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檢視在術後疼痛計畫中加入非藥物舒適措施後的趨勢，並判斷護理師應如何評估及調整照護。

Trend

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Time	Data
0800	Pain is 7/10 with guarding. The client takes shallow breaths, refuses hallway walking, and is alert after prescribed analgesia.疼痛 7/10 且護住切口。個案呼吸淺快、拒絕走廊行走，且在醫囑止痛藥後意識清醒。
0830	The nurse repositions the client, teaches pillow splinting and paced breathing, and practices a short relaxation exercise selected by the client.護理師為個案調整姿勢、教導枕頭支托及節律呼吸，並練習個案選擇的短暫放鬆運動。
0900	Pain is 4/10. The client coughs effectively with splinting and walks 20 meters with assistance. Sedation score and skin assessment remain unchanged.疼痛 4/10。個案以支托方式有效咳嗽，並在協助下行走 20 公尺。鎮靜分數及皮膚評估維持不變。

Q1. How should the nurse interpret the trend?護理師應如何解讀此趨勢？

The adjunctive comfort plan is helping both reported pain and recovery function輔助性舒適計畫同時改善了主訴疼痛及恢復功能 The prescribed analgesic should be permanently discontinued應永久停用醫囑止痛藥 Only the numeric pain score matters只有疼痛分數重要

Q2. Which outcome is most clinically useful for ongoing evaluation?哪一項結果對持續評估最具臨床效益？

The nurse completed every technique on a standard checklist護理師完成了標準清單上的每一項技巧 The client states that pain is zero while remaining unable to cough個案表示疼痛為零但仍無法咳嗽 The client can cough and mobilize toward agreed goals without new adverse effects個案能朝約定目標咳嗽及活動，且無新的不良反應

Q3. What should the nurse do next?護理師下一步應採取何項行動？

Require the same relaxation method for every postoperative client要求每位術後個案使用相同的放鬆方法 Withhold future prescribed analgesia because a nonpharmacologic method was used因已使用非藥物方法，停止給予未來的醫囑止痛藥 Apply heat directly over the incision without checking the order or skin未核對醫囑或皮膚狀況即直接在切口上熱敷 Document the response, continue preferred safe adjuncts, and reassess pain, function, alertness, and adverse effects記錄反應、繼續偏好的安全輔助措施，並重新評估疼痛、功能、警覺性及不良反應

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