Cues Nursing diagnosis Subjective Acute Pain related Masakit ung to swelling and baba ng tiyan ko pressure.

pag gumagalaw ako, may nakakapa akong maliit na bukol. Objective Pulse rate: 68b/m Temperature: 37.7c BP:140/90 Pain scale: 7/10

Goal To reduce pain scale after surgery.

Nursing intervention * Apply a truss only after a hernia has been reduced. For best results, apply it in the morning before the The patient patient gets out of bed. should be able to * Assess the skin daily and urinate apply powder for protection spontaneously because the truss may be irritating. The patient will * Watch for and immediately perform activities report signs of incarceration of daily living and strangulation. within the * Closely monitor vital signs confines of the and provide routine disease process. preoperative preparation. If necessary, When surgery is The patient will scheduled express feelings of * Administer I.V. fluids and comfort. analgesics for pain as ordered. The patient's * Control fever with bowel function acetaminophen or tepid will return to sponge baths as ordered. normal. * Place the patient in Trendelenburg's position to The patient will reduce pressure on the hernia remain free from site. signs or symptoms of infection. Apply ice bags to the scrotum to reduce swelling and relieve The patient will pain; elevating the scrotum avoid on rolled towels also reduces complications. swelling.

Rationale In applying truss, the patient would feel a little comfortable and feel less pain. For the patient not to be irritated and in the same way, we can assess for infection if he has. This is to monitor post-op infection. Monitor vital signs to see if theres infection or increase v/s cause of pain related syndromes. Hernia comes with acute pain, administer to reduce pain scale. Controls fever and provide comfort to the patient.

Evaluation Pain scale achieved, from 7/10 to 0.

The patient urinates normally without problems.

The patient can do all his normal activities without any support.

The patient have no complains of pain after surgery.

The patients bowel movement returned back to normal state, Turn patient every 2 hours everyday bowel to prevent pain, or post- op movement. to prevent bed sores. No signs or symptoms of infection noted. This is to prevent swelling on the surgical site. The patient is well educated about his condition and learned

Administer analgesics as necessary.

If the patient has low pain the treatment plan of threshold. the said disease.

In males, a jock strap or For the patient to feels suspensory bandage may be comfortable when doing used to provide support. his everyday exercise or pattern.