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NCP2 - Acute Pain

NCP2 - Acute Pain

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Published by Summer Suarez
Acute Pain
Acute Pain

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Published by: Summer Suarez on Aug 01, 2013
Copyright:Attribution Non-commercial

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08/01/2013

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 Assessment Diagnosis Planning Intervention Rationale Evaluation
Subjective:
“Masakit yung tahiko” as verbalized by
patientObjective:> Facial Grimace> Narrowed Focus> Incision site:wound: dry, nodischarges noted.> V/S taken asfollows,BB
 –
110/80RR
 –
14 cpmPR
 –
110 bpmTemp
 –
38 CAcute Painrelated todisruption of skin,tissue, andmuscle integrity.
Goal:
After 8 hours of nursinginterventions, the
patient’s pain will be
relieved orcontrolled.
Objectives:
By the 2 hours of nursing interventionthe client will;>Report painintensity from 4-6will decrease at 2-3from 0-10 pain scale.>Participate indemonstratingtechniques to relievepain.>Have ability tomanage situation.
Independent:
*Evaluate painregularly notingcharacteristics,location, intensity (0-10 scale).*Review importanceof nutritious fluidintake.*Reposition asindicated.*Encourage use of relaxation techniquelike deep breathingexercise.
Collaborative:
*Administeranalgesics or nonsteroidal anti*Providesinformation aboutneeds foreffectiveness of intervention.*Provide elementsnecessary for tissueregeneration orhealing.*May relieve painand enhancecirculation.*Relieves muscleand emotionaltension.*To relieve mild ormoderate pain.After 8 hours of nursinginterventions, the
patient’s pain was
relieved orcontrolled.

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