SAINT PAUL UNIVERSITY DUMAGUETE

COLLEGE OF NURSING

NURSING CARE PLAN FORM

SUBJECTIV OBJECTIVE NURSING SCIENTIFIC ANALYSIS PLANNING INTERVENTIONS RATIONALE EXPECTED

E DIAGNOSIS OUTCOME
“sakit siya Age: 55 years old
Acute pain Endogenous or Short-term 1. Maintain - Immobilization relieves pain That after nursing
pag related to exogenous adverse After 30 minutes of immobilization of and prevents interventions the
mahupas Vital Signs: disruption of stimuli can cause nursing intervention affected part using bone displacement and patient will:
ang pain T= 36 degree skin, tissue, acute inflammation, the patient will be - Patient will
bed rest, cast, splint, extension of tissue injury.
reliever” celcius femur and which can become able to: experience
traction.
as PR= 66 bpm inflammation chronic if normal - know the - Promotes venous return, relief from
verbalized RR=17 cpm as evidence by homeostatic actions that pain and
2. Elevate and decreases edema and may
by the BP=128/85 facial grimace mechanisms fail to would lead will display
support injured reduce pain.
patient mmHg and pain scale resolve it. pain to a relaxed
SpO2 = 100% of 7/10 Inflammation that is tolerable level extremity. manner.
- Allows the patient to prepare
out of control results - Patient will
3.  Explain mentally for activity and to
Definition: in increased bone Long-term cooperate
Patients who resorption and After 7-10 days of procedures before participate in controlling the in
have sustained decreased bone nursing intervention, starting them. level of discomfort. activities
a fracture formation. The the patient will be with
frequently formation, repair, and able to: 4. Perform and - Maintains minimal
experience remodeling of bone - to see the quality of supervise active and strength and mobility of discomfort
acute pain. depend on crosstalk life she was longing. passive ROM unaffected muscles and .
This is because between - know about exercises. facilitates resolution of EVALUATION
of the physical inflammatory cells reducing the risk of inflammation in injured After 30 minutes
movement and cells involved in complication. 5.  Provide of nursing
tissues.
required for bone healing. The alternative comfort intervention the
the bones to authors provide a measures  (massage, - Improves general circulation; patient will be
heal as well as comprehensive able to:
Proposed By: Mrs. Sharry Mae G. Awayan, RN, MAN
 the damage to summary of the backrub, position reduces areas of local pressure - know the
the literature on changes). and muscle fatigue. actions
surrounding inflammation in this that would
tissues and review. 6. Provide emotional lead pain
subsequent support and to a
inflammation. - stress management tolerable
encourage.
Additionally, techniques level
the affected 7. Identify
limb's weight diversional activities After 7-10 days of
and pressure appropriate for nursing
can cause - It prevents boredom, intervention, the
patient age, physical reduces muscle
discomfort and patient will be
pain. In order abilities, and tension, and can able to:
to promote personal increase muscle - to see the
comfort, preferences. strength; it may quality of
prevent enhance coping life she
additional 8. Apply cold or ice was
abilities.
complications, pack longing.
and aid in the - know
healing - Reduces edema and about
process, it is hematoma formation reducing
essential for decreases pain the risk of
nurses to sensation. The duration complicati
effectively of application depends on.
manage and
on the degree of
alleviate these
patients' pain. patient comfort and as
long as the skin is
9. Administer carefully protected.
medications
- Administer pain
reliever.

Proposed By: Mrs. Sharry Mae G. Awayan, RN, MAN