A young woman admitted with gunshot wounds is tearful and reports pain. What nursing concern should be prioritized?

In the scenario presented, the young woman has sustained gunshot wounds and is exhibiting both physical injury and emotional distress, as indicated by her tearfulness and report of pain. Recognizing that traumatic events, especially those involving violence, can lead to significant psychological trauma is crucial in nursing care.

Prioritizing psychological trauma is important because the immediate emotional and mental impact of such an event can have profound effects on the individual’s overall well-being and recovery process. Many patients who experience traumatic injuries can exhibit symptoms of acute stress disorder or post-traumatic stress disorder, which may require timely intervention. The psychological state can influence how the patient perceives pain, their willingness to participate in necessary physical therapy and rehabilitation, and their overall outcomes.

While other concerns, such as physical mobility, oxygenation, and skin integrity, are certainly important in a comprehensive assessment and care plan, addressing psychological trauma first ensures that the patient receives support for their mental health needs, fostering a safer and more effective healing environment. It aligns with the holistic approach of nursing care, which considers the emotional, physical, and psychological facets of a patient’s health.