Maro Bianco R.

Bañez March 1, 2010

II- 1
RLE 5
Nursing care plan
Cues and Clues Nursing Dagnosis Scientific Rationale Expected Client Nursing Scientific Evaluation
behavior outcome Intervention Rationale
Objective: INDEPENDENT: At the end of the
-Patient has -Pain related to - Post operative -Patient will state a -Give wound care -Performing wound four hour shift
difficulty walking post operative sutures can cause more tolerable care could speed the patient will
-with vital signs wounds considerable degree of pain. And up the healing have :
T-36.7 discomfort, because give a lower pain process. - Be able to
P-74 of irritation brought score upon have the pain in
R-22 about by ambulation assessment. And -Position patient -Proper positioning her post
BP- 100/70 and other demonstrate properly to avoid may lessen the operative wound
movements. knowledge of irritation. occurrence of relieved or
Subjective: measures for irritation. lessened.
- Patient adequate pain
verbalized relief. INTERDEPENDENT: -Be able to
“Nahihirapan -Provide pain -Analgesics may ambulate with
parin ako management with relieve pain, less pain.
mglakad dahil sa use of medications specially when
sugat ko” prescribed by used at early onset
physician. of pain to block the
pain sensation.