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    NCP Docxhhchbgvgdvgiuwhiudhviuhsi

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    Jess L Payag
    The patient presented with acute upper right quadrant abdominal pain rated 8/10. Vital signs showed elevated blood pressure and respiratory rate. Nursing interventions included administering analgesics, adjusting the patient's position for comfort, teaching deep breathing relaxation techniques, and collaborating with the medical team. After 2 hours the patient's pain was reduced to 5/10 and they were sleeping comfortably in bed without facial grimacing. The patient also experienced disturbed body image related to their condition. The nursing care plan involved discussing feelings and concerns, encouraging family visits and participation in care, and referring to support services if needed. The goal was for the patient to understand and accept their situation and identify coping methods.

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    NCP Docxhhchbgvgdvgiuwhiudhviuhsi

    Uploaded by

    Jess L Payag
    67 views4 pages
    The patient presented with acute upper right quadrant abdominal pain rated 8/10. Vital signs showed elevated blood pressure and respiratory rate. Nursing interventions included administering analgesics, adjusting the patient's position for comfort, teaching deep breathing relaxation techniques, and collaborating with the medical team. After 2 hours the patient's pain was reduced to 5/10 and they were sleeping comfortably in bed without facial grimacing. The patient also experienced disturbed body image related to their condition. The nursing care plan involved discussing feelings and concerns, encouraging family visits and participation in care, and referring to support services if needed. The goal was for the patient to understand and accept their situation and identify coping methods.

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    ncp.docxhhchbgvgdvgiuwhiudhviuhsi

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    The patient presented with acute upper right quadrant abdominal pain rated 8/10. Vital signs showed elevated blood pressure and respiratory rate. Nursing interventions included administering analgesics, adjusting the patient's position for comfort, teaching deep breathing relaxation techniques, and collaborating with the medical team. After 2 hours the patient's pain was reduced to 5/10 and they were sleeping comfortably in bed without facial grimacing. The patient also experienced disturbed body image related to their condition. The nursing care plan involved discussing feelings and concerns, encouraging family visits and participation in care, and referring to support services if needed. The goal was for the patient to understand and accept their situation and identify coping methods.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    67 views4 pages

    NCP Docxhhchbgvgdvgiuwhiudhviuhsi

    Uploaded by

    Jess L Payag
    The patient presented with acute upper right quadrant abdominal pain rated 8/10. Vital signs showed elevated blood pressure and respiratory rate. Nursing interventions included administering analgesics, adjusting the patient's position for comfort, teaching deep breathing relaxation techniques, and collaborating with the medical team. After 2 hours the patient's pain was reduced to 5/10 and they were sleeping comfortably in bed without facial grimacing. The patient also experienced disturbed body image related to their condition. The nursing care plan involved discussing feelings and concerns, encouraging family visits and participation in care, and referring to support services if needed. The goal was for the patient to understand and accept their situation and identify coping methods.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    ASSESSMENT

    Subjective:
    ang sakit ng
    tyan ko, sa
    parting taas as
    verbalized by the
    patient.
    Objective:
    Tense facial

    expression
    Guarding

    behavior
    Pain scale of

    8 out of 10
    as 10 as the
    highest and
    0 as the
    absence of
    pain.
    Restless and
    irritable
    BP: 150/90
    RR: 34

    NURSING
    DIAGNOSIS
    Acute Pain
    abdominalupper right
    quadrant
    related to
    the
    inflammator
    y process as
    manifested
    by facial
    grimace

    PLANNING
    After 2 hours of
    nursing
    intervention, the
    patient will:
    Relieved
    and
    reduced the
    presence of
    pain
    Reduced
    the pain
    scale from
    severe to
    moderate
    Diminished
    presence of
    facial
    grimace.

    INTERVENTION
    Observation
    of vital signs.

    Adjust the
    position as
    comfortable
    as possible.

    Teach the
    patient
    relaxation
    techniques
    breathing
    deeply.
    Collaboration
    with the
    medical team
    in the
    delivery of
    therapy.

    Identify and
    limit foods
    that cause

    RATIONALE
    By observing
    vital signs,
    expected to
    know the
    progress of
    the patient.
    By adjusting
    the position as
    comfortable as
    possible,
    expected that
    the patient
    comfort is
    met.
    By
    encouraging
    deep
    breathing
    relaxation
    techniques
    patients, are
    expected to
    reduce
    perceived pain
    patients.
    Collaborate
    with medical
    team in the
    provision of
    therapy; the

    EVALUATION
    Goal met:
    After 2
    hours of
    nursing
    intervent
    ion, the
    patients
    pain
    scale
    reduced
    from
    8/10
    down to
    5/10
    No facial
    grimace
    noted.
    Seen
    sleeping
    on bed
    comforta
    bly.

    discomfort
    such as spicy
    foods and
    carbonated
    drinks.
    COLLABORATIVE:
    Administer
    analgesic for
    relief of pain
    as prescribed.

    client gets the


    right patients
    receive
    therapy.
    Helps relieve
    pain
    by neutralizing
    stomach acid
    and increasing
    bicarbonate
    and mucus
    secretion

    Reduces
    abdominal
    tension and
    promotes
    sense of
    control.

    ASSESSMENT

    NURSING
    DIAGNOSIS
    Disturbed
    body image
    related to
    biophysical
    changes as
    evidenced
    by negative
    feelings
    about body
    and abilities.

    PLANNING
    After 2 hours of
    nursing
    intervention, the
    patient will:
    Verbalize
    understan
    ding of
    changes
    and
    acceptanc
    e of self in
    the
    present
    situation.
    Identify
    feelings
    and
    methods
    for coping
    with
    negative
    perception
    of self.

    INTERVENTION
    Discuss
    situation and
    encourage
    verbalization
    of fears and
    concerns.
    Explain
    relationship
    between
    nature of
    disease and
    symptoms.
    Support and
    encourage
    patient;
    provide care
    with a
    positive,
    friendly
    attitude.

    Encourage
    family/SO to
    verbalize
    feelings, visit
    freely and
    participate in
    care.
    Assist

    RATIONALE
    Patient is very
    sensitive to
    body changes
    and may also
    experience
    feelings of guilt
    when cause is
    related to
    alcohol or other
    drug use.

    Caregivers
    sometimes
    allow
    judgmental
    feelings to
    affect the care
    of patient and
    need to make
    every effort to
    help patient feel
    valued as a
    person.
    Participation in
    care helps them
    feel useful and
    promotes trust
    between staff,

    EVALUATION

    patient/SO to
    cope with
    change in
    appearance;
    suggest
    clothing that
    does not
    emphasize
    altered
    appearance
    (color of
    clothes, etc).
    Refer to
    support
    services.
    Counselors,
    psychiatric
    resources,
    social
    service, clery
    and alcohol
    treatment
    program may
    help.

    patient, and SO.


    Providing
    support can
    enhance selfesteem and
    promote patient
    sense of control.

    Increased
    vulnerability
    and concerns
    associated with
    this illness may
    require services
    of additional
    professional
    resources.

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