A 79-year-old woman had a total knee replacement yesterday; she has rung her call light to report pain. What consideration should the nurse prioritize when choosing an appropriate intervention?
A) The fact that the woman has a documented history of persistent pain that precedes her surgery
B) The need to ensure that the woman does not develop addiction during her course of treatment
C) The fact that women consistently report a higher prevalence of persistent pain than men
D) The need to provide prompt, adequate relief of the woman's pain
Ans: D
The need for adequate pain control is paramount in the care of older adults. The fact that the woman has a history of persistent pain has little bearing on her present complaint and the need for relief. Addiction to analgesics is a rare development. Women do report a higher prevalence of persistent pain than men and are also undertreated for pain.
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