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Assessment Nursing Scientific Explanation Planning Intervention Scientific Rationale Evaluation

Diagnosis
Jan. 28, 2009 Acute pain pulmonary chest pain is After 8 hours of Independent: • To help Jan. 28, 2009
related to usually due to pleuritis or nursing determine
7:30am frequent inflammation of the intervention the 2:00 pm
possibility of
cough as membranes that line the client will: • assess for
underlying
evidenced by chest cavity. Pleuritic referred condition or
Subjective: pain scale chest pain is pain as organ achieve
characterized by sharp, appropriate dysfunction
“nasasaktan siya Discharge
well localized pain that is requiring
kapag umuubo.” As made worse on breathing outcome: treatment – The patient
vervalized by the and coughing or NANDA p. 500 feels a
client’s aunt. sneezing. Pleural . • Teach
little bit
the • note
comfortabl
moth client’s
• Indiv e
er locus of
reference: www.knol
how control idual
.gogle.com
to with
lesse exter
n the nal
– Client can
pain locus
socialized
while contr
Objective: with the
coug ol
collaborative: parent and
hing may
-observe with the
• The take
evidence of student
moth little
pain. nurse
er • provide or no
will comfort respo
-facial mask
know measure nsibil
what like: touch ity
to do use of for
if the warm or pain
pain cold packs mana
persis geme
ted nt
NAN
• Encourage DA
use of p.
Short outcome: 501
relaxation
• The client technique,
will feel such as
comfortab focused • To
le breathing prom
Imaging, CDs ote
nonp
• Suggest harm
• The
parent be acolo
client’s present gicall
pain will during pain
lessen procedure mana
geme
nt
• health NAN
teaching DA
p.501

• To
distra
ct
attent
ion
and
reduc
e
tensi
on
NAN
DA
p.
501

• To
comf
ort
child
NAN
DA
p.
501