NURSING CARE PLAN
Assessment Nursing Diagnosis
Subjective:
The patient states, “tumama sa
pako habang naglalaro ng
basketball, mga 8 out of 10 un
scale”
Objective:
The patient is awake, conscious,
and coherent. Facial grimace is
noted upon observation.
Restlessness and moaning is
also observed.
Planning
Acute Pain related to damage to
the nerve endings as manifested
by lacerated left elbow.
Nursing Interventions
After 1 hour of nursing
interventions, the patient’s
pain scale will decrease
from 8 to 3.
Rationale Evaluation
1. Monitor vital signs -usually altered in acute pain. The patient’s pain scale
decreased from 8/10 to
3/10.
2. Clean the affected site. - to prevent infection.
3. Perform pain assessment - to rule out worsening of
each time pain occurs. underlying condition.
4. Administer analgesic as -To maintain an “acceptable”
ordered by the physician in level of pain.
charge.
VILLAFUERTE, DENNIS ALLAN L.
Group 2E