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  • Acute Pain

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    Cuttie Anne Galang
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    The patient reported acute pain related to post-operative edema. The nurse diagnosed the patient with acute pain related to post-operative edema, as evidenced by restlessness and irritability. The nursing goals were for the patient to demonstrate the use of relaxation skills and diversional activities after 2 hours of nursing intervention. The nurse's objectives were to monitor vital signs, position the patient in a semi-Fowler's position, teach movement techniques, and administer medications if needed to relieve pain and swelling. The rationale was to create a baseline, prevent additional strain, and provide overall comfort to the patient. The evaluation found that the patient was able to demonstrate the appropriate skills and activities.

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    Acute-pain

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    The patient reported acute pain related to post-operative edema. The nurse diagnosed the patient with acute pain related to post-operative edema, as evidenced by restlessness and irritability. The nursing goals were for the patient to demonstrate the use of relaxation skills and diversional activities after 2 hours of nursing intervention. The nurse's objectives were to monitor vital signs, position the patient in a semi-Fowler's position, teach movement techniques, and administer medications if needed to relieve pain and swelling. The rationale was to create a baseline, prevent additional strain, and provide overall comfort to the patient. The evaluation found that the patient was able to demonstrate the appropriate skills and activities.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    28 views4 pages

    Acute Pain

    Uploaded by

    Cuttie Anne Galang
    The patient reported acute pain related to post-operative edema. The nurse diagnosed the patient with acute pain related to post-operative edema, as evidenced by restlessness and irritability. The nursing goals were for the patient to demonstrate the use of relaxation skills and diversional activities after 2 hours of nursing intervention. The nurse's objectives were to monitor vital signs, position the patient in a semi-Fowler's position, teach movement techniques, and administer medications if needed to relieve pain and swelling. The rationale was to create a baseline, prevent additional strain, and provide overall comfort to the patient. The evaluation found that the patient was able to demonstrate the appropriate skills and activities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    ASSESSMENT DIAGNOSIS GOALS AND NURSING RATIONALE EVALUATON

    OBJECTIVES INTERVENTIONS
    Subjective Acute pain related to After 2 hours of Monitor the This creates The Client was
    data: “ang sakit post-operative Nursing patient’s vital baseline able to
    nurse, ano po edema as evidence Intervention, the signs, especially information for demonstrate the
    pwede kong by Restlessness and client will noting for patient condition use of relaxation
    gawin” as irritability. demonstrate the parameters of and helps plan skills and
    verbalized by the use of relaxation respiratory function for effective care. diversional
    patient. skills and such as depth, activities
    diversional rhythm, and rate. appropriate to
    activities the situation.
    appropriate to the
    situation. Placing the head
    Objective data: and neck in
    Position the patient Semi-Fowler’s
    -Restlessness
    in a Semi-Fowler’s position prevents
    -Facial Grimaces position, ensuring hyperextension
    the head and neck of the neck and
    are supported with relieves pressure
    Vital signs taken: sandbags. on the suture
    line. The
    T- 36.5 ⸰C sandbags at
    BP: 100/72 each side of the
    mmHg neck help keep
    RR: 24 cpm the head and
    neck in the
    HR: 96 bpm
    midline position.
    SPO2: 94%

    This action
      prevents
    additional strain
    Teach the patient on the suture
    how to support the line, decreasing
    head and the neck pain perception
    during movements, while allowing
    placing the hands the patient
    behind the neck mobility on the
    and slowly moving head and neck.
    when needed.

    These
    medications may
    If needed, act to help
    administer relieve pain,
    prescribed reduce swelling
    analgesic and and provide
    other medications overall comfort to
    for pain and/or the patient.
    swelling.
    ASSESSMENT DIAGNOSIS GOALS AND NURSING RATIONALE EVALUATON
    OBJECTIVES INTERVENTIONS
    Subjective
    data:

    Objective data:

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