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    NCP For Acute Pain EBP

    Uploaded by

    Kim Legasto
    1) The patient reported 6/10 pain from a surgical incision after an episiotomy and exhibited

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    NCP For Acute Pain EBP

    Uploaded by

    Kim Legasto
    638 views3 pages
    1) The patient reported 6/10 pain from a surgical incision after an episiotomy and exhibited

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    NCP for acute pain EBP

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    © Attribution Non-Commercial (BY-NC)

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    1) The patient reported 6/10 pain from a surgical incision after an episiotomy and exhibited

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    638 views3 pages

    NCP For Acute Pain EBP

    Uploaded by

    Kim Legasto
    1) The patient reported 6/10 pain from a surgical incision after an episiotomy and exhibited

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 3

    Assessment Subjective: Masakit pa rin hanggang ngayon ung tahi ko..

    as verbalized by the patient Objective: - pain P-pain is much felt when moving Q- sharp pain R- abdominal pain, does not radiate S- 6/10 pain scale T- pain was felt after an hour after the surgery - sleep disturbance -grimace -pallor

    Nursing Diagnosis Acute pain related to surgical incision secondary to episiotomy as evidenced by pain scale of 6/10

    Scientific Explanation

    Planning Discharge outcome: Prior to discharge, the client will be able to report pain is relieve or control from 6/10 to 0/10

    Intervention
    Independent: - Assess pain through self report with the use of Numeric Rating Scale

    Rationale

    Evaluation Discharge outcome: Prior to discharge, the client will be able to report pain is relieved or controlled from 6/10 to 0/10

    Short term outcome: After 8 hours of nursing intervention, the client will be able to: - decrease pain from 6/10 to 3/10 -verbalize 2-3 non pharmacologic method that relief pain

    - The most reliable indicator of pain is through selfreport (ICSI, 2008). Assessing the patients current pain, pain goal, and how the pain interferes with activities will help the nurse develop a plan for managing pain (Akyol, Karayurt, & Salmond, 2009). The study found that patients who received the therapies required less opioids and reported lower levels of anxiety on postoperative day 2 (Pellino et al., 2005).

    - Provide the patient with non pharmacologic interventions include:

    Short term outcome: After 8 hours of nursing intervention, the client will be able to: - decreased pain from 6/10 to 3/10 -verbalized 2-3 non pharmacologic method that relief pain

    cold application (cold packs)

    - Adie, Naylor, and Harris (2009) found that patients who used cold application saw a significant reduction in pain on postoperative day 2

    relaxation, imagery, and music therapy

    - Music has been reported to have a positive impact on pain. A review of the effects of music on pain found that postoperative pain intensity was decreased by 0.5units (Cepeda, Carr, Lau, & Alvarez, 2006). - Postoperative complications are prevented with ambulation. Teach the patient how to use assistive devices and adhere to any weight-bearing restrictions that are ordered. The American Association of Orthopedic Surgeons (AAOS) supports mobilization and ambulation by the first day postoperative (Johanson et al., 2009). - Exercise can increase or maintain range of motion, increase blood flow,

    - assist the patient in early ambulation

    - Instruct to perform

    ROM with frequent resting between ambulations and exercise

    prevent muscle guarding, spasms, and contractures. Rest or immobilization may reduce edema formation. - Repositioning increases blood flow and prevents muscle guarding and spasms, which reduces acute pain or prevents additional pain. - Acute pain is best managed using pharmacologic agents (ICSI, 2008). Analgesia appears to be the best way to begin pain management.

    - Position in semi fowler. Reposition frequently

    Collaborative: - Administer analgesics or any pain reliever as prescribed by the patient

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