The nursing care plan assessed a patient complaining of abdominal pain. Objective findings included facial grimacing, guarding behavior, and rebound tenderness. Vital signs were within normal limits. The diagnosis was suspected appendicitis. The plan was for 4 hours of nursing interventions including relaxation techniques and comfort measures to reduce pain and abdominal tension. The expected outcome was the patient demonstrating use of relaxation skills to promote comfort.
The nursing care plan assessed a patient complaining of abdominal pain. Objective findings included facial grimacing, guarding behavior, and rebound tenderness. Vital signs were within normal limits. The diagnosis was suspected appendicitis. The plan was for 4 hours of nursing interventions including relaxation techniques and comfort measures to reduce pain and abdominal tension. The expected outcome was the patient demonstrating use of relaxation skills to promote comfort.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as TXT, PDF, TXT or read online from Scribd
The nursing care plan assessed a patient complaining of abdominal pain. Objective findings included facial grimacing, guarding behavior, and rebound tenderness. Vital signs were within normal limits. The diagnosis was suspected appendicitis. The plan was for 4 hours of nursing interventions including relaxation techniques and comfort measures to reduce pain and abdominal tension. The expected outcome was the patient demonstrating use of relaxation skills to promote comfort.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as TXT, PDF, TXT or read online from Scribd
Subjective: Masakit ang tiyan ko as verbalized by patient. · Acute pain related to inflammation of tissues. · Appendicitis is inflammation of the vermiform appendix caused by an · After 4 hours of nursing interventions , the patient will demonstrate Independent: · Investigate pain reports, noting location, duration, intensity (0-10 scale), and characteristics · Changes in location or intensity are not uncommon but may reflect developing · After 4 hours of nursing intervention s, the patient was Objective: · Facial mask of pain. · Guarding behavior. · Rebound tenderness. · V/S taken as follows: obstruction attributable to infection, stricture, fecal mass, foreign body or tumor. Appendicitis can affect either gender at any age, but is most common in males ages 10 use of relaxation skills, other methods to promote comfort. (dull, sharp, constant). · Maintain semifowler s position. · Move patient slowly and deliberately. complications. · Reduces abdominal distention, thereby reduces tension. · Reduces muscle tension or guarding, which may help minimize pain of movement. able to demonstrate use of relaxation skills, other methods to promote comfort. T: 37.3 P: 80 R: 18 Bp: 110/90 to 30. Appendicitis is the most common disease requiring surgery. If left untreated, appendicitis may progress to abscess, perforation, subsequent peritonitis, and death. · Provide comfort measure like back rubs, deep breathing. Instruct in relaxation or visualization exercises. Provide diversional activities. · Provide frequent oral care. Remove noxious environmental stimuli. · Promotes relaxation and may enhance patient s coping abilities by refocusing attention. · Reduces nausea and vomiting, which can increase intra-abdominal pressure or Collaborative: · Administer analgesics as prescribed. pain. · Reduce metabolic rate and aids in pain relief and promotes healing. Collaborative: · Administer analgesics as prescribed. pain. · Reduce metabolic rate and aids in pain relief and promotes healing.