How would you address her comment regarding “being normal again” and her lack of understanding of her physical condition, including pain management, increased fatigue, and limitations regarding lifting?

On the second postoperative day you enter the room and find Mrs. Johnson crying. She states that she has just gotten off the phone with her 23-year-old daughter and has agreed to care for her 3-month-old granddaughter while the daughter returns to work. You were informed in shift report that Mrs. Johnson had a restless night and has not taken pain medication since 2030. You assess that she is in moderate pain, which you immediately treat with morphine. Within 40 minutes Mrs. Johnson reports that the morphine has decreased her pain rating from a 6 to a 3 on a scale of 0 to 10 but has left her somewhat drowsy. Mrs. Johnson has shared with you some of her concerns about whether or not she can actually provide child care for her granddaughter but states, “Maybe it will make me feel worthwhile and will take my mind off of how disgusting I look.” She continues, “I just want to be normal again.” How would you address her comment regarding “being normal again” and her lack of understanding of her physical condition, including pain management, increased fatigue, and limitations regarding lifting?

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