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ASSESSMENT NURSING BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS KNOWLEGDE
Subjective: Acute Pain The patient After 6 hours 1. Establish 1. To gain Goal is met.
“Dalawang araw na related to experiencing of Nursing Rapport trust from After 6 hours of
pong sumasakit ang pathological abdominal pain Intervention, the Nursing
tiyan ko.” As disease and still have the patient will patient. Intervention the
verbalized by the process fever of 40 verbalize relief 2. Observe or patient
patient. secondary to Degree Celsius pain from 6/10 monitor the 2. To prefer it verbalized relief
viral infection. associated of to 3/10. signs and to the pain from 6/10 to
Objective: colds, headache symptoms of physician 3/10.
- Pain and dizziness. the patient’s and give it
Pain scale: The abdominal pain. some pain
6/10 pain scale is remedies.
- Dizziness 6/10. 3. Assess the
- Chills patient her
- Loss of probable 3. To aware
appetite cause of the patient
- Restlessness pain. about
- Facial grimace his/her
condition.
4. Give some
health
teaching to
the patient. 4. To give
some idea
to the
patient
what
he/she
doing if
abdominal
pain
occurs.

ABDOMINAL PAIN

5 2.ASSESSMENT NURSING BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATION DIAGNOSIS KNOWLEGDE Subjective Altered body Activates After 1-2 hours 1. check if subsides to 36.5 Celsius. Temp: 40 stable or Degree Celsius Reset of not. FEVER . Monitor the 2. To guide R: 23 Fever some health the teachings. Release of from 40 Degree the from 40 Degree Objective: Pyrogen Celsius. BP: 120/70 hypothalamus 3. patient is Celsius. 40 Degree Degree Celsius vital sign. To temperature the patient. Establish 1. the ko” As manifested by Decreases WBC temperature will patient’s verbalized by temperature of and neutrophils subside to 36. To gain Goal is met. patient Chills that will Fatigue help to Loss of appetite reduce Restlessness her fever. the the of Nursing ang pakiramdam infection as patient’s patient Intervention. Assess the P: 83 patient for 3. “Giniginaw po temperature immune of Nursing Rapport trust to After 1-2 hours ako at mainit related to response Intervention.