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    NCP

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    Kate Leysa Mamon
    The nursing care plan summarizes the assessment, diagnosis, expected outcomes, interventions, and evaluation for a patient experiencing acute pain likely due to a disruption of skin or tissues. The expected outcome after 8 hours of nursing intervention is that the patient will use relaxation skills and other comfort methods and report their pain is relieved. Interventions include assessing and monitoring pain, keeping the patient at rest, encouraging early ambulation, providing medication as ordered, and collaborating with the doctor. After 8 hours the goal was met as the patient demonstrated relaxation skills and said their pain was relieved.

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    NCP

    Uploaded by

    Kate Leysa Mamon
    22 views2 pages
    The nursing care plan summarizes the assessment, diagnosis, expected outcomes, interventions, and evaluation for a patient experiencing acute pain likely due to a disruption of skin or tissues. The expected outcome after 8 hours of nursing intervention is that the patient will use relaxation skills and other comfort methods and report their pain is relieved. Interventions include assessing and monitoring pain, keeping the patient at rest, encouraging early ambulation, providing medication as ordered, and collaborating with the doctor. After 8 hours the goal was met as the patient demonstrated relaxation skills and said their pain was relieved.

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    ncp

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    The nursing care plan summarizes the assessment, diagnosis, expected outcomes, interventions, and evaluation for a patient experiencing acute pain likely due to a disruption of skin or tissues. The expected outcome after 8 hours of nursing intervention is that the patient will use relaxation skills and other comfort methods and report their pain is relieved. Interventions include assessing and monitoring pain, keeping the patient at rest, encouraging early ambulation, providing medication as ordered, and collaborating with the doctor. After 8 hours the goal was met as the patient demonstrated relaxation skills and said their pain was relieved.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views2 pages

    NCP

    Uploaded by

    Kate Leysa Mamon
    The nursing care plan summarizes the assessment, diagnosis, expected outcomes, interventions, and evaluation for a patient experiencing acute pain likely due to a disruption of skin or tissues. The expected outcome after 8 hours of nursing intervention is that the patient will use relaxation skills and other comfort methods and report their pain is relieved. Interventions include assessing and monitoring pain, keeping the patient at rest, encouraging early ambulation, providing medication as ordered, and collaborating with the doctor. After 8 hours the goal was met as the patient demonstrated relaxation skills and said their pain was relieved.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    NURSING CARE PLAN

    ASSESSMENT NURSING DIAGNOSIS PATHOPHYSIOLOGY EXPECTED OUTCOME NURSING INTERVENTION RATIONALE EVALUATION
    Subjective: Ika duha ko na ni Acute Pain may be related After 8 hours of nursing INDEPENDENT After 8 hours of nursing
    nga bata. Ang una normal. Gin to Physical factors: intervention the patient intervention the patient
    CS ko kay taas ang heartbeat disruption of skin/tissues will demonstrate use of Assess pain, noting Useful in monitoring demonstrated the use of
    ka bata” as verbalized by the (incisions/drains) As relaxation skills, other location, characteristics, effectiveness of relaxation skills and
    patient evidenced of self-focusing
    methods to promote severity (0–10 scale). medication, progression other method to
    Guarding/distraction
    behaviors, restlessness. comfort and the client Investigate and report of healing. Changes in promote comfort and
    will verbalize that pain is changes in pain as characteristics of pain the client verbalized that
    relieved/controlled. appropriate may indicate developing pain is relieved.
    abscess or peritonitis,
    requiring prompt Client responds to
    medical evaluation and interventions, teaching,
    OBJECTIVE: intervention. and actions performed.
    V/S
    BP: 110/80 Provide accurate, honest Being informed about The goal was met.
    CR: 94 information to patient. progress of situation
    RR: 21 provides emotional
    T: 36.2 support, helping to
    Oxygen sat: 95% decrease anxiety.

    Keep at rest in semi- To lessen the pain.


    Fowler’s position. Gravity localizes
    inflammatory ex udate
    into lower abdomen or
    pelvis, relieving
    abdominal tension,
    which is accentuated by
    supine position.

    Encourage early Promotes normalization


    ambulation. of organ function
    (stimulates peristalsis
    and passing of flatus,
    reducing abdominal
    discomfort).

    DEPENDENT
    Provide medication as Reduce metabolic rate
    ordered by the doctor and aids in pain relief
    and promotes healing.

    COLLABORATIVE
    Collaborate with the Increasing patient
    doctor. adherence, improving
    patient outcomes, and
    promoting better quality
    of care.

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