The document outlines a nursing assessment, diagnosis, plan, and evaluation for a patient presenting with headache and abdominal pain. The assessment notes the patient's vital signs and symptoms. The nursing diagnosis is acute pain related to present illness. Short term goals are for the patient to verbalize relief of anxiety and weakness within 24 hours. Long term goals are for the patient to incorporate therapeutic regimens into daily living within 3 days. The plan includes monitoring, comfort measures, encouragement of rest and expression of feelings. The evaluation will determine if goals are met.
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S: "Masakit Ang Ulo at Tiyan Niya" As Verbalized by
The document outlines a nursing assessment, diagnosis, plan, and evaluation for a patient presenting with headache and abdominal pain. The assessment notes the patient's vital signs and symptoms. The nursing diagnosis is acute pain related to present illness. Short term goals are for the patient to verbalize relief of anxiety and weakness within 24 hours. Long term goals are for the patient to incorporate therapeutic regimens into daily living within 3 days. The plan includes monitoring, comfort measures, encouragement of rest and expression of feelings. The evaluation will determine if goals are met.
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S: “Masakit Ang Ulo at Tiyan Niya” as Verbalized By
The document outlines a nursing assessment, diagnosis, plan, and evaluation for a patient presenting with headache and abdominal pain. The assessment notes the patient's vital signs and symptoms. The nursing diagnosis is acute pain related to present illness. Short term goals are for the patient to verbalize relief of anxiety and weakness within 24 hours. Long term goals are for the patient to incorporate therapeutic regimens into daily living within 3 days. The plan includes monitoring, comfort measures, encouragement of rest and expression of feelings. The evaluation will determine if goals are met.
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S: "Masakit Ang Ulo at Tiyan Niya" As Verbalized by
The document outlines a nursing assessment, diagnosis, plan, and evaluation for a patient presenting with headache and abdominal pain. The assessment notes the patient's vital signs and symptoms. The nursing diagnosis is acute pain related to present illness. Short term goals are for the patient to verbalize relief of anxiety and weakness within 24 hours. Long term goals are for the patient to incorporate therapeutic regimens into daily living within 3 days. The plan includes monitoring, comfort measures, encouragement of rest and expression of feelings. The evaluation will determine if goals are met.
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online from Scribd
S: “Masakit ang ulo at Acute Pain r/t Present S.T.O : Dx: S.T.O : tiyan niya” as verbalized Illness After 24 hrs of Assessed general To determine any After 24 hrs of by the watcher nursing health status underlying nursing intervention the abnormalities intervention the O: patient will Monitored and To have a baseline patient will be NGT intact verbalized relief of recorded v/s data able to verbalized weak body anxiety and body Tx: relief of anxiety movement weakness. Established To gain and body limited body After 24 hrs of Rapport cooperation and weakness. movement nursing trust with the pt. After 24 hrs of irritable intervention the Ensured safety and To help client nursing anxiety patient will comfort measures achieve OLOF intervention the warm skin to demonstrate use of patient will be able touch relaxational Encouraged To prevent fatigue to demonstrate use afebrile 36.0 activities as adequate rest of relaxational occational indicated for period activities as productive cough individual Encouraged To evaluate clients indicated for situation verbalization of status. individual L.T.O: feelings and situation After 3 days of concerns L.T.O: nursing Evaluated ability To determine the After 3 days of intervention the to understand clients ability to nursing patient will events, provided recognize present intervention the incorporate realistic appraisal. status. patient will be able therapeutic Encouraged client To help patient to incorporate regimen into to use affirmation manage/ lessen therapeutic activities of daily “ I am healing, pain regimen into living (ADL) I am relaxed” psychologically activities of daily After 3 days of living (ADL) nursing After 3 days of interevntion the pt nursing will follow interevntion the pt pharmacological will be able to regimen as follow prescribed. pharmacological regimen as prescribed.