MARIANO MARCOS STATE UNIVERSITY

College of Health Sciences

JULIENNE PUCAN
BSN III D GROUP 4 CLUSTER 1

NURSING CARE PLAN: STOMACH CANCER

Nursing Diagnosis: Acute pain related to tumor growth as manifested by abdominal pain in LUQ
with a pain score of 8 out of 10, guarding behavior and verbalization of “Nasakit detoy buksit ko
nurse”
Nursing Inference
Pain could happen if the cancer grows into or destroys nearby tissue. As a tumor grows, it can
press on nerves, bones or organs. The tumor can also release chemicals that can cause pain. 
Nursing Goals: After 30mins-60 minutes of nursing intervention, the patient's perceived pain
will subside as evidenced by a pain score of 4, absence of guarding behavior and verbalization
of “Nasakit pela bassit buksit ko nurse”
Nursing Interventions

Intervention
Determine pain history every 2 hours
Be aware of barriers to cancer pain
management related to patient, as well as
the healthcare system.
Provide non pharmacological comfort
measures such as massage, repositioning,
backrub and diversional activities like
listening to music and watching television
Evaluate pain relief and control at regular Goal is maximum pain control
intervals. Adjust medication regimen as
necessary
Administer analgesics as prescribed such as
Opioids: codeine, morphine
 Acetaminophen
(Tylenol); and nonsteroidal anti- moderate to severe pain, with long-acting
Rationale
Level of pain experience by the patient may
vary from time to time
Patients may be reluctant to report pain for
reasons such as fear that disease is worse;
worry about unmanageable side effects of
pain medications; beliefs that pain has
meaning or that pain is merited or deserved
for some reason
Promotes relaxation and helps refocus
attention
To alleviate the pain
A wide range of analgesics and associated
agents may be employed around the clock to
manage pain. Note: Addiction to or
dependency on drug is not a concern.
Effective for localized and generalized
 MARIANO MARCOS STATE UNIVERSITY
College of Health Sciences
inflammatory drugs (NSAIDs), effect
including aspirin, ibuprofen (Motrin,
Advil)

Nursing Evaluation
After 60 minutes of providing appropriate nursing action, the patient experience pain relief as
evidenced by a score of 3, absence of guarding behavior and verbalization of “Nasakit pela
bassit buksit ko nurse”