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    NCP

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    Diane Abanilla
    After 8 hours of nursing intervention for acute pain related to ulcerative colitis, the patient's goals are to relax and rest appropriately. Nursing interventions include encouraging the patient to report pain levels and changes, providing comfort measures, and administering acetaminophen as ordered. The plan is evaluated after 8 hours to see if the patient can now tolerate the pain rather than request analgesics.

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    NCP

    Uploaded by

    Diane Abanilla
    188 views4 pages
    After 8 hours of nursing intervention for acute pain related to ulcerative colitis, the patient's goals are to relax and rest appropriately. Nursing interventions include encouraging the patient to report pain levels and changes, providing comfort measures, and administering acetaminophen as ordered. The plan is evaluated after 8 hours to see if the patient can now tolerate the pain rather than request analgesics.

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    After 8 hours of nursing intervention for acute pain related to ulcerative colitis, the patient's goals are to relax and rest appropriately. Nursing interventions include encouraging the patient to report pain levels and changes, providing comfort measures, and administering acetaminophen as ordered. The plan is evaluated after 8 hours to see if the patient can now tolerate the pain rather than request analgesics.

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    188 views4 pages

    NCP

    Uploaded by

    Diane Abanilla
    After 8 hours of nursing intervention for acute pain related to ulcerative colitis, the patient's goals are to relax and rest appropriately. Nursing interventions include encouraging the patient to report pain levels and changes, providing comfort measures, and administering acetaminophen as ordered. The plan is evaluated after 8 hours to see if the patient can now tolerate the pain rather than request analgesics.

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    ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUA

    Subjective: Acute pain related to Ulcerative colitis is a Short Term Goal INDEPENDENT NURSING After 8 hours o
    “Sobrang sakit po ng prolonged diarrhea. chronic, or long lasting, ACTION: intervention the
    tiyan ko kanina pa disease that causes After 8 hours of  May try to tolerate pain rather was able to rela
    po ako labas masok inflammation—irritation nursing intervention  Encourage patient to report than request analgesics. rest appropriate
    sa CR”. or swelling—and sores the patient will be pain.
    called ulcers on the inner able to relaxed and
    Objective: lining of the large rest appropriately

     Fatigue intestine.  Assess reports of abdominal


    cramping or pain, noting  To measure the intensity of
     Weight loss Ulcerative colitis shows location, duration, intensity pain and to know what
    intestinal and extra (0–10 scale). Investigate and management should be given.
     Hyperactive intestinal findings on report changes in pain
    Bowel Sounds physical examination. characteristics
    These include abdominal  Body language or nonverbal
    Vital signs:  Note nonverbal cues
    tenderness, fever, pallor, cues may be both physiological
    HR: 110 bpm inflammation of the iris (restlessness, reluctance to and psychological and may be
    and uvea, skin rash, move, abdominal guarding, used in conjunction with verbal
    RR: 19 BPM inflammation of the joints, withdrawal, and depression). cues to determine extent and
    aphthous ulcers and Investigate discrepancies severity of the problem.
    BP: 90/60 mmhg
    clubbing of the fingers. between verbal and
    Temperature: 38.1°C nonverbal cues.

    Physical  Review factors that  May pinpoint precipitating or


    Assessment: aggravate or alleviate pain. aggravating factors (such as
    stressful events, food
     Pallor
     Abdominal intolerance) or identify developing
    Tenderness complications.

     Panniculitis
     Encourage patient to assume
    position of comfort (knees  Reduces abdominal tension and
    flexed). promotes sense of control.

     Provide comfort measures


    (back rub, reposition) and
    diversional activities.  Promotes relaxation, refocuses
    attention, and may enhance
     Observe and record coping abilities.
    abdominal distension,
    increased temperature,  May indicate developing
    decreased BP. intestinal obstruction from
    inflammation, edema, and
    scarring.

    DEPENDENT NURSING
    ACTION

     Provide additional fluids via


    IV as ordered by the
    physician.  Maintenance of bowel rest
    requires alternative fluid
    replacement to correct losses
    and anemia. Note: Fluids
    containing sodium may be
    restricted in presence of
    regional enteritis. Total
    Parenteral Nutrition is given.

     Administer medication like


    acetaminophen as ordered by
    the physician  A better choice for pain relief is
    acetaminophen for ulcerative
    colitis.

     COLLABORATIVE
    NURSING ACTION

     Coordinate with a dietary


    counselor for meal planning  To prevent imbalance nutrition
    and to regain the loss nutrients
    modifications due to diarrhea.

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