NCP BY: MUDASIRU, AMAL O.

BSN 2A-2A

ASSESSME EXPLANATION OF OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

NT THE PROBLEM

SUBJECTIVE: Acute pain is a sudden or STO: Dx Dx: STO

slow onset of any intensity Within 8 hours of  Assessed and recorded  Provides an GOAL MET:
“I am in pain; my from mild to severe and with consistent nursing the patient’s level of opportunity Within 8 hours of
leg feels really sore a duration of less than 3 interventions, the pain. for the client consistent nursing
from this thing.” As months. The patient is patient will be able to: to express in interventions, the
verbalized by the experiencing acute pain their own client verbalized relief
patient. because of a mid shaft femur  Verbalize words how of pain and
fracture following a bike relief of pain they view demonstrated use of
Pain reports pain riding accident. A fracture is  Demonstrate and perceive relaxation skills.
with 7/10 rating. 0 a medical term used for a use of the pain
being the lowest and broken bone. They occur relaxation
when the physical force  Assessed for the
10 being the skills and  To help both
exerted on the bone is severity, frequency and
highest. diversional the nurse and LTO
stronger than the bone itself. characteristics of pain
activities as patient in GOAL MET:
They commonly happen indicated determining Within 24-72 hours of
OBJECTIVE: because of car accidents, specific level nursing intervention,
falls, or sports injuries. of pain the patient was able
 Facial to:
grimacing LTO:  Display
 Cradling of Reference: Within 24-72 hours of  Pain improved
the thigh https://nurselabs.com/fluid- nursing interventions, responses are wellbeing,
area electrolyte-imbalances- the patient will be  Initiated pain assessment unique from maintain
nursing-care-plans/ able to: and established rapport each person regularity in
 Restlessnes
s  Display and some vitals,
 Profuse improved clients may display an
sweating wellbeing, be reluctant improvement
maintain to report or in mood and
 37.9C
regularity in voice out coping and
vitals, their pain verbalize
display an unless asked presence
NURSING minimal to
improvement about it
DIAGNOSIS: no pain
in mood and
coping and
Acute pain related
verbalize
to femur fracture
presence Tx:
minimal to  To help
no pain instigate a
Tx: therapeutic
 Acknowledged and healthy
accepted the client’s nurse-client
pain relationship

 To help
prevent
medication
 Provided non- dependence
pharmacological pain and provide
management such as comfort
diversional activities like
deep breathing exercises  To relieve
pain

 Administered
therapeutics/analgesics
as per physician’s orders  Positioning
induces
 Assisted into proper comfort and
position and ensured prevents
safety by pulling up side formation of
rails sores. Side
rails ensure
client from
falling off
the bed.

Edx:
 To distract
from pain
Edx:
 Instructed to perform
 For a prompt
DBE when appropriate
response
 Encouraged to report
any early feelings of
pain  Decreases
edema and
reduces pain
 Advised to always
support injured
extremity