ASSESSMENT S: Bata pa lang ako may hika na ako, inaatake ako pag mainit o pag sobrang linis ng bahay.

as verbalized by the patient O: - irritable - with facial grimace - diaphoretic Vital signs: T: Pulse: RR: BP: -Pain scale of 4 out of 10 Pain Scale 0 No pain 1-3 mild 4-7 moderate 8-10 severe

NURSING DIAGNOSIS Acute Pain related to pressure on joints and ligaments

PLANNING STG: After 20 minutes of nursing intervention the patient will be relieve from pain as evidenced by: - decreased pain scale from 4 to 1 out of 10 LTG: After 2 hours of nursing intervention the patient will exhibit absence of pain as evidenced by: - normal facial features - absence of diaphoresis and irritability

NURSING INTERVENTION Independent 1. Established rapport 2. Monitored vital signs

RATIONALE 1. Ensures copoperation 2. To establish baseline data

EVALUATION STG: After 20 minutes of nursing intervention the patient was relieve from pain as evidenced by: - decreased pain scale from 4 to 1 out of 10 LTG: After 2 hours of nursing intervention the patient exhibit absence of pain as evidenced by: - normal facial features - absence of diaphoresis and irritability

3. Observed non-verbal cues and other objective

3. observation may or may not be congruent w/ verbal reports indicating need for further evaluation 4. to provide nonpharmacological pain management 5. to redirect attention and to reduce pain by increasing oxygen intake that will increase blood circulation. 6. To promote feelings of comfort. 7. To promote comfort related to clients preference. 8. To divert attention from pain.

4. Provided quiet environment, calm activities 5. Encouraged and assisted relaxation techniques and deep breathing exercise

6. Provided therapeutic touch (effleurage) 7. Placing the client in a comfortable position which he prepares 8. Encouraged diversional activities such as: -Listening to soft music -Conversation with others

-Reading magazine/newspaper Dependent: 9. Administered paracetamol as prescribed 9. To reduce pain by inhibiting synthesis of prostaglandin.