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NURSING CARE PLAN 
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
Subjective:“Masakit angtiyan ko” asverbalized bypatient.Objective:
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Facial maskof pain.
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Guardingbehavior.
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Reboundtenderness.
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V/S taken asfollows:T: 37.3P: 80R: 18Bp: 110/90
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Acute painrelated toinflammationof tissues.
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Appendicitis isinflammation ofthe vermiformappendixcaused by anobstructionattributable toinfection,stricture, fecalmass, foreignbody or tumor.Appendicitiscan affecteither genderat any age, butis mostcommon inmales ages 10to 30.Appendicitis isthe mostcommondiseaserequiringsurgery. If leftuntreated,appendicitismay progressto abscess,perforation,subsequentperitonitis, anddeath.
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After 4 hoursof nursinginterventions, the patientwilldemonstrateuse ofrelaxationskills, othermethods topromotecomfort.
Independent: 
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Investigate painreports, notinglocation, duration,intensity (0-10scale), andcharacteristics(dull, sharp,constant).
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Maintain semi-fowler’s position.
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Move patientslowly anddeliberately.
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Provide comfortmeasure likeback rubs, deepbreathing.Instruct inrelaxation orvisualizationexercises.Providediversionalactivities.
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Provide frequentoral care.Remove noxiousenvironmentalstimuli.
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Changes inlocation orintensity are notuncommon butmay reflectdevelopingcomplications.
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Reducesabdominaldistention,therebyreducestension.
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Reducesmuscle tensionor guarding,which may helpminimize painof movement.
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Promotesrelaxation andmay enhancepatient’s copingabilities byrefocusingattention.
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Reducesnausea andvomiting, whichcan increaseintra-abdominalpressure or
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After 4hours ofnursinginterventions, thepatient wasable todemonstrateuse ofrelaxationskills, othermethods topromotecomfort.
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wijesekaraanusha

nursing care plan for diabetis melitus

reply04 / 30 / 2010
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