Aurelio, Lyca Mae M.

BSN III-D
SINUSITIS
NURSING CARE PLAN
Nursing Diagnosis
Acute pain related to inflammation as evidenced by facial grimacing, sighing, pain scale of 7/10,
loss of appetite and verbalization of “Nasakit tuy rupak ken marigatan nak agngal-ngal nurse.”

Nursing Inference
Due to inflammatory reaction or an infection from a virus, bacteria, or fungus, tissue
lining the sinuses in eyes, behind cheekbones and forehead (frontal, maxillary, sphenoid, and
ethmoid sinuses) become swollen or inflamed.

Nursing Goal
After 12-24 hours of nursing intervention the pain will be minimized as evidenced by absence of
facial grimacing and sighing, pain scale of 2/10, increased appetite and verbalization of “Haan
unay nasakit toy rupakon ken makangal-ngal nak nasayaaten nurse”

Nursing Intervention Rationale

Encourage patient to breathe in steam The steam vapors ease congested and
vapors (breathe in steam from a bowl of swollen nasal passages.
warm water)
Administer analgesics as prescribed. To maintain acceptable level of pain which
improves client comfort.
Encourage client to rinse the sinuses using Can help clean out your nasal cavities and
nasal spray as indicated. alleviate the pressure build up.
Encourage the patient to engage himself in To redirect attention
diversional or distraction activities as
indicated.
Encourage the use of relaxation exercises To aid in management of stress and promote
such as focused breathing, visualizations, and sense of well-being.
guided imagery
Encourage increased fluid intake The body needs to be hydrated in order to
fight the infection and recover properly.
Promote sleep and rest The body needs to be well rested in order to
fight the infection and recover properly.
Nursing Evaluation
After 24 hours of nursing intervention, the goal was met, the pain was minimized as evidenced
by absence of facial grimacing and sighing, pain scale of 2/10, increased appetite and
verbalization of “Haan unay nasakit toy rupakon ken makangal-ngal nak nasayaaten nurse”