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    NCP - Pain

    Uploaded by

    Megan Pagapong
    acute pain nursing care plan

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    NCP - Pain

    Uploaded by

    Megan Pagapong
    7 views3 pages
    acute pain nursing care plan

    Original Title

    ncp- pain

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    acute pain nursing care plan

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    7 views3 pages

    NCP - Pain

    Uploaded by

    Megan Pagapong
    acute pain nursing care plan

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    ASSESSMENT DIAGNOSI INFERENCE PLANNING IMPLEMENTATION RATIONALE EVALUATION

    S
    Subjective data: Acute pain Surgical tissue Short-term goal: Independent nursing Short-term goal:
    “Sakit jud akong related to trauma leads to interventions: GOAL MET
    tahi. Ngotngot surgical nociceptor Within 8 hours of 1. Establish trust 1. Fosters
    siya.” As procedure activation and nursing intervention, and rapport. cooperation. Within 8 hours of nursing
    verbalized by the secondary sensitization. As a the patient will be 2. Assess and 2. Helps in fully intervention, the patient
    patient. to post- result, individuals able to: monitor the understanding was able to:
    - Pain scale operative suffer ongoing pain - Demonstrate characteristics the patient’s - Demonstrate
    of 6/10 incision at rest and increased relaxation of pain. pain and for relaxation
    responses to stimuli techniques early techniques to
    Objective data: at the site of injury. to manage intervention. manage pain
    - Facial - International pain 3. Monitor Vital 3. Establish such as use of
    grimacing Association signs. baseline data deep breathing
    - Guarding for the Study Long-term goal: for future exercise and
    behavior of Pain, comparison. displayed a more
    - Narrowe 2017 After 2 days of 4. Instruct 4. Pain is relaxed
    d focus nursing intervention, patient to subjective; appearance,
    the patient will be report intense serves as an with a pain scale
    able to: pain and avenue to of 4/10 where 10
    - Verbalize a encourage know if nursing indicates severe
    decrease in verbalization interventions pain and 0 as no
    pain felt of pain. are effective. pain.
    with a
    manageable 5. Provide a 5. Promotes rest Long-term goal:
    pain scale of quiet and and enhances
    2/10, where peaceful coping abilities. NOT ASSESSED.
    10 indicates environment
    severe pain (e.g.
    and 0 as no avoidance of
    pain. noise,
    adequate
    lighting) 6. Draws the
    6. Educate about patient away
    diversional from the
    techniques feeling of pain,
    such as deep promotes
    breathing relaxation and
    exercises. decreases
    discomfort.
    7. Apply cold 7. Cold compress
    compress to reduces
    the post- swelling and
    operative site. alleviates pain.

    Dependent nursing
    intervention:

    8. Administer 8. Pain relievers


    Tramadol 150 help relieve
    mg + D5W pain felt by the
    250 ml x 24hrs patient.
    as ordered by
    the AP.
    Problems identified
    1. Acute pain related to physical injury agent secondary to post-operative incision

    2. Risk for infection

    3. Impaired skin integrity related to surgical incision

    4. Anxiety related to major change to health status

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