NAME OF PATIENT: Mr. R. C. G.

Assessment Subjective:
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NURSING CARE PLAN Scientific Explanation Goal After 4 hours of nursing interventions, the patient will verbalize that pain is within tolerable limits until surgery. Nursing Intervention  Assess the child s pain using a 10-point pain assessment tool.

AGE: 9 years old Rationale

 Assessment provides baseline information for planning. Using a pain assessment tool provides an objective means of determining the extent and intensity of the patient s pain.  Analgesics can mask the sign of possible rupture and subsequent peritonitis. NPO minimizes the risk for further vomiting and prevents abdominal distention, which could exacerbate the child s pain. NPO is also necessary preoperatively to reduce the risks of surgery and anesthesia.

Nursing Diagnosis

Expected Outcome
After 4 hours of nursing interventions, the patient will verbalize that pain is within tolerable limits until surgery as he demonstrates comfortable position and states that pain is controlled by nonpharmoc ologic techniques.

 Pain localized in right lower quadrant Objective:  Legs drawn up against abdomen  Bowel sounds sluggish  Rebound tenderness present

Pain related Appendicitis is to inflammation of appendicitis the appendix. The appendix, a blindend pouch attached to the cecum, may become inflamed after an upper respiratory or by other body infection, but its cause is generally obscure. In most instances, fecal material apparently enters the appendix, hardens, and obstructs the appendix lumen. Inflammation and edema develop, leading to

 Do not administer any analgesic. Give nothing by mouth (NPO).

 White blood cell count of 17, 000/ mm3  Pain scale of 9/10  Vital signs: T: 38 C RR: 100 bpm PR: 24 cpm

compression of blood vessels and cellular malnutrition. Thus, necrosis and pain result.

 Assist child with finding a position of comfort. Use pillows as appropriate.  Assist child with using nonpharmacologic methods for pain control, such as imagery, distraction, and thought stopping.  Encourage the child to use these techniques at the onset of pain.

 Helps to minimize the sensation of pain. Pillows offer additional support to maintain the position of comfort.

 Imagery,
distraction, and thought stopping are gate control theory techniques useful in relieving pain.

 Using the
techniques early enhances their effectiveness in controlling pain.