The document presents a nursing care plan for a patient experiencing acute pain in their hand, as evidenced by a pain scale rating of 5/10 and guarding behavior. The plan's objectives are to promote physical comfort by alleviating or controlling the patient's pain and discomfort within 1 hour through interventions like medication administration, emotional support, and monitoring of vital signs. The rationale provided for the interventions is to reduce inflammation, relieve pain, and maintain circulating volume.
The document presents a nursing care plan for a patient experiencing acute pain in their hand, as evidenced by a pain scale rating of 5/10 and guarding behavior. The plan's objectives are to promote physical comfort by alleviating or controlling the patient's pain and discomfort within 1 hour through interventions like medication administration, emotional support, and monitoring of vital signs. The rationale provided for the interventions is to reduce inflammation, relieve pain, and maintain circulating volume.
The document presents a nursing care plan for a patient experiencing acute pain in their hand, as evidenced by a pain scale rating of 5/10 and guarding behavior. The plan's objectives are to promote physical comfort by alleviating or controlling the patient's pain and discomfort within 1 hour through interventions like medication administration, emotional support, and monitoring of vital signs. The rationale provided for the interventions is to reduce inflammation, relieve pain, and maintain circulating volume.
The document presents a nursing care plan for a patient experiencing acute pain in their hand, as evidenced by a pain scale rating of 5/10 and guarding behavior. The plan's objectives are to promote physical comfort by alleviating or controlling the patient's pain and discomfort within 1 hour through interventions like medication administration, emotional support, and monitoring of vital signs. The rationale provided for the interventions is to reduce inflammation, relieve pain, and maintain circulating volume.
Age and Sex: Diagnosis: Year and Section: Chief Complaint: Group:
NURSING CARE PLAN
DIAGNOSIS and ASSESSMENT OBJECTIVES NURSING INTERVENTION RATIONALE EVALUATION INFERENCE Subjective: Acute pain related to Within 1 hour of nursing Independent: Independent: After 1 hour of nursing “medyo sakit na akoang inflammation as evidenced interventions, the patient will interventions goal met as kamot maam” as verbalized by verbalization of pain be able to: Assess degree and Degree of pain is evidenced by: by the patient “medyo sakit na akoang characteristics of directly related to kamot maam”, with a pain General objectives: discomfort and pain. extent of circulatory General objectives: promoted physical comfort. Objective: scale of 5/10. To promote physical comfort. Note guarding of deficit, inflammatory extremity. process, degree of Specific objectives: Facial Grimace Inference: Specific objectives: tissue ischemia, and Guarding behavior The International Association extent of edema Reported that pain or for the Study of Pain Report that pain or associated with discomfort is alleviated and VS taken as follows: (IASP) defined pain as “an discomfort is alleviated or thrombus controlled. 9/11/2023 6pm unpleasant sensory and controlled. development. emotional experience Verbalize methods that Changes in Verbalized methods that Temp: 36°C associated with actual or provide relief. characteristics of pain provide relief. potential tissue damage, or may indicate described in terms of such Displayed a relaxed manner. BP: 120/20 mmHg Display relaxed manner; be development of damage.” Another great and able to sleep or rest and complications influential definition of pain engage in desired activity. PR: 67 BPM is from Margo McCaffery, Maintain bedrest (if Reduces discomfort a nurse expert on pain, who indicated) and may be suggested RR: 20 CPM defined it as “pain is to prevent dislodging whatever the person says it is of clot. O2sat: 96% and exists whenever the person says it does.” The Monitor vital signs, To obtain baseline unpleasant feeling of pain is noting elevated data highly subjective in nature temperature. that may be experienced by the patient. Acute pain is pain, as defined Provide emotional Refocuses attention, above, that has a duration of support and promotes sense of less than 3 months and relief encourage use of control, and may can be anticipated or stress management enhance coping predicted. The physiological techniques abilities in the signs of acute pain emerge progressive management of the from the body’s response to relaxation, deep stress of traumatic pain as a stressor. Acute pain breathing exercises, injury and pain, provides a protective purpose and visualization or which is likely to to make the person informed guided imagery; persist for an and knowledgeable about the provide therapeutic extended period. presence of an injury or touch illness. The unexpected onset of acute pain reminds the Dependent: patient to seek support, assistance, and relief. Administer Relieves pain and (Doenges, M. E., & medications, as decreases muscle Murr, M. C. (2022). nursing indicated; for tension. Reduces care plan: Guidelines for example, analgesics fever and individualizing client care (opioid and non- inflammation. across the life opioid) and span (16th ed.). antipyretics, such as acetaminophen (Tylenol).
Administer Maintains circulating
intravenous (IV) volume to maximize fluids or volume tissue perfusion. expanders, as ordered by the physician