Nursing Care Plan

Assessment Cues Nursing Diagnosis Background of Nursing Nursing Rationale Evaluation

Knowledge Objectives/Goal Interventions
Subjective Cues:
Impaired comfort Headaches are Objectives: Independent: After 8 hours of
"Magsige ug related to triggered by nursing
labad akong ulo, headache lifestyle or - The - Note for - To interventions, the
kanunay nalang environmental patient the determine goal met.
gyud." as factors such as will location, the Patient verbalized
verbalized by the stress, changes in verbalize scale, nursing being relieved of
patient. weather, caffeine the intensity care to be pain and there is
use, or lack of attributes and onset given to no non-verbal
sleep. Headaches of pain. of pain. the indicators of
Objective Cues: are a very - The patient. pain/discomfort
common patient - Maintain - To present.
V/S taken: condition that will a calm minimize
- T - 36.7 °C most people will demonstr and quiet stimulus
- PR - 68 experience many ate the environm that could
bpm times during their use of ent. aggravate
- RR - 17 lives. The main relaxation the
bpm symptom of a skills and condition
- 125/90 headache is a diversion of the
mmHg pain in your head al patient.
or face. This can activities. - Use - To
be throbbing, - The relaxation promote
constant, sharp or patient technique comfort
dull. Headaches will be s such as and
can be treated able to deep relaxation
with medication, display breathing
stress improvem exercises.
management and ent in
biofeedback. mood and
action.
Goals: - Provide a - To add
- Within dim and comfort
1-30 light but to the
hours of providing patient
nursing good
interventi ventilatio
on, the n.
patient - Offer - They
will be back rubs serve as
able to massage, non-phar
report slow macologic
decrease rhythmic al
of pain. breathing methods
- Within , for
1-2 days reposition reducing
of nursing ing and pain/pro
interventi other moting
on, the diversion comfort.
patient al activity
will be such as - To help
able to listening relieve
verbalized to music pain.
relieve of or radio.
pain.
Dependent:

- Administe
r pain
medicatio
ns as
ordered.