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    NCP (Acute Pain)

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    jennilois
    - Assist with - Promotes toileting and emptying of changing of bladder and drainage bag as prevents needed. urinary retention. - Provide - Promotes hydration as hydration and prescribed. flushes bacteria and toxins from the urinary tract. Evaluation: - Pain relieved or - Determines controlled after effectiveness of 4 hours of interventions. nursing intervention. - No pain or - Confirms discomfort after resolution of 8 hours. symptoms. - Voiding - Indicates resumes resolution of

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    NCP (Acute Pain)

    Uploaded by

    jennilois
    497 views2 pages
    - Assist with - Promotes toileting and emptying of changing of bladder and drainage bag as prevents needed. urinary retention. - Provide - Promotes hydration as hydration and prescribed. flushes bacteria and toxins from the urinary tract. Evaluation: - Pain relieved or - Determines controlled after effectiveness of 4 hours of interventions. nursing intervention. - No pain or - Confirms discomfort after resolution of 8 hours. symptoms. - Voiding - Indicates resumes resolution of

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    - Assist with - Promotes toileting and emptying of changing of bladder and drainage bag as prevents needed. urinary retention. - Provide - Promotes hydration as hydration and prescribed. flushes bacteria and toxins from the urinary tract. Evaluation: - Pain relieved or - Determines controlled after effectiveness of 4 hours of interventions. nursing intervention. - No pain or - Confirms discomfort after resolution of 8 hours. symptoms. - Voiding - Indicates resumes resolution of

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    497 views2 pages

    NCP (Acute Pain)

    Uploaded by

    jennilois
    - Assist with - Promotes toileting and emptying of changing of bladder and drainage bag as prevents needed. urinary retention. - Provide - Promotes hydration as hydration and prescribed. flushes bacteria and toxins from the urinary tract. Evaluation: - Pain relieved or - Determines controlled after effectiveness of 4 hours of interventions. nursing intervention. - No pain or - Confirms discomfort after resolution of 8 hours. symptoms. - Voiding - Indicates resumes resolution of

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Assessment Nursing Inference Planning Nursing Rationale Evaluation

    Diagnosis Intervention
    Bacteria lodges
    Subjective: Acute pain to urethra and Short term: Independent: After 4 hours
    related to bladder of nursing
    “Masakit ang biological factors After 4 hours of - Assess pain, - Provides intervention,
    pag-ihi ko as such as activity nursing noting location, information to patient’s pain is
    verbalized by the of disease Invades intervention, intensity (Scale aid in relieved and
    patient” process. epithelium cells patient’s pain will of 1-10), and determining controlled.
    be relieved or duration. choice or
    Objective: controlled. effectiveness of
    Evade host intervention.
    - Facial grimace defenses Long term:
    - Irritability - Encourage - Increase
    - Pain scale of 7 After 8 hours of increase fluid hydration flushes
    out of 10 Inflammation nursing intake. bacteria and
    - Unable to sleep occurs intervention, the toxin.
    - V/S as follows: patient will no
    BP: 120/90 longer feel any - Investigate - Urinary
    RR: 19 bpm Pain during pain or report of bladder retention may
    PR: 88 bpm urination discomfort fullness develop causing
    Temp. : 38.7 tissue distention
    ‘C and potentiates
    risk for further
    infection.

    - Observe for - Accumulation


    changes in of uremic waste
    mental status, and electrolyte
    behavior or level imbalances may
    of be toxic to CNS.
    consciousness.

    - Provide - Promotes
    comfort relaxation,
    measures like refocuses
    backrub, helping attention and
    patient assume may enhance
    position of coping abilities.
    comfort. Suggest
    use of relaxation
    technique and
    deep breathing
    exercise.

    - Encourage use - Promotes


    of sitz baths, muscle
    warm soaks to relaxation.
    the perineum.

    Dependent:

    - Administer anti- - Reduces


    bacterial as bacteria present
    prescribed. in the urinary
    tract and those
    introduced by
    drainage
    system.
    - Administer
    analgesics as - Reduces pain.
    prescribed.

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