Which of the following pain and coping concepts would you question as you assist R.O to
prepare for the procedure?
a. R. may fear loss of control during the dressing change.
b. R. may fear separation from family members during painful experiences.
c. R. is concerned about privacy during the dressing change.
d. Prior coping strategies can be used to prepare for the dressing change.
b
Separation anxiety is more appropriate for the younger child to experience. Adolescents do fear
loss of control and may be very stoic. Privacy should be respected and it is important to assess prior
experiences with pain and coping mechanisms that may have worked.
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