NCP 3

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

ASSESSMENT DIAGNOSIS BACKGROUND PLANNING INTERVENTIONS RATIONALE EVALUATION

KNOWLEDGE

SUBJECTIVE: Acute pain PAIN Within 3 hours of 1. Apply cold 1. Cold therapy The goal is
“Dalawang araw related to nursing compress on the constricts blood achieved after 3
na sumasakit disease process intervention, the head more than vessels, decrease hours of nursing
ang ulo as manifested patient will report moderate pressure. blood flow and intervention. The
ko,parang iniipit by tightness Brainstem that the pain is lessen the pain. patient reports
pero kaya ko pa across the Neuronal relieved from the that the pain is
nmana tiisin”as forehead Excitabliity pain scale of 5/10 2. Encourage the 2. Complete bed already gone
verbalized by to 0 client to have rest promotes from the pain
the patient complete bed rest. relaxation and scale of 5/10 to 0.
Stimulation of relieves stress.
OBJECTIVE: Nociceptor
Pain Scale:5/10 3. Monitor the 3. Monitoring the
intensity of pain. intensity of the
Stimulation of pain facilitates and
CNS & PNS recognizes if
abnormal changes
occurred.
Activation of 4. Massage client’s
Cortex and forehead. 4. Massage helps
Thalamus to reduce stress
and lessen the
pain.
Activation of
Trigeminal 5. Deep breathing
nerve triggers the
release of
endorphins, which
Headache provide pain relief.
5. Teach the client 6.Mild dehydration
about proper deep may trigger
breathing exercise headache so it is
important to
increase fluid
intake
6. Advise the client
to increase fluid
intake.

You might also like