Which physician orders would be most likely for a patient with chronic pain?
a. Vitals signs every four hours, PRN narcotic analgesics.
b. Relaxation techniques and antidepressant medications.
c. Respond thoroughly and supportively to pain complaints.
d. Provide respite from daily demands to reduce anxiety.
B
Pain is increased when the patient has muscle tension, and relaxation can diminish the patient's perceptions of the intensity of pain. Antidepressants have also been shown to be helpful in reducing somatization of emotional needs. Otherwise, treatment minimizes secondary gains (so the nurse would intentionally not focus a great deal on recurrent physical complaints, would not take vitals frequently, would not offer PRN narcotic analgesics (which can have a euphoric side effect), convey special support during somatic complaints, or release the patient from his usual responsibilities (e.g., to complete his personal hygiene).
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