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    Acute Pain NCP

    Uploaded by

    Charme Jean Raygon

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Acute Pain NCP

    Uploaded by

    Charme Jean Raygon
    60 views3 pages

    Original Title

    Acute pain NCP

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    60 views3 pages

    Acute Pain NCP

    Uploaded by

    Charme Jean Raygon

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    NCP 1 (Ramos, Raygon, Sumatra)

    ASSESSM NURSING SCIENTIFI PLANNING IMPLEME RATIONAL EVALUATI


    ENT DIAGNOSI C NTATION E ON
    S RATIONAL
    E

    SUBJECTI Acute pain Lesions in SHORT INDEPEND 1.Isolated Goal was


    VE: related to the TERM: ENT: pain in the met.
    "Ang sakit inflammatio pancreatic 1. Within 4 1.Investigat RUQ
    ng tiyan ko n to the head hours of e verbal reflects SHORT
    lalo na dito retroperiton especially nursing reports of involvemen TERM:
    (points at eal nerve along the interventio pain, noting t of the 1. After 4
    the right plexus as common n, the specific head of the hours of
    upper evidenced bile duct patient will location pancreas. nursing
    quadrant) by verbal and at the be able to and Pain in the intervention
    Minsan ay complaints. ampulla of report pain intensity left upper , the
    sumasakit Vater may is relieved (0–10 quadrant patient
    rin cause or scale). (LUQ) reports
    hanggang jaundice controlled. Note suggests pain is
    likod. At due to 2. Within 4 factors that involvemen relieved
    sumasakit biliary hours of aggravate t of the and
    rin eto lalo obstruction. nursing and relieve pancreatic controlled.
    na tuwing Most interventio pain. tail. 2. After 4
    ako'y common n, the Localized hours of
    humihiga" presenting patient will 2.Promote pain may nursing
    symptoms be able to position of indicate intervention
    of patients follow comfort on developme , the
    OBJECTIV diagnosed prescribed one side nt of patient has
    E: with pharmacol with knees pseudocyst followed
    •Pain pancreatic ogical flexed, s or the
    scale= 8/10 cancer regimen. sitting up abscesses. prescribed
    •Exhibited presents and leaning pharmacol
    Facial abdominal LONG forward. 2. Reduces ogical
    grimace and back TERM: abdominal regimen
    and pain. 1. Within 6 3.Provide pressure
    guarding Severe hours of alternative and LONG
    behavior pain is nursing comfort tension, TERM:
    upon usually interventio measures providing 1. After 6
    palpation indicative n, the (back rub), some hours of
    of the of invasion patient will encourage measure of nursing
    abdomen of the be able to relaxation comfort intervention
    •RUQ pain celiac and demonstrat techniques and pain , the
    mesenteric e use of (guided relief. Note: patient has
    plexus relaxation imagery, Supine demonstrat
    which is a skills and visualizatio position ed use of
    sign of diversional n), quiet often relaxation
    locally activities diversional increases skills and
    advanced as activities pain. diversional
    or indicated (TV, radio). activities
    metastatic for right 3.Promotes indicated
    disease. upper 4. Instruct relaxation for right
    Common quadrant in and and upper
    sites of pain. encourage enables quadrant
    metastatic 2. Within 8 use of patient to pain.
    spread of hours of relaxation refocus 2. After 8
    pancreatic nursing techniques attention; hours of
    cancer interventio such as may nursing
    includes n, the focus enhance intervention
    the liver, patient will breathing, coping. , the
    the be able to imaging, patient has
    retroperiton verbalize CDs/tapes. 4. To verbalized
    eum and non distract non
    the lungs. pharmacol 5. Keep attention pharmacol
    ogical environme and reduce ogical
    methods nt free of tension. methods
    that will food odors. that
    provide 5. Sensory provide
    relief. 6. stimulation relief of the
    Encourage can condition.
    adequate activate
    rest pancreatic
    periods enzymes,
    increasing
    pain.

    6. to
    prevent
    fatigue

    DEPENDE
    NT &
    COLLABO
    RATIVE: 7.Severe
    7. and
    Administer prolonged
    analgesics pain can
    in timely aggravate
    manner shock and
    (smaller, is more
    more difficult to
    frequent relieve,
    doses). requiring
    larger
    8. Evaluate doses of
    and medication,
    document which can
    client’s mask
    response underlying
    to problems
    analgesia, and
    and assist complicatio
    in ns and
    transitionin may
    g or contribute
    altering to
    drug respiratory
    regimen depression
    based on
    individual 8.
    needs and Increasing
    protocols. or
    decreasing
    dosage,
    stepped
    program
    (switching
    from
    injection to
    oral route,
    increase
    time as
    pain
    lessens)
    helps in
    self-
    manageme
    nt of pain.

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