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Nursing Diagnosis and Pain Management

· Assist with · Promotes ambulation or mobility and range of motion circulation, exercises as which may help tolerated. minimize pain

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Arnel Luces Beato
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680 views2 pages

Nursing Diagnosis and Pain Management

· Assist with · Promotes ambulation or mobility and range of motion circulation, exercises as which may help tolerated. minimize pain

Uploaded by

Arnel Luces Beato
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 DOCX, PDF, TXT or read online on Scribd

ASSESS NURSIN INFERE PLANNIN IMPLEMEN RATION EVALUATI

MENT G NCE G TATION ALE ON


DIAGN
OSIS
Subjective:  Acute pain Stimuli After the Independent After the
“Ang sakit ng related to intervention, the · Investigate pain · Changes in intervention, the
tiyan ko”, as inflammati patient will: reports, noting location or goal has partially
verbalized by on of Sensory - Demonstrate location, duration, intensity are met as manifested
the patient tissues Stimuli use of intensity (0-10 not by:
(Appendicitis) relaxation scale), and uncommon but - Demonstrated
Objective: technique or characteristics may reflect use of
- Guarding methods to (dull, sharp, developing relaxation
behavior Dorsal Horn promote constant) complications technique or
- Protective comfort methods to
gestures - Report pain · Maintain · Reduces promote
- Positioning Medulla is relieved/ semifowler’s abdominal comfort
to avoid Interpretation controlled Position distention, - Reported pain
pain thereby is relieved/
- Facial Mask reduces controlled
of Pain Acute Pain tension
- V/S taken as
follows: · Move patient · Reduces
 T: 37.3 slowly and muscle tension
 P: 80 deliberately or guarding,
 R: 18 which may help
 Bp: minimize pain
110/90 of movement
 Pain:
6/10 · Provide comfort · Promotes
measure like relaxation and
back rubs, deep may enhance
breathing. patient’s coping
Instruct in abilities by
relaxation or refocusing
visualization attention
exercises.
Provide
diversional
activities

· Provide frequent · Reduces


oral care. nausea and
Remove noxious vomiting, which
environmental can increase
stimuli intra-
abdominal
pressure or
pain

Dependent:
· Administer · Reduce
analgesics / pain metabolic rate
reliever as and aids in pain
prescribed. relief and
promotes
healing

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