Acute Pain related to Headache

Nursing Diagnosis for Headache. Nursing Interventions for Acute Pain related to Headaches.

Acute pain related to stess and tension, irritation / nerve pressure, vasospasm, increased intracranial pressures.

Nursing Interventions for Acute Pain related to Headache:

1. Make sure the duration / episode problems, who have been consulted, and drug and / or what therapy was used.
2. Thorough complaints of pain, record the intensity (with a scale of 0-10), characteristics (eg, heavy, throbbing, constant) location, duration, factors that aggravate or relieve.
3. Note the possible pathophysiological characteristic, such as brain / meningeal / sinus infection, cervical trauma, hypertension, or trauma.
4. Observe for nonverbal signs of pain, are like: facial expression, posture, restlessness, crying / grimacing, withdrawal, diaphoresis, changes in heart rate / breathing, blood pressure.
5. Assess the relationship of physical factors / emotional state of a person.
6. Evaluation of pain behavior
7. Note the influence of pain such as: loss of interest in life, decreased activity, weight loss.
8. Assess the degree of making a false step in person from the patient, such as isolating themselves.
9. Determine the issue of a second party to the patient / significant others, such as insurance, spouse / family
10. Discuss the physiological dynamics of tension / anxiety with patients / people nearby.
11. Instruct patient to report pain immediately if the pain arises.
12. Place on a rather dark room according to the indication.
13. Suggest to rest in a quiet room.
14. Give cold compress on the head.
15. Give the hot moist compress / dry on the head, neck, arms as needed.
16. Massage the head / neck / arm if the patient can tolerate the touch.
17. Use the techniques of therapeutic touch, visualization, biofeedback, hypnosis itself, and stress reduction and relaxation techniques to another.
18. Instruct the patient to use a positive statement "I am cured, I'm relaxing, I love this life". Instruct the patient to be aware of the external-internal dialogue and say "stop" or "delay" if it comes up negative thoughts.
19. Observe for nausea / vomiting. Give the ice, drinks containing carbonate as indicated.

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Nursing Assessment and Nursing Diagnosis for Headaches

Nursing Assessment for Headaches

Subjective and objective data is essential to determine the causes and nature of the headache.

1. Subjective Data

• Understanding the patient about headaches and possible causes.
• Aware of the existence of trigger factors, such as stress.
• Measures to reduce symptoms such as drugs.
• Place, frequency, pattern and nature of the place of pain including headache, duration and interval between headaches.
• Beginning of the headache attacks.
• There are symptoms or not prodomal
• There are accompanying symptoms.
• Family history of headaches (especially important when a migraine).
• The situation is made more severe headaches.
• There is an allergy or not.

2. Objective Data

• Behavior: showing symptoms of stress, anxiety or pain.
• Changes in the ability to perform daily activities.
• There is an abnormal assessment of the physical assessment of cranial nerve system.
• Body temperature
• Drainage of the sinus.

In the assessment of headache, a few important things to consider. Among them are:

• Localized headaches usually associated with migraine headaches or organic disorders.
• Headaches are usually caused by complete or psychological causes of increased intracranial pressure.
• Migraine headaches can move from one side to the other.
• Headaches are accompanied by an increase in intracranial pressure usually occurs during sleep or waking headaches wake patients from sleep.
• Type headache sinuses arise in the morning and the afternoon to get worse.
• A lot of headaches associated with stress conditions.
• The pain is dull, annoying, escalate and continue to exist, often occurs in the psikogenis headache.
• Organic materials that cause pain and its still growing steadily.
• Migraine headaches can accompany menstruation, headaches can be preceded by eating foods that contain monosodium glutamate, sodim nitrate, tyramine as well as alcohol.
• Sleeping too long, fast, inhaling the toxic odors in the workplace where insufficient ventilation can cause headaches.
• Oral contraceptive medications can aggravate migraines.
• Each found the secondary of a headache needs to be studied.

Nursing Diagnosis for Headaches

1. Acute pain r/t stess and tension, irritation / nerve pressure, vasospasm, increased intracranial pressures.

2. Ineffective individual coping r/t situations of crisis, personal vulnerability, not adequat support systems, work overload, inadequate relaxation, severe pain, excessive threat to himself.

3. Deficient knowledge : about the condition and treatment needs r/t lack of recall, did not know the information, cognitive limitations.

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