St.

Paul University Philippines

Tuguegarao City, Cagayan 3500

SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES

COLLEGE OF NURSING
nd
2 SEMESTER, AY 2021-2022
BACHELOR OF SCIENCE IN NURSING – LEVEL II

Problem: Inflammation of upper left abdomen under ribs

1st Level of Assessment: Presence of health threats due to abdominal pain
2nd Level of Assessment: Inability to determine the presence of the problem due to lack of knowledge on the management of health conditions.

ASSESSMENT/CUES ANALYSIS OF OBJECTIVES NURSING RATIONALE METHODOLOGY EVALUATION

THE INTERVENTIONS
PROBLEM
Subjective: Inability to Short Term:  Establish trust  To promote  Home visit After nursing
“sumasakit yung upper determine the After 4 hours of and rapport. patient interventions, the
left abdomen ko. Hindi presence of the nursing intervention,  Assess for the cooperation.  Observation family will
ko alam kung bakit, problem due to the client will be location of the  To determine verbalize
basta minsan lack of able to: pain by asking the specific  Interview understanding of
sumasakit na lang knowledge on  Decrease the to point to the pain the responsibilities
bigla.” the management pain scale of site that is locations.  Health on the importance
“minsan hindi na siya of health 7/10 to a discomforting.  To determine education of healthy
manageable kaya ang conditions. manageable  Determine the the lifestyle.
ginagawa ko, umiinom level of patient’s effectiveness
ako ng olive oil.” The family is 0/10. anticipation of the
unfamiliar on  Determine for pain relief. treatment.
Objective: how to deal with the  Determine  To monitor
Vital signs: the situation of frequency of frequency of the pain that
BP: 110/80 A.C.D’s pain. pain. occurs.
Temperature: 37℃ inflammation of  Determine  To plan for
RR: 16 bpm her upper left factors that optimal pain
PR: 98 bpm abdomen. Long term: alleviate pain. management.
After 1 week of  Ask the client
nursing to rate the
interventions, the pain in the
 St. Paul University Philippines
Tuguegarao City, Cagayan 3500

SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES

COLLEGE OF NURSING
nd
2 SEMESTER, AY 2021-2022
BACHELOR OF SCIENCE IN NURSING – LEVEL II

client’s pain will be scale of 1-10.

resolved and 10 as highest
controlled and she and 1 as the
will be back to her lowest.
normal state.