ASSESSMENT NURSING DIAGNOSISP L A N N I N G INTERVENTION SCIE NTIFIC RATIONALE E V A L U A T I O NSUBJECTIV E: I gotasverbalize by thepatient OBJECTIVE

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3P: 80R: 18Bp: 110/90Acute painrelated .V/S taken asfollows:T: 37.Objective: ‡ Facial maskof pain. ‡ Guardingbehavior. ‡ Narrowedfocus.

and muscleintegrity. tissue. Evaluate pain regularlynoting characteristics.location. 1. inte nsity (0-10scale).todisruption of skin. .After 8 hoursof nursinginterventionsthe patientpain will ber e l i e v e d o r controlled.

4. Identify specific activitylimitati ons. Recommend planned or progr essive exercise.2. 3. Schedule adequate restperiod s. .

6. . Provide additional comfortmeas ures like back rub. 7.5. Reposition as indicated. Review importance of n u t r i t i o u s d i e t s a n d adequate fluid intake.

8. E n c o u r a g e u s e o f relaxat ion technique likedeep breathin g exercises. 2. Provides information aboutnee d for or effectiveness of interventions. 1. .

Prevents undue strain onoper ative site. Prevents fatigue andcons e r v es e n er g y f o r healing. . 4. Promotes return of normalfun ction and enhancesfeelings of general wellbeing. 3.

M a y r e l i e v e p a i n a n d enhan ce circulation. 6.5. P r o v i d e s e l e m e n t s neces s a r y f o r t i s s u e regeneration or healing. . 7.

t h e p a t i e n t . 8. R e l i e v e s m u s c l e a n d emotio nal tension.I m p r ov es c i rc u l a t i on . reduce s muscle tensionand anxiety associated withpain.After 8 hourso f n u r s i n g interventions.

.p a i n w a s r e l i e v e d o r contr olled.

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