ST.

PAUL UNIVERSITY SYSTEM

COLLEGE OF NURSING
NURSING CARE PLAN FORM

Subjective Objective Nursing Diagnosis Scientific Analysis Planning Interventions Rationale Expected Outcomes

“sakit akong kilid: as -conscious Acute pain related to Due to the presence of After 8 hours of nursing 1. Establish rapport -to gain trust and After 8 hours of nursing
verbalized by the -grimaced face notes inflammation of the inflammation ad mass n interventions, patient cooperation interventions, patient
patient. -weakness noted appendix. the RLQ, it causes some will be able to alleviated 2.Vital signs monitoring -serves as baseline data. was able to alleviated
-pain scale 7/10. obstruction in the from pain 3.Encourage -to assess level of pin from pain
Ple looking. lumen of appendix in verbalization of feeling
turn causes sharp acute 4.Encourage pt. to have -to alleviate pin
pain in RLQ. diversion activities.
5. Encourage to use -distract ttention and
relaxation techniques reduce tension
such as deep breathing
6.Provide comfort -to promote non-
measures such as touch, pharmacologic pin EVALUATION
positioning, quiet management Goal partially met.
environment and calm
activities.
7.Encourage adequate -To promote wellness
rest periods. and prevent fatigue.
8.Observe and
document severity (1- -To ge baseline data of
10( and Character of pain scale.
pain.