Pines City Colleges

College of Nursing
(Owned and Operated by THORNTONS INTERNATIONAL STUDIES, INC.)
Tel. nos.: (074) 445-2210, 445-2209 Fax: (074) 445-2208
www.pcc.edu.ph

NAME: PILPILING, JAREN A.

YEAR/SECTION/ GROUP: BSN 1-05 GROUP 15 DATE: August 13, 2021

NURSING CARE PLAN

PROBLEM: ACUTE PAIN RELATED TO APPENDECTOMY

ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS
Subjective -Acute pain related to -After the nursing -Assess the patient’s pain scale to know -Pain is the greatest basis to know -After the nursing
-“masakit ang sugat ko, appendectomy intervention, the patient is its severity the effectivity of the interventions intervention, the patient
kaoopera ko lang kasi” as manifested by the expected to feel comfort from given. was free of pain and was
verbalized by the patient. patient’s facial grimace, pain and totally healed. comfortable.
guarding behavior and -Keep the vital signs and pain scale -Monitored vital signs will be the
-Patient rated the pain the pain felt that monitored baseline/basis for the evaluation of -The patient’s wound was
9/10 (1 as the lowest and becomes persistent from the ability of vital sign trends to also healed.
10 as the highest) being sharp. predict clinical deterioration in
patients.
-Sharp abdominal pain
(RLQ) -Medication is for healing
-Administer medication as instructed by (progression of the patient’s
-Severe pain (tried to treat the physician healing)
with herbal medication) to
persistent pain

Objective
-facial grimace
-guarding behavior
-messy appearance
-abdominal distension
 Pines City Colleges
College of Nursing
(Owned and Operated by THORNTONS INTERNATIONAL STUDIES, INC.)
Tel. nos.: (074) 445-2210, 445-2209 Fax: (074) 445-2208
www.pcc.edu.ph