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NURSING CARE PLAN
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
Subjective:“Sumasakit anglikod ko” asverbalized bypatient.Objective:
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Facial mask ofpain.
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Self narrowedfocus.
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Fatigue.
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V/S taken asfollows:T: 37.3P: 80R: 18Bp: 120/90
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Acute painrelated toinflammatoryprocess.
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Pott’s diseaseis a form ofextrapulmonarytuberculosisthat impactsthe spine. Ithas an effectthat issometimesdescribed asbeing a sort ofarthritis for thevertebrae thatmake up thespinal column.More properlyknown astuberculosisspondylitis. It isoftenexperienced asa localphenomenonthat begins inthe thoracicsection of thespinal column.Early signs ofthe presence ofPott’s diseasegenerally beginwith back painthat may seemto be due to
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After 8 hoursof nursinginterventions, the patientwill be abletoincorporaterelaxationskills anddiversionalactivities intopain controlprogram.
Independent:
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Investigate reportof pain, notingcharacteristics,location, intensity(0-10 scale).
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Provide firmmattress andsmall pillows.
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Suggest patientassume positionof proper comfortwhile in bed orchair. Promotebed rest asindicated.
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Encouragefrequent changesof position.
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Apply warm ormoist compresson the affectedarea severaltimes a day.
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Provide gentlemassage.
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Helpful indeterminingpainmanagementneeds andeffectiveness ofthe program.
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Soft or saggingmattress andlarge pillowsinhibits theproper bodyalignment.
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In acute phase,total bed restmay benecessary tolimit pain.
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Preventsgeneral fatigueand jointstiffness.
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Heat promotesmusclerelaxation andmobility,decreases painand relievesmorningstiffness.
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Promotesrelaxation andreduces muscletension.
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After 8hours ofnursinginterventions, thepatient willbe able toincorporaterelaxationskills anddiversionalactivitiesinto paincontrolprogram.
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