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Acute Pain Management Nursing Plan

The patient reported pain from a surgical incision rated 8/10. The nurse assessed facial grimacing and guarding behavior. The nursing diagnosis was acute pain related to tissue disruption. The expected outcome was for pain to be relieved or controlled within 8 hours with interventions including regular pain evaluation, activity limitations, exercise, adequate rest and nutrition, repositioning, comfort measures, and relaxation techniques. The interventions met the expected outcomes of pain relief and control.

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5K views1 page

Acute Pain Management Nursing Plan

The patient reported pain from a surgical incision rated 8/10. The nurse assessed facial grimacing and guarding behavior. The nursing diagnosis was acute pain related to tissue disruption. The expected outcome was for pain to be relieved or controlled within 8 hours with interventions including regular pain evaluation, activity limitations, exercise, adequate rest and nutrition, repositioning, comfort measures, and relaxation techniques. The interventions met the expected outcomes of pain relief and control.

Uploaded by

rholiboi
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Assessment Nursing Diagnosis Outcome Identification Intervention Rationale Evaluation

Independent

Subjective: “Masakit Acute pain related to After 8 hours of Evaluate pain regularly Provides information Met
yung tahi ko” as disruption of skin, nursing interventions, noting characteristics, about need for or
verbalized by patient. tissue, and muscle the patient pain will be location, intensity (8- effectiveness of
integrity relieved or controlled. 10 scale). interventions
Objective:
Facial Grimace. Identify specific Prevents undue strain Met
activity limitations on operative site.
Guarding behavior.
Recommend planned Promotes return of Met
Narrowed focus. or progressive normal function and
exercise. enhances feelings of
Pain Scale ( 8/10) general well being.

V/S taken as follows: Schedule adequate rest Prevents fatigue and Met
T: 36.5 periods. conserves energy for
P: 63 healing.
R: 22
Bp: 130/90 Encourage to eat Provides elements Met
nutritious diets and necessary for tissue
adequate fluid intake. regeneration or
healing.

Reposition as May relieve pain and Met


indicated. enhance circulation.

Provide additional Improves circulation, Met


comfort measures like reduces muscle tension
back rub. and anxiety associated
with pain.

Encourage use of Relieves muscle and Met


relaxation technique emotional tension.
like deep breathing
exercises.

Collaborative:

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