COLLEGE

General Malvar St.,

Davao City
Nursing Program
Nursing Care Plan
Name Of Patient: Maria Sanda Cabico Date of Admission: November 9, 2022 Room #/Ward: 108
Age: 10 years old Sex: Female Chief Complaint: five attacks of acute cystitis, all characterized by dysuria, increased frequency and urgency.
DATE & GOAL & NURSING
Religion: CUES
TIME N/A Attending
NURSING DIAGNOSIS Physician:
OBJECTIVES Dr. A. Ng INTERVENTIONS RATIONALE EVALUATION

November OBJECTIVE DATA: Acute pain related to After 8 hours of 1. Establish rapport and 1. Establishing rapport November 9, 2021
9, 2022 @ infection of urinary tract nursing care, the provide clients and providing for
(+) dysuria @ 3:05 pm
as evidence by patient will be able privacy. client’s privacy creates
7:05am
(+) increased suprapubic tenderness to: a trusting relationship “GOAL MET”
Frequency with a pain scale of 7/10. 2. Apply a heating pad that promotes
 The patient After 8-hour span of
to the suprapubic cooperation and
(+) urgency in will nursing care the
area. comfort.
urination demonstrate patient was able to:
Scientific basis:
relief of pain
(+) suprapubic 3. Teach the patient or 2. Heat therapy relieves
Unpleasant sensory and with a pain
tenderness caregiver on how to pain and relaxes
emotional experience score of 0 out  Show relief
use a sitz bath. muscles.
Pain scale of 7/10 associated with actual or of 10. and observed
potential tissue damage, 4. Reassess pain level 3. Sitz baths may reduce 0 out of 10 on
or described in terms of after 30 minutes of pain and bladder the pain scale.
Vital signs: such damage interventions. spasms caused by a
(International Association UTI.
T = 37.9°C for the Study of Pain); 5. Use of non-
P = 100/min sudden or slow onset of pharmacological 4. It is important to
any intensity from mild to techniques such as reassess pain following
RR = 18/min severe with an drinking cranberry interventions to
BP = 90/60 mm Hg. anticipated or predictable juice or water for pain determine if those
end, and with a duration management as actions were effective,
of less than 3 months. appropriate. and the patient’s pain
control goals have
been met.
Reference: Herdman, T.
H. & Kamitsuru S. (2018- 5. Alternative therapies
2020). NANDA
International, Inc. Nursing
Diagnoses Definitions
and Classification
2018–2020 (11th
Edition).
6. Administer such as relaxation,
Paracetamol massage, guided
Biogesic 500mg imagery, or distraction
tablet, 1-tab q4 PRN may decrease pain and
for Pain and fever as provide comfort.
prescribed by the
physician. 6. To alleviate pain and
discomfort.
Alexandria B. Francisco