Assessment Diagnosis Goals Interventions Rationale Evaluation

S: “Mansakit sinak” Acute Pain related to STO: Within 1-3 days Dx: Assessed and
pointing at her lower abnormal uterine the patient will be monitored the VS
abdomen bleeding able to have >Performed pain
decreased pain as assessment
>Pain scale of 6/10 evidenced by:
a. Verbalized relief of
O: or reduced pain. Assessed client’s
>facial grimace noted b. Less facial perception along with
>position of comfort grimace and behavioural and
observed guarding. physiologic responses
> groaning
manifested Tx: Independent
>guarding behavior >Accept the client’s
noted description of pain

>encourage
verbalization of
feelings

Tx: Dependent
>Administered pain
medication as
prescribed

Edx:
>Instruct to do deep
breathing exercises
and splint the area
when changing
position or moving
>Encourage
diversional activities
(browsing media
platforms, reading,
socialization with
others)

>Instruct client to
report pain as soon as
it begins.