#3 #3 Acute Pain (Preoperative)

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#3

#3 Acute pain (Preoperative)


ASSESSMENTNURSING
DIAGNOSI
S

SCIENTIFIC
EXPLANATIO
N

DESIRED
OUTCOME
INTERVENTIONS
RATIONALE
EXPECTED
OUTCOME
S> Ø
O>
The
patient
may
manifest:
>guarding
behavior

on RUQ portion of

the
stomach
>nausea and
vomiting
>facial
grimace
>unable
to
move freely
Acute
Pain
Pain
may
arise
from
obstruction
of

the common bile duct.


Inflammatio
n
and
swelling
depress the
free

nerve endings and cause

the
pain
Short Term:
After 4 hours
of
NI,

the patient will be able

to
verbalize
a
decrease
in
pain.
Long Term:

After 2 days of NI, the patient will be able to verbalize

relief of pain.
>Establish rapport
>Assess
patient
quality

onset, duration, location and intensity of pain.

>Monitor
and
record vital signs.

>Provide comfort measure such as quite environment using

relaxation
techniques,
backrub,
comfortable
positioning
>Provide
individuals

with
opportunities
to
>to
gain
patient’s trust

>to be specific of the kind of pain

experienced
>to

obtain
baseline data
>to

promote
rest
and
enhance
the
effects

of
analgesics
given

>to
assist
patient
and
family
to
Short Term:
After 4 hours
of
NI,

the patient shall have

verbalized a
decrease
in
pain.
Long Term:

After 2 days of NI, the patient shall

have
verbalized
relief of pain.

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