name of aLlenL Ms L8 uaLe December 1 2011

ASSLSSMLN1 DIAGNCSIS C8ILC1IVLS IMLLMLN1A1ICN kA1ICNALL LVALUA1ICN

Nsg n|story
A case of Ms L8 20
yo female admlLLed
Lo MSP SLaLlon 1
wlLha dlagnosls of
Ameblasls

Sub[ect|ve Cue
saklL akong Llyan" as
verballzed by Lhe
paLlenL
aln scale of 3/10

Cb[ect|ve Cue
aclal
grlmace
rrlLablllLy


Lab kesu|t
SL (+) cysLs
(+) LropozolLes

AcuLe paln
relaLed Lo
lnflammaLlon
and lrrlLaLlon of
Lhe mucosal
llnlng of Lhe
colon secondary
Lo Ameblasls
AL Lhe end of 1
hour nurslng
lnLervenLlon Lhe
cllenL wlll be able
Lo verballzed dlll
na saklL akong
Llyan" as evldenced
by absence of faclal
grlmace and rellef
of paln
Independent
1 Lncourage adequaLe
resL perlods
2 rovlde comforL
measures such as back
rub or proper
poslLlonlng eLc
3 Lncourage deep
breaLhlng exclse
4 rovlde dlverslonal
acLlvlLles such as
llsLenlng Lo muslc
3 rovlde calm
envlronmenL and
clusLer nurslng care


Dependent
1 AdmlnlsLer 8anlLldlne
1 amp II@ 8 q 8P



1 @o promoLe relaxaLlon
as Lo prevenL faLlgue
2 @o decrease paln
Lhrough sLlmulaLlon of
release of endorphlns
3 @o asslsL ln muscle and
generallzed relaxaLlon
4 @o lessen
preoccupaLlon Lo paln
and lessen lL
3 @o reduce sLlmulaLlon
LhaL may Lrlgger paln
percepLlon



1 8locks Lhe over
producLlon of acld LhaL
causes paln
AL Lhe end of 1 hour
nurslng lnLervenLlon
Lhe cllenL was able Lo
verballzed dlll na
saklL akong Llyan" as
evldenced by absence
of faclal grlmace and
rellef of paln