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Signs and Symptoms Objective: >Restless >irritable >reduced interaction with people and environment >autonomic alteration in muscle

tone >with sleep disturbance Subjective: >patient verbalized: “7 out of 10 ang sakit na nararamdaman ko sa may ibaba ng tiyan ko” >”di ako makakain ng maayos” >”di ko nagagawa ang mga bagay na nagagawa ko nung wala pang

Nursing Diagnosis Acute pain related to obstruction of urine flow related to formation of kidney stones in the urinary tract

Planning After 7 hours of nursing intervention, the client will be able to: >report relief of pain >follow prescribed pharmacological treatment >verbalize methods that provide relief >demonstrate use of relaxation skills and diversional activities

Interventions Independent: Work with client to prevent pain. Use flow sheet to document pain, therapeutic interventions, response and length of time before pain occurs Determine client’s pain tolerance

Rationale

Evaluation After 7 hours of nursing intervention, the client was able to: >report relief of pain >follow prescribed pharmacological treatment

Timely intervention is more likely to be successful in alleviating pain

To know when to give prescribed pain medications To determine what nursing interventions will most likely benefit the patient To limit stimuli that might aggravate pain

>verbalize methods that provide relief >demonstrate use of relaxation skills and diversional activities

Encourage verbalization of feelings and emotions about pain Provide quiet environment and promote calm activities Provide comfort measures such

To provide

commercial or individualized tapes Encourage diversional activities such as radio and socialization with other patients and relatives Dependent: Administer prescribed pain medications nonpharmacologi cal pain management To promote comfort and alter the focus of the patient with pain felt To empower patient and to limit the attention focused on the pain felt To medically alleviate pain felt . change of position. use of heat and cold Instruct use of relaxation techniques such as focused breathing.sumasaki sakin” >Loss of appetite as back rub.