ASSESSMENT SCIENTIFIC DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

INFERENCE
Subjective Data: Varicose veins Impaired Short term plan: Dependent: Dependent: Short term plan:
“Nakakaramdam are a common, physical - Decrease in pain - Administer - Analgesics help in relieving - Goal partially
ako ng sakit tuwing usually harmless mobility scale from 8/10 to analgesics as pain and decreases muscle met: Pain scale
tumatayo o part of related to 4/10 prescribed. tension 5/10
naglalakad ako” as pregnancy for activity - Patient will follow Independent: Independent: - Goal met as
verbalized by the some women. limitations prescribed or - Assess degree - Changes in degree & evidenced by
patient They happen due to pain offered and characteristics of pain may active
when the uterus felt from medication to characteristics indicate the development participation of
Objective Data: applies pressure varicose manage pain of discomfort of complications. the patient in
- Facial to the large vein veins. (analgesics) and pain. - Elevations in heart rate taking the
Grimace (the inferior - Patient will - Monitor vital may indicate increased medication on
- Varicose vena cava) that continue to use signs discomfort or may occur in time and
veins seen carries blood proper breathing - Elevate the response to fever and understanding
on the back to the and other foot of the inflammatory process. what it is for
calf or heart from your relaxation bed Fever can also increase - Goal partially met
posterior feet and legs. techniques to - Encourage client’s discomfort. as evidenced by
leg Varicose veins divert attention patient to - Encourages venous return patient’s pain
- Difficulty can become and minimize pain change to facilitate circulation, scale rating (4/10)
walking itchy, Long term plan: positions reducing stasis and edema and continuing
- Pain uncomfortable, - Patient will frequently. formation. breathing
scale: or even painful. verbalize that pain - Apply a warm - Reduces muscle fatigue, exercises though
8/10 is no longer felt in compress to helps minimize muscle squinting and
- BP: the posterior leg the affected spasm and maximizes guarding still
130/90 - Patient will be leg using a 2- circulation to tissues. persists
- PR: 90 able to mobilize hour-on, 2- - Moist heat may be applied Long term plan:
- RR: 19 without any hour-off to the affected region to - Goal not met,
- BT: 36.8 difficulties schedule relieve pain and improve pain scale 5/10
around the circulation through - Goal not met (too
clock. vasodilation. early for
- Teach patient - Helps in minimizing pain ambulation)
breathing
exercises