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[Verified Answer]: Read the scenario and answer questions 5 – 9

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Read the scenario and answer questions 5 – 9. Mr Smith is an 80-year-old gentleman with an arterial ulcer on his right ankle. Mr Smith has a medical history of Peripheral Arterial Vascular Disease; he is immunocompromised due to chemotherapy for cancer treatment. Mr Smith is a heavy smoker and has a poor nutritional status. Mr Smith explains that this ulcer started out as a break in his skin after knocking his ankle on a piece of furniture three months ago. Mr. Smith is finding his wound very painful with a pain score of 4 at rest and 6 with dressing changes, especially at dressing change times and when he is lying in bed. A. Identify 3 pain management strategies (1 pharmaceutical and 2 non-pharmaceutical) for Mr. Smith in relation to his painful ulcer. B. After administering an oral analgesic medication, how long would you wait before attending to his ulcer dressing? Provide a rationale for your answer.

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