Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Acute Pain related After 8 hrs of  Monitor vital signs  Alteration from After 8 hrs of
“masakit yung paligid ng to inflammation of nursing normal maybe nursing
mata ko pati yung bibig the skin interventions the signs of intervention the
at buong katawan ko” as patient will be able infection patient was
verbalized by the patient. to experience  Perform an  Indicates the able to rate the
gradual relief of assessment of pain to need for/ pain in a scale
Objective: pain with a pain include location, effectiveness of of 5/10
 Pain Scale of 7/10 scale of 5/10 characteristics, interventions
 Facial Grimacing onset/duration, and may signal After a series
 Irritable frequency, quality, development/res of nursing
severity, grimacing olution of intervention,
(pain scale) complications. the patient was
able to report
 To promote non that pain was
 Provide comfort pharmocologica controlled and
measures, quiet l pain relieve.
environment and management.
calm avtivities

 To distract
attention and
 Encourage reduce tension
diversional activities
and relaxation
techniques such as
focused breathing
and imaging

 Administer  To maintain
analgesics, as “acceptable”
indicated, to level of pain
maximize dosage, as
needed.