Humber ITAL PN Nursing Care Plan Step 2 Analysis

Student Name: _______Kristin Carter____________Date: ___wk 6__________ Week: __wk 6____

All Medical Diagnosis: (Admission, Surgical, Other)
GERD, PERIPHERAL NEUROPATHY, OSTEOPOROSIS, OSTEOARTHRITIS, HYPERTENSION,
PELVIC FRACTURE

Report Day 1:
Priority(s) Day 1: PAIN MANAGEMENT
Report Day 2:
Priority(s) Day 2: BUILD PAIN TOLERANCE LEVEL

Pertinent Data:
-Coccyx pain when
sitting or lying on bed
on back.
Pertinent Data:
-Limited time pt can sit
on coccyx area

Nursing (Client) Problem (1):

POOR PAIN MANAGEMENT
Immediate Stimuli:
STABBING COCCYX PAIN
Contributory Stimuli:
PELVIC FRACTURE
Nursing Diagnosis (1):
POOR PAIN MANAGEMENT RELATED TO STABBING COCCYX PAIN
Expected Outcome(s)

Target
Date(s)

1.PT WILL RELIEVE PAIN

4-6
days

2.PT WILL HAVE KNOWLEDGE OF PAIN MEDS

3.PT WILL HAVE A SUFFICIENT AMOUNT OF BED RESTS

1 wk
12-14
days
3 wks
1-2
mths

4.PT WILL BE ABLE TO SIT FOR A LONGER AMOUNT OF TIME

5.PT WILL BE ABLE TO SEEK PAIN MANAGEMENT TECHNIQUES THROUGH
PHYSIOTHERAPY
Nursing Interventions (Minimum 5)
1.PT WILL BE REPOSITIONED EVER 2 HRS
2.PT HEALTH TEACHING ON CURRENT MEDICATIONS AND THE EFFECTS
3.PT WILL HAVE AN AIR MATTRESS AND TIME TO HAVE BEDRESTS. ASSESSING HOW
MUCH REST THE PT GETS
4.PT WILL SIT FOR AN EXTRA 5-10 MINUTES PER DAY TO INCREASE TOLERANCE
5. PT WILL BE ABLE TO GO TO PHYSIOTHERAPY 2X/WEEK FOR A FULL SESSION TO
MANAGE/DECREASE PAIN
Community Resource: (related to clients needs)
WEST CARLTON FAMILY HEALTH TEAM- CHRONIC PAIN MANAGEMENT
GTA COMPREHENSIVE REHABILITATION INC- PAIN MANAGEMENT

Humber ITAL PN Nursing Care Plan Step 2 Analysis

Student Name: ___________________Date: _____________ Week: ______
Medical Diagnosis:

Report Day 1:

Report Day 2:

Priority(s) for Day 1:

Priority(s) for Day 2:

Expected
Outcome(s)
1.

Nursing Interventions (5 Minimum)

Admission, Surgery, Other

Pertinent Data:

Nursing (Client)
Problem

Nursing Diagnosis (1)

Target
Date(s)

1.

2.

2.

3.

3.

4.

4.

5.

5.

Stimuli
I

C
Community Resource: (related to clients need)