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    Date and Time Cues Need Nursing Diagnosis Objectives of Care Nursing Intervention Evaluation

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    Edrick Silva
    The document outlines a nursing care plan for a patient experiencing acute pain due to a medical problem, including nursing diagnoses, objectives, interventions, and evaluations. The plan calls for non-pharmacologic pain management techniques like encouragement, deep breathing exercises, rest periods, vital sign monitoring, medication administration, heat therapy, and massage to help reduce the patient's pain level to 3-4 on a scale of 0-10 within 8 hours. The goal was partially met after 8 hours of nursing interventions as the patient reported a pain level of 3.

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    Date and Time Cues Need Nursing Diagnosis Objectives of Care Nursing Intervention Evaluation

    Uploaded by

    Edrick Silva
    34 views4 pages
    The document outlines a nursing care plan for a patient experiencing acute pain due to a medical problem, including nursing diagnoses, objectives, interventions, and evaluations. The plan calls for non-pharmacologic pain management techniques like encouragement, deep breathing exercises, rest periods, vital sign monitoring, medication administration, heat therapy, and massage to help reduce the patient's pain level to 3-4 on a scale of 0-10 within 8 hours. The goal was partially met after 8 hours of nursing interventions as the patient reported a pain level of 3.

    Original Description:

    ncp

    Original Title

    Ncp Acutepain

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    The document outlines a nursing care plan for a patient experiencing acute pain due to a medical problem, including nursing diagnoses, objectives, interventions, and evaluations. The plan calls for non-pharmacologic pain management techniques like encouragement, deep breathing exercises, rest periods, vital sign monitoring, medication administration, heat therapy, and massage to help reduce the patient's pain level to 3-4 on a scale of 0-10 within 8 hours. The goal was partially met after 8 hours of nursing interventions as the patient reported a pain level of 3.

    Copyright:

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

    Date and Time Cues Need Nursing Diagnosis Objectives of Care Nursing Intervention Evaluation

    Uploaded by

    Edrick Silva
    The document outlines a nursing care plan for a patient experiencing acute pain due to a medical problem, including nursing diagnoses, objectives, interventions, and evaluations. The plan calls for non-pharmacologic pain management techniques like encouragement, deep breathing exercises, rest periods, vital sign monitoring, medication administration, heat therapy, and massage to help reduce the patient's pain level to 3-4 on a scale of 0-10 within 8 hours. The goal was partially met after 8 hours of nursing interventions as the patient reported a pain level of 3.

    Copyright:

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

    Date and Time Cues Need Nursing Diagnosis Objectives of care Nursing Intervention Evaluation

    C 1. Encourage
    7-3shift Subjective: O Acute pain r/t med- After 8 hours of verbalization of After the 8-hour
    7am G ical problem nursing interven-
    nursing feelings about the
    @ DMSF N
    “Sakit kaayo akong ti- interventions, the pain. tion, the patient
    I
    yan sir.”- verbalized by T patient will de- R: To provide non-pharmacologic verbalized that the
    7/27/17
    the patient pointing @ I scribes satisfactory pain management pain scale level is
    Source:
    her stomach V pain control at a now 3
    E Nurseslabs.com/a
    level less than 3 to 2. Encourage and assist client to do deep
    cute-pain/
    4 on a rating scale breathing exercises. Goal partially met.
    P
    Objective: of 0 to 10. R: Deep breathing for relaxation is easy to
    E
    R learn and contributes to pain relief
    - Pain Scale level = 6 C
    - Patient is irritable E 3. Provide rest periods to promote relief,
    - Expressive behavior P sleep, and relaxation.
    - Self-report of pain T R: Pain may result in fatigue, which may
    U
    characteristics A
    result in exaggerated pain. A peaceful and
    -Patient is irritable L quiet environment may facilitate rest.

    P 4: Assess vital signs, noting tachycardia,


    A hypertension, and increased respiration,
    T even if client denies pain.
    T R: Changes in these vital signs often indi-
    E
    R cate acute pain and discomfort. Note:
    N Some clients may have a slightly lowered
    BP, which returns to normal range after
    pain relief is achieved.

    5: Administer Medication as per doctors


    order.
    R: Necessary for treatment of the underly-
    ing cause

    6. Evaluate pain frequently in immediate


    postoperative phase and regularly.
    R: Provides information about need for,
    and effectiveness of, interventions.
    7. Heat compress
    R: heat decreases pain through improved
    blood blow to the area and through reduc-
    tion of pain reflexes

    8. Massage the affected area when suita-


    ble

    R: A massage traps pain transmission, in-


    crease endorphin levels, and minimizes
    tissue edema.

    Nurseslabs.com/acute-pain/

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