Appendicitis Bea A.

Abenojar III-A Group 1

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
 Subjective: Acute pain related to After 4 hours of nursing Investigate pain reports, Changes in After 4 hours of
inflammation of interventions, the noting location, duration, location or intensity are nursing
“Masakit ang tissues. patient will demonstrate intensity (0-10 scale), and not uncommon but may interventions, the
tiyan ko” as use of relaxation skills, characteristics (dull, reflect developing patient was able to
verbalized by Appendix is kinked other methods to sharp, constant). complications. demonstrate use of
patient. or occluded by a promote comfort. relaxation skills,
fecalith, tumor, or Maintain semifowler’s Reduces abdominal other methods to
 Objective: foreign body position. distention, thereby promote comfort.
↓ reduces tension.
Facial mask Inflammation
of pain. ↓ Move patient slowly and Reduces muscle
Increase intraluminal deliberately. tension or guarding,
Rebound pressure which may help
tenderness. ↓ minimize pain of
Pain localized at the movement.
V/S taken as right lower quadrant Provide comfort Promotes relaxation
follows: of the abdomen measure like back rubs and may enhance
T: 37.3 ↓ and deep breathing. patient’s coping
P: 80 Appendix is filled Provide diversional abilities by refocusing
R: 18 with pus activities attention.
BP: 110/90
Remove noxious Reduces nausea and
Environmental stimuli. vomiting, which can
increase intra-
abdominal pressure or
pain.

Collaborative:
Administer Reduces
analgesics as metabolic rate
prescribed. and aids in pain
relief and
promotes
healing.
Appendicitis Bea A. Abenojar III-A Group 1