Nursing care plan

Problem Pain on the incision site Nrsg. diagnose Alteration in comfort R/t after effect of procedure Nrsg. planning Independent 1.assess pain level using pain scale 010 >to assess clients intolerance & severity of pain 2.assess location of pain ASSESSMENT S-sakit usahay akong Gitahian pag mag lihok Ko ( as verbalized by the Patiebt with pain scale Of 6 out of 0-10 O-guarding behavior On the incision site; Positioning to avoid Pain Pain scale 1-4 mild 5-7 moderate 8-10 severe 3.provide comfort measures >relief of pain 4.encourage to verbalization of feelings to reduce anxiety 5. encourage DBE >to relive pain Dependent 1. administer pain 2. reliever according to the doctors order Implementation 1. client reported pain on the incision site with pain scale of 6 out of 0-10 2. client positioned in a comfortable position 3. DEPENDENT >Mefenamic acid 1 cap was given

GOAL >at the end of 8 hour Shift, after all nursing interventions client’s will be able to report relief of pain with scale of 3 out of 6 from pain scale 010

EVALUATIO N >GOAL MET. AFTER RENDERING ALL NURSING INTERVENTI ONS CLIENT’S WAS ABLE TO VERBALIZED A RELIEF OF PAIN WITH PAIN SCALE OF 3 FROM 6 OUT OF 0-

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