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    NCP 4C-1

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    Christine Del Fierro Abran
    The patient reported pain of 6/10 after a prostate biopsy where a catheter was inserted. On examination, the patient was grimacing, guarding behavior and had inflammation, swelling, redness and heat in the area. The nursing diagnosis was acute pain due to tissue trauma from the biopsy. Short term goals were to reduce pain to 3-4/10 within 30 minutes. Interventions included deep breathing, rest, cold compress and pain medication. The evaluation was that after 30 minutes the goal was met as pain reduced to 4/10 and the patient was smiling and conversing.

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    NCP 4C-1

    Uploaded by

    Christine Del Fierro Abran
    29 views2 pages
    The patient reported pain of 6/10 after a prostate biopsy where a catheter was inserted. On examination, the patient was grimacing, guarding behavior and had inflammation, swelling, redness and heat in the area. The nursing diagnosis was acute pain due to tissue trauma from the biopsy. Short term goals were to reduce pain to 3-4/10 within 30 minutes. Interventions included deep breathing, rest, cold compress and pain medication. The evaluation was that after 30 minutes the goal was met as pain reduced to 4/10 and the patient was smiling and conversing.

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    ncp_4C-1[1]

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    The patient reported pain of 6/10 after a prostate biopsy where a catheter was inserted. On examination, the patient was grimacing, guarding behavior and had inflammation, swelling, redness and heat in the area. The nursing diagnosis was acute pain due to tissue trauma from the biopsy. Short term goals were to reduce pain to 3-4/10 within 30 minutes. Interventions included deep breathing, rest, cold compress and pain medication. The evaluation was that after 30 minutes the goal was met as pain reduced to 4/10 and the patient was smiling and conversing.

    Copyright:

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

    NCP 4C-1

    Uploaded by

    Christine Del Fierro Abran
    The patient reported pain of 6/10 after a prostate biopsy where a catheter was inserted. On examination, the patient was grimacing, guarding behavior and had inflammation, swelling, redness and heat in the area. The nursing diagnosis was acute pain due to tissue trauma from the biopsy. Short term goals were to reduce pain to 3-4/10 within 30 minutes. Interventions included deep breathing, rest, cold compress and pain medication. The evaluation was that after 30 minutes the goal was met as pain reduced to 4/10 and the patient was smiling and conversing.

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    ASSESSMENT SUBJECTIVE: masakit yong pinasukan ng catheter as verbalized by the patient OBJECTIVE: Pain scale of 6/10 Grimacing Guarding

    ding behavior (+) hematuria Inflammatio n Swell ing Redn ess Heat

    NURSING DIAGNOSIS Acute pain r/t tissue trauma in the urethra secondary to prostate biopsy

    INFERENC E Insertion of tube Trauma to urethral tissue Inflammati on of the urethra Pain

    GOAL SHORT TERM: After 30 minutes of nursing intervention pain will be lessened as evidenced by: EXPECTE OUTCOME: Pain scale of 3-4/10 from 6/10 Absence of grimacing Absence of guarding behavior Less swelling Less redness LONG TERM: After 2 days of nursing intervention pain will be absent as evidence by: EXPECTED OUTCOME: pain scale of 0/10 from 6/10 inflammatio

    INTERVENTION INDEPENDENT: Encoura ged to perform deep breathin g exercise s Provide rest periods to facilitat e comfort, sleep a Maintain on bed rest. Maintain on bed rest. Apply cold compres s DEPENDENT Adminis ter Tramad ol as

    RATIONALE This exercise subsequen tly alleviates pain by relaxation Periods of rest and sleep eliminates fatigue, and enables the patient to eliminate pain perception . This would facilitate numbness on the area This would promote early healing of tissue. Pain medicatio

    EVALUATION SHORT TERM: After 30 minutes of nursing intervention goal is fully met as evidenced by: EXPECTED OUTCOME: Pain scale of 4/10 from 6/10 Smiling Having a conver sation with relative LONG TERM After 2 days of nursing intervention goal is partially met as evidenced by: EXPECTED OUTCOME: Patient

    REFERENC E

    n is absent no swelli ng no redne ss no heat (-) hema turi

    ordered COLLABORATI VE

    ns are absorbed and metaboliz e differently by patients, so their effectiven ess must be evaluated individuall y by the patient.

    verbaliz ed that there is no pain felt Affecte d part appear s to be the same as its surroun ding area Presenc e of blood in urine

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