ASSESSMENT

Subjective:kumikir ot-kirot yung bandang inoperahan as verbalized by the patient. Objective: Observed evidence of pain; facial grimace Verbalized pain at the abdomen with a pain scale of 5/10

DIAGNOS IS
Acute pain related to presence of surgical incision as manifested by facial grimace and report of pain.

PLANNING
After 4 hours of nursing intervention ,the patient will be able to verbalize relief of pain or at least pain is reduced from pain cale 5/10 to 3/10 and also the patient will be able to appear relaxed.

INTERVENTION
Independent: Assess pain, noting location, characteristics severity (0-10). Investigate and report changes in pain as appropriate.

RATIONALE

EVALUATION
After 4 hours of nursing intervention, the patient was able to verbalize pain is reduced from pain scale 5/10 to 3/10 and also the patient was able to appear relaxed.

Useful in monitoring effectiveness of medication,progression of healing. Changes in characteristics of pain may indicate developing abscess/peritonitis, requiring prompt medical evaluation and intervention Gravity localizes inflammatory exudates into lower abdomen or pelvis, relieving abdominal tension, which is accentuated by supine position Decreases discomfort of early intestinal peristalsis and gastric irritation/vomiting. Relief of pain facilitates cooperation with other therapeutic interventions. Soothes and relieve pain through desensitization of nerve endings.

Keep at rest in semi-Fowlers position Collaborative: Keep NPO/maintain NG suction initially. Administer analgesics as indicated. Place ice bag on the abdomen periodically, during initial 24-48 hours as appropriate.