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    Acute Pain

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    Loren Bech
    The patient is experiencing acute pain at a level of 7/10 following a cesarean birth and surgical procedure. The nurse's goals are to 1) establish rapport with the patient, 2) assess the patient's condition and monitor vital signs, and 3) decrease the patient's pain through repositioning, teaching non-pharmacological pain management techniques, and providing health teaching about post-surgical wound care. After 8 hours of nursing intervention, the patient demonstrated increased comfort with a reduced pain level of 5/10 without facial grimacing or irritability.

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    Acute Pain

    Uploaded by

    Loren Bech
    141 views1 page
    The patient is experiencing acute pain at a level of 7/10 following a cesarean birth and surgical procedure. The nurse's goals are to 1) establish rapport with the patient, 2) assess the patient's condition and monitor vital signs, and 3) decrease the patient's pain through repositioning, teaching non-pharmacological pain management techniques, and providing health teaching about post-surgical wound care. After 8 hours of nursing intervention, the patient demonstrated increased comfort with a reduced pain level of 5/10 without facial grimacing or irritability.

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    The patient is experiencing acute pain at a level of 7/10 following a cesarean birth and surgical procedure. The nurse's goals are to 1) establish rapport with the patient, 2) assess the patient's condition and monitor vital signs, and 3) decrease the patient's pain through repositioning, teaching non-pharmacological pain management techniques, and providing health teaching about post-surgical wound care. After 8 hours of nursing intervention, the patient demonstrated increased comfort with a reduced pain level of 5/10 without facial grimacing or irritability.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    141 views1 page

    Acute Pain

    Uploaded by

    Loren Bech
    The patient is experiencing acute pain at a level of 7/10 following a cesarean birth and surgical procedure. The nurse's goals are to 1) establish rapport with the patient, 2) assess the patient's condition and monitor vital signs, and 3) decrease the patient's pain through repositioning, teaching non-pharmacological pain management techniques, and providing health teaching about post-surgical wound care. After 8 hours of nursing intervention, the patient demonstrated increased comfort with a reduced pain level of 5/10 without facial grimacing or irritability.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Assessment Nursing Background Goal of Care Intervention Rationale Evaluation

    Diagnosis Knowledge

    Subjective Data: Acute pain Cesarean birth After 8 hours of 1. Establish  To gain trust and After 8 hours of
    related to surgical delivery nursing rapport. cooperation of nursing intervention
    “Masakit yung tinahi procedure as intervention the the patient. the patient
    sa akin” as evidenced by patient will be able manifested increased
    verbalized by the facial grimace, High effectiveness to  To know and comfort level with
    patient. pain scale of 7, level of regional 2. Assess patient determine the 5/10 pain scale
    restless, lethargic anesthesia - Increased condition. patients need. without facial grimace
    -Pain scale: 7/10 and irritability. comfort level and irritability.
     To obtain
    Abdominal incision -Clients report 3. Monitor vital baseline data.
    Objective Data: reduced pain for at signs.
    least 3-5/10 pain  Initial
    -Facial grimace Stiches after surgery scale. 4. Assess pain assessment
    severity on provides
    -Restless -No facial grimace scale of 1-10 baseline &
    Decreased every hour by comparison.
    -Lethargic effectiveness -Slight irritability asking patient.
    level of regional and most of the  How a patient
    -Irritability anesthesia time is calm 5. Observe non- sits, holds body
    verbal cues to or facial
    BP: 100/80 mmHg assess pain. expression can
    Discomfort in reveal a lot
    TEMP: 36.3°C abdominal incision about how a
    area patient feels.
    PR: 90 bpm
     To decreased
    RR: 19 cpm Acute pain 6. Reposition the patient’s pain
    patient to its and make her
    comfortable body
    position comfortable.

     To overcome the
    7. Teach non- pain.
    pharmacological
    techniques
    (relaxation,
    distraction, etc.)
     Prevent bruising,
    8. Health teaching
    swelling,
    about the
    bleeding and
    surgical incision
    infection.
    care

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