Nursing Care Plan

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Nursing care plan Assessment S= masakit ang tiyan ko as verbalized by the patient O= with pain scale of 7 out of 10 - Facial

grimace - Pale skin Vital signs Temp36.2 C PR- 96 RR- 94 BP120/80 Diagnosis Alterations in comfort: pain related to disease process as manifested by Facial grimace Pale skin Vital signs Temp- 36.2 C PR- 96 RR- 94 BP- 120/80 planning After 8 hours of nursing intervention client will be able to decrease pain scale from 7 out of 10 to 5 Implementation 1. determine pain characteristics trough clients description 2. position in comfortable position 3. emphasize cautious use of hot compress apply at the area of pain 4. use of guided imagery and other relaxation techniques eg. Music therapy and diversional activities Rationale To establish baseline for assessing improvement/ changes Evaluation After 8 hours of nursing care the client exhibit pain relief and a pain scale of 5/ 10

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