Assessment

Subjective:
Masakit ang
kamay ko
kinuhaan ng
dugo pitong
beses as
verbalized
by the
client.
Objective:
Presence
of facial
grimace
Restlessn
ess
Pain level
: 8/10

Diagnosis
Acute
Pain
related to
the
inflammat
ion of the
blood
extraction
site

Planning
After 2 hours
of nursing
intervention
the client will
be able to:

verbalize
sense of
comfort
absence of
facial
grimace
decrease
level of
pain from
6/10 to
4/10
verbalize
understand
ing of nonpharmacol
ogic
interventio
ns to
alleviate
pain

Intervention
1. Assess pain
characteristics
( COLDSPA)
2. Assess the
patients
willingness or
ability to
explore a range
of techniques
aimed at
controlling
pain.
3.
Acknowledge
reports of pain
immediately.

4. Get rid of
additional
stressors or
sources of
discomfort
whenever
possible.
5. Provide rest
periods to
promote relief,
sleep, and
relaxation.
6.Teach client
to perform deep
Breathing
exercises.

Rationale
Assessment of
pain is the
first step in
pain
management
strategies.

Evaluation
After 2 hours
of nursing
intervention
the client will
be able to:

To know the
appropriate
pain
management
of the patient

Ones
perception of
time may
become
distorted

during painful
experiences
To promote
relaxtion and
comfort

A peaceful
and quiet
environment
may facilitate
rest.

The aim of
these
techniques is
to lessen the
stress,

verbalized
sense of
comfort
absence of
facial
grimace
verbalizati
on of
decreasedl
evel of
pain from
6/10 to
4/10
verbalize
understand
ing of nonpharmacol
ogic
interventio
ns to
alleviate
pain as
evidenced
by:
hindi na
masakit
msayado
yung
kaliwang
kamay
ko.

tension,
subsequently
decreasing the
pain.