Assessment Diagnosis Planning Intervention Rationale Evaluation
“Masakit yung tahiko” as verbalized by
patientObjective:> Facial Grimace> Narrowed Focus> Incision site:wound: dry, nodischarges noted.> V/S taken asfollows,BB
38 CAcute Painrelated todisruption of skin,tissue, andmuscle integrity.
After 8 hours of nursinginterventions, the
patient’s pain will be
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.
*Evaluate painregularly notingcharacteristics,location, intensity (0-10 scale).*Review importanceof nutritious fluidintake.*Reposition asindicated.*Encourage use of relaxation techniquelike deep breathingexercise.
*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