Dxnyeri

Diagnose: nyeri berhubungan dengan agen cidera fisik ditandai dengan Nyeri
didaerah punggung bawah, pernapasan 23x/menit, nadi 150x/menit.
Tujuan: setelah dilakukan asuhan keperawatan 1x24 jam nyeri pasien dapat berkurang.
NOC: pain level
1.
2.
3.
4.
5.

Reported pain
Facial expression of pain
Respiratory rate
Pulse rate
Length of pain episode

NOC: pain control

1. Uses analgesic as recommended
2. Uses preventive measures

NIC: pain management

1. Perform a comprehensive Assessment of pain to include location, characteristic,
2.
3.
4.
5.
6.

onset/duration, frequency, dll

Observe non verbal cues of discomfort
Assure patient attentive analgesic care
Control environment factor increase discomfort
Teach principle of pain management
Evaluate the effectiveness pain control (ongoing assessment)

Evaluasi
S; pasienmengatakannyerinyasudahberkurang
O: pulse rate pasiendalambatas normal
Respiratory rate pasiendalambatas normal
A: pasientidakterlihatmeringiskesakitandantidakgelisah
P: 1. Observe non verbal cues of discomfort
2. Assure patient attentive analgesic care

3. Control environment factor increase discomfort

4. Teach principle of pain management
5. Evaluate the effectiveness pain control (ongoing assessment)