COAHS MEDICAL CENTER

J. P. Rizal Extension, West Rembo, Makati City 1215

Telephone No. : (+632) – 881 – 1571

NAME: Mr. Jake AGE: 52 years old HOSPITAL NO.:

SERVICE: SEX: Male WARD/RM:

ATTENDING PHYSICIAN: Dr. CAM

DATE/TIME FOCUS DATA, ACTION, RESPONSE
September 29, Joint stiffness and pain (both
2021 knee) D: “Naninigas at sumasakit yung tuhod ko” as
verbalized by the patient
8AM
PR: 93
RR: 19
BP: 110/80
Temp: 36.8ºC
Pain level: 5/10
Restlessness
Facial Grimace

A:
- Apply hot or cold compress to the affected joints
- Assist the patient in a comfortable position,
encourage to frequent change position while in
bed and promote bedrest
- Place a support pillow to the affected joints
- Provide gentle massage
- Encourage deep breathing exercises and
relaxation techniques
- Administer analgesic as prescribed by the doctor

S: Bautista, RN

12pm Joint stiffness and pain (both R: Patient reports pain and stiffness was relieved
knee) Pail level: 0/10

S: Bautista, RN