A patient who had a pancreaticojejunostomy 2 months ago is in the office for a routine post-surgical appointment. The patient states in frustration that he is concerned that the surgery was not successful because the pain is still present
The most appropriate initial response by the nurse is:
A) "The majority of patients who have a pancreaticojejunostomy do not achieve pain relief, so we will increase your pain medication dosage."
B) "Pain relief occurs by 6 months in more than 80% of the patients who undergo this procedure, and it has been only 2 months since your surgery."
C) "You will likely now require the removal of your gallbladder to achieve pain relief."
D) "You are probably not taking the medications appropriately for your pancreatitis and pain, so we will need to discuss your medication regimen in detail."
Ans: B
Feedback: Pain relief from a pancreaticojejunostomy often occurs by 6 months in more than 80% of the patients who undergo this procedure, but pain returns in a substantial number of patients as the disease progresses. This patient had surgery 2 months ago, so the optimal benefits of the procedure may not be experienced for 4 more months.
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