Question

discrepancy in pain reporting during huv

drag each slide to the symptom circle impact that best matches it.

case studies
during the patients huv, the patient said that pain is no problem, but the spouse told the nurse that pain interferes with the patients ability to sleep every night, rest during the day, and significantly impacts their tolerance of visits with friends, reading, or just watching tv. the nurse observes that the patient does not seem comfortable and is fidgety during the visit. both patient and spouse agreed that anxiety does slightly interfere with activities and the ability to interact with others, especially when there is more than one person visiting.

pain
no impact
slight
moderate
severe

anxiety
no impact
slight
moderate
severe

Explanation:

Analyze the case study details

We read the case study to evaluate the impact of pain and anxiety.
The patient says pain is "no problem," but the spouse reports it interferes with sleep every night, rest, and significantly impacts daily activities (visiting, reading, TV).
The nurse observes the patient is uncomfortable and fidgety.
This indicates a severe impact of pain on daily functioning, despite the patient's self-report.

Grade the pain impact

Using Symptom Impact Grading, we reconcile the discrepancy.
The spouse's report of nightly sleep disruption and significant impact on basic activities, combined with the nurse's objective observation of discomfort, points to a high level of impairment.
Therefore, the pain impact is graded as Severe.

Grade the anxiety impact

The case study states: "Both patient and spouse agreed that anxiety does slightly interfere with activities and the ability to interact with others."
The keyword "slightly interfere" directly maps to a minor level of impairment.
Therefore, the anxiety impact is graded as Slight.

Answer:

Question 1: Pain

Severe

Question 2: Anxiety

Slight