Amanda Blaire Scenario 1
Amanda is due now for a scheduled 2-hour position change.
ord
er Step Explanation
1 Assess for pain and administer pain medication if Pain can be increased with changing position, need
needed to treat pain in a timely manner
2 Instruct patient about the position change and what Ensures more cooperation from the patient
position will be achieved
3 Have Amanda use grab bar over bed to assist with Assists with the change in position
turning from left side to right side
4 Inspect skin for signs of breakdown When a patient is bedbound there is an increased
chance of skin breakdown
5 Use pillows to position Amanda in proper alignment Ensures comfort and decreased chance of skin
breakdown
Amanda Blaire Scenario 2
, Amanda is complaining of increased pain in her injured leg.
order Step Explanation
1 Assess toes for pain, pallor, paresthesia, paralysis, Ensure cast is not too tight
and pulse
2 Assess traction setting to ensure proper alignment Misalignment can increase pain
3 Reposition Amanda to more comfortable side Non-pharmacologic pain relief measure
4 Look up pain medication administration schedule Ensures pain medication is given at correct time
and administer if can be given and dose
5 Reassess pain level in 30 minutes and document Always reassess after an intervention to ensure
findings effectiveness of intervention
Amanda Blaire Scenario 3
Amanda is scheduled for pin care to the affected site. The nurse has read the order and gathered supplies
for the procedure. Amanda has been informed of the procedure.
Amanda is due now for a scheduled 2-hour position change.
ord
er Step Explanation
1 Assess for pain and administer pain medication if Pain can be increased with changing position, need
needed to treat pain in a timely manner
2 Instruct patient about the position change and what Ensures more cooperation from the patient
position will be achieved
3 Have Amanda use grab bar over bed to assist with Assists with the change in position
turning from left side to right side
4 Inspect skin for signs of breakdown When a patient is bedbound there is an increased
chance of skin breakdown
5 Use pillows to position Amanda in proper alignment Ensures comfort and decreased chance of skin
breakdown
Amanda Blaire Scenario 2
, Amanda is complaining of increased pain in her injured leg.
order Step Explanation
1 Assess toes for pain, pallor, paresthesia, paralysis, Ensure cast is not too tight
and pulse
2 Assess traction setting to ensure proper alignment Misalignment can increase pain
3 Reposition Amanda to more comfortable side Non-pharmacologic pain relief measure
4 Look up pain medication administration schedule Ensures pain medication is given at correct time
and administer if can be given and dose
5 Reassess pain level in 30 minutes and document Always reassess after an intervention to ensure
findings effectiveness of intervention
Amanda Blaire Scenario 3
Amanda is scheduled for pin care to the affected site. The nurse has read the order and gathered supplies
for the procedure. Amanda has been informed of the procedure.
