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NCP Assessment Subjective Cues: Diagnosis Acute pain related to postoperative pain due to hysterectomy and bilateral nephrostomy

Planning Short Term: At the end of 30 mins. of giving nursing interventions, the patient will be able to: Be informed regarding methods that provide relief of condition. Verbalize understanding about the condition and therapy regimen. Long Term: Facial mask of pain Narrowed focus P- break in skin integrity Q-throbbing R- localized; sometimes At the end of 2 hours of giving nursing interventions, the patient will be able to: Verbalize pain scale of 4/10? from 9/10; where 10 is the highest. Intervention Independent: Assess for probable cause of pain. Respond immediately to complaint of pain. -Different etiological factors respond better to different therapies. -To decrease anxiety of the patient and fosters the development of trusting relationship. -Patient may experience exaggeration in pain and further stressing them. Rationale Evaluation Short Term: After 30 mins. of giving nursing interventions, the patient was: Informed regarding methods that provide relief of condition. Verbalized understanding about the condition and therapy regimen. -Goals were met? Provide a calm and quiet environment. - To promote the action and effect of medication by providing decreased stimuli.

Objective Cues: Guarding behavior Moaning Restlessness

Eliminate additional stressors or sources of discomfort whenever possible.

Long Term: After 2 hours of giving nursing interventions, the patient: Verbalized pain scale of 4/10? from 9/10; where 10 is the highest.

Demonstrated proper - To help patient eliminate relaxation techniques the degree of pain. such as: Deep breathing exercises, Imagery, and distraction. Provided anticipatory instruction on pain causes, appropriate -To enhance clients knowledge regarding the cause of pain and relief

radiates at the back? (sakto?) S- 9/10 T- pain lasts to 3-5mins? Or wat?

Demonstrate relaxation techniques and diversional activities effectively.

prevention, and relief measures. Instructed patient to report pain and effectiveness of measures used. Collaborative: Administer analgesics as ordered.

measures. Demonstrated relaxation techniques and diversional activities effectively. -Goals were met? -To relieve pain.

-To further eliminate pain.