Assessment

Diagnosis

Inference

Planning

Intervention
Independent

Evaluation

SUBJECTIVE: masakit pa din kahit papano

Acute pain may be related to distention of intestinal tissue by inflammation and presence of surgical incision.

OBJECTIVE: w/ dryness of lips noted slightly febrile T: 37.7 C

Appendectomy is the removal of the inflamed appendix. In an open, conventional, and uncomplicated appendectomy, the surgeon removes the appendix through an incision approximately 3 inches long in the right lower quadrant. The incision is larger if the appendix is in a typical position or if peritonitis is present.

After 1 hour of nursing interventions, the Patient will report pain is relieved or controlled and appear to be relaxed, able to sleep and rest appropriately.

Keep at rest in high-fowlers postion Instructed to moisten lips or garle lips Encouraged to do deep breathing exercises

After 1 hour of nursing interventions, the Patient was able to report pain is relieved or controlled and appear to be relaxed, able to sleep and rest appropriately.