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    Nursing Care Plan

    Uploaded by

    Jovi Briz
    The nursing care plan assessment documents the patient's complaint of abdominal pain. The patient reports "Sumasakit ang tiyan ko" which means "My stomach hurts". On examination, the patient displays facial signs of pain, guarding, and self-focusing. Vital signs show elevated temperature and blood pressure. The diagnosis is acute pain related to inflammation and tissue distortion. The plan is for the patient's pain to be relieved or controlled after 8 hours of nursing interventions. Interventions include monitoring and documenting the pain, promoting rest, and encouraging relaxation techniques. The rationale is to differentiate the pain cause, provide information on disease progression, and assess intervention effectiveness. After 8 hours the patient's pain was relieved or controlled.

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    Nursing Care Plan

    Uploaded by

    Jovi Briz
    389 views3 pages
    The nursing care plan assessment documents the patient's complaint of abdominal pain. The patient reports "Sumasakit ang tiyan ko" which means "My stomach hurts". On examination, the patient displays facial signs of pain, guarding, and self-focusing. Vital signs show elevated temperature and blood pressure. The diagnosis is acute pain related to inflammation and tissue distortion. The plan is for the patient's pain to be relieved or controlled after 8 hours of nursing interventions. Interventions include monitoring and documenting the pain, promoting rest, and encouraging relaxation techniques. The rationale is to differentiate the pain cause, provide information on disease progression, and assess intervention effectiveness. After 8 hours the patient's pain was relieved or controlled.

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    The nursing care plan assessment documents the patient's complaint of abdominal pain. The patient reports "Sumasakit ang tiyan ko" which means "My stomach hurts". On examination, the patient displays facial signs of pain, guarding, and self-focusing. Vital signs show elevated temperature and blood pressure. The diagnosis is acute pain related to inflammation and tissue distortion. The plan is for the patient's pain to be relieved or controlled after 8 hours of nursing interventions. Interventions include monitoring and documenting the pain, promoting rest, and encouraging relaxation techniques. The rationale is to differentiate the pain cause, provide information on disease progression, and assess intervention effectiveness. After 8 hours the patient's pain was relieved or controlled.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    389 views3 pages

    Nursing Care Plan

    Uploaded by

    Jovi Briz
    The nursing care plan assessment documents the patient's complaint of abdominal pain. The patient reports "Sumasakit ang tiyan ko" which means "My stomach hurts". On examination, the patient displays facial signs of pain, guarding, and self-focusing. Vital signs show elevated temperature and blood pressure. The diagnosis is acute pain related to inflammation and tissue distortion. The plan is for the patient's pain to be relieved or controlled after 8 hours of nursing interventions. Interventions include monitoring and documenting the pain, promoting rest, and encouraging relaxation techniques. The rationale is to differentiate the pain cause, provide information on disease progression, and assess intervention effectiveness. After 8 hours the patient's pain was relieved or controlled.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    NURSING CARE PLAN ASSESSMENT Subjective: Sumasakit ang tiyan ko as verbalized by patient. Objective: Facial mask of pain.

    . Guarding behavior. Self foucusing. V/S taken as follows: T: 36.0 P: 88 R: 27 BP: 160/110 DIAGNOSIS Acute pain related to inflammation and distortion of tissues. PLANNING After 8 hours of nursing interventions , the patient pain will be relieved or controlled. INTERVENTION Independent: Observe and document location of pain, severity (0-10 scale), and character of pain. Promote bed rest, and in low fowlers position. Control environmental temperature. Encourage use of relaxation technique. RATIONALE Assist in differentiating cause of pain and provides Information about disease progression, development of complications and effectiveness of intervention. Bed rest in low fowlers position reduces intra abdominal pressure. Cool surroundings aid in minimizing dermal discomfort. Promotes rest, Redirects attention, may enhance coping. EVALUATION After 8 hours of Nursing interventions, the patient pain was relieved or controlled.

    NURSING CARE PLAN ASSESSMENT Subjective: Masakit ang pagihi ko (I feel


    pain whenever I urinate)

    as verbalized by the patient. Objective: Facial grimace. Restlessness. V/S taken as follows: T: 36.2 P: 109 R: 26

    DIAGNOSIS Acute pain related to biological factors such as trauma or activity of disease process

    PLANNING After 8 hours of nursing interventions, the patients pain will be relieved or controlled.

    INTERVENTION Assess pain, noting location, intensity (scale of 0 10), duration. Encourage increased fluid intake. Investigate report of bladder fullness. Observe for changes in mental status, behavior or level of consciousness. Provide comfort measure like back rub, helping patient assume position of comfort. Suggest use of relaxation technique and deep breathing exercises.

    RATIONALE Provides information to aid in determining choice or effectiveness of interventions. Increased hydration flushes bacteria and toxins. Urinary retention may develop, causing tissue distention (bladder or kidney), and potentiates risk for further infection. Accumulation of uremic waste and electrolyte imbalances may be toxic to the CNS.

    EVALUATION After 8 hours of nursing interventions, the patients pain will be relieved or controlled.

    Promotes relaxation, refocuses attention, and may enhance coping abilities. NURSING CARE PLAN ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

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