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Subjective signs are indications of pain that may be personal or unique from patient to patient.How pain is perceived and rated can be influenced by a patient's personal background and culture, as well as previous experiences with pain and pain management.If you have any questions or feedback please contact us at [email protected]
Subjective signs may not be measurable but may be observed by a practitioner or reported by the patient.
Anthony reports a pain of 4 out of 10, but the nurse Sarah observes his stoic posture, his unwillingness to move or participate in care, and the grimacing on his face when as she assesses him. Objective signs refer to indications of pain that can be measured.
She administers two Percocet per the physician order to Anthony and helps him sit up in bed and eat breakfast so to upset his stomach less.
About 30 minutes after breakfast, Sarah explains to Anthony that now that the medication has had to time to be absorbed by the body, it would be a good time to get up and sit in the chair.
For example, vital signs can be measured and compared to normal vital sign standards.
In Anthony's case, his respirations, heartrate, and blood pressure are all higher than the normal standard and should indicate to the nurse that he is in pain. She believes that, even though he is rating his pain as a 4, he is in moderate to severe pain.
Anthony agrees to take the medication to prevent the pain from increasing suddenly.
In addition, Sarah goes over the use of deep breathing and meditation techniques that can be used throughout the day.
The QNI Community Nursing Senior Leaders network is a digital network for nurses with executive responsibility for the delivery of community nursing services within provider organisations in England, Wales and Northern Ireland.
These projects could not be delivered without the funding that we receive from the Burdett Trust for Nursing, our innovation project partner.