ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUTION

Subjective: Acute Pain After 4 hours 1.) Positioned - Reduces After 4 hours
“Masaki tang related to of nursing client in a supine tension during of nursing
tiyan ko as inflammation interventions, position with pain. intervention
verbalized” by of tissues as the patient’s thighs slightly the goal was
the patient. manifested by pain scale flexed. met. The
facial mask of will reduce patient’s pain
Objective: pain, guarding and the 2.) Moved patient - Reduces scale reduced
- facial mask of behavior, patient will slowly and muscle from 5/10 to
pain rebound demonstrate deliberately. tension, 2/10 and can
- guarding tenderness use of minimize pain. demonstrate
behavior and a pain relaxation use of
- rebound scale of 5/10. skills to 4.) Provided - Enhance relaxation
tnderness promote comfort measures patient’s skills for
- pain scale of comfort. like back rubs and coping abilities comfort.
5/10 deep breathing, and by refocusing
diversional attention.
activities.

5.) No pain - Pain

medication medications
administered. that could
mask the
symptoms.