EMILIO AGUINALDO COLLEGE
School of Nursing
Patient #1
Assessment Diagnosis
   
Subjective: “the patient
verbalized that abdominal
pain scale is7/10.
Objective:
-abdominal pain
- with facial grimace
- with body malaise
-with pain scale of 7/10
Bp:120/80
T:36.7
Pr:88
Rr:19
NURSING CARE PLAN
DATE: 03/05/2022
Planning Intervention Rationale Evaluation
   Independent
Acute Pain related to Goal:
abdominal pain as After 8 hours of
evidenced by patient After 8 hours of Determine how the client This will give a batter nursing
nursing usually responds to pain. idea of how can we intervention, the
facial appearance of
intervention,   implement ways to pain is lessened.
pain, and pain sacle of patient’s pain will   reduce pain and the
7/10 be lessened. psychological effects of
pain to the patient.
 
 
Assess verbal complaints Verbal complaints will
of pain. give specific location, 
  severity and type of
pain
 
 
Implement measures to  In order to reduce 
reduce pain: peritoneal fluid
accumulation
  a) perform actions to  
restore fluid balance  Makes the patient
  b) provide or assist with more comfortable
non-pharmacological Divert the attention of
measures  for pain relief: the client to the
1) change in position conversation
2) diversional activities to   
significant others
 
Dependent

Administer medications as
ordered by physician To reduce the
symptoms
Collaborative

Monitor hematologic test

and other pertinent Indicate presence of
infection