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DESCRIPTION OF THE LEARNER: Patient Y, 30 year-old, male, had a hacking injury in his nape which caused him to felt

so much pain and not able to ADLs. He cant go back to work immediately because his nape still hurts and need more weeks for the healing of the wound. He compla ins of pain and rated as 7/10, stabbing, non-radiating, aggravated by movement. He said that he wants to know techniques on how to reduce or relieve pain if possible. He said that he is willing to learn. Furthermore, the client can speak Ilocano and Tagalog and prefers to converse in Tagalog and use it as a medium of instruction. LEARNING NEED: information about pain management techniques LEARNING DIAGNOSIS: Knowledge Deficit related to lack of information/inadequate information pain management techniques GOAL: The client will be able to learn things about pain management techniques LEARNING OBJECTIVES After 10 minutes of discussion, the client will be able to: LEARNING CONTENT LEARNING STRATEGIES/ACTIVITIES TIME ALLOTMENT AND RESOURCES NEEDED EVALUATION

1. Briefly define pain in own What is PAIN? words correctly - Pain is an unpleasant sensory and

One-on-one discussion with pamphlet

emotional experience usually produced by something that - additional info about pain injures, or threatens to injure, the body.

1 minute Instant feedback: The - pamphlet containing definition client will be able to of pain answer questions about pain and define pain in own word correctly.

2. Enumerate different pain management techniques correctly

PAIN MANAGEMENT TECHNIQUES:

One-on-one discussion with pamphlet

A. GUIDED IMAGERY - also known as visualization

6 minutes pamphlet containing information about different pain management techniques

Instant feedback: The client will be able to answer questions about different pain management techniques and will be able to

- using ones imagination in a special way to achieve a specific positive effect. Guided imagery for relaxation and pain relief may consist of combining slow, rhythmic breathing with a mental image of relaxation and comfort. With each slowly exhaled breath, the patient imagines muscle tension and discomfort being breathed out, carrying away pain and tension leaving behind a relaxed and comfortable body. - it can help to control pain as it encourages pain sufferers to think in pictures that eliminate negative thoughts. B. DEEP BREATHING EXERCISES - breathing deeply and breathing into pain will help to release it. Deep breathing releases endorphins which are the bodys natural feel good pain killers.

enumerate at least 2 pain management techniques correctly.

C. MUSIC THERAPY - Listening to favourite music is excellent for that because it can involve both thoughts and feelings. No matter how anxious you may feel, if you can get absorbed in the music this can help with your pain.

D. DIVERSIONAL ACTIVITIES/ DISTRACTION - watching tv - distraction helps relieve acute and chronic pain . Distraction, which involves focusing the patients attention on something other than pain, may be the mechanism responsible for other effective cognitive techniques. - Distraction is thought to reduce the perception of pain by stimulating the descending control system, resulting in fewer painful stimuli being transmitted to the brain.

3. Enumerate other pain There are also a number of things One-on-one discussion with management techniques that you can do to relieve pain such pamphlet correctly as: a. Frequent position changes b.Proper body alignment and correct body mechanics c. Use of relaxation techniques like meditation, yoga or biofeedback. D. d. Rest period, Backrubs or massage e. Application of heat or warmth, but only as recommended by your physician f. Support, such as pillows, to the painful area.

3 minutes - pamphlet containing other pain management techniques

Instant feedback: The client will be able to answer questions about other pain management techniques and will be able to enumerate at least 3 other pain management techniques.

REFERENCES: Smeltzer, S.C., Bare, B.G. Brunner and Suddarths Textbook of Medical- Surgical Nursing. Vol. 2, 10th edition, p. 1240-243 (Retrieved on November 14, 2013) http://www.scribd.com/doc/47407125/pain management http://www.naturaltherapypages.com.au/article/natural_pain_management_techniques http://www.spine-health.com/conditions/chronic-pain/11-chronic-pain-control-techniques