NURSING CARE PLAN

ASSESSMENT NURSING PLANNIN INTERVENTIO RATONALE EVALUATIO

DIAGNOSIS G N N
Subjective: Acute pain  Monitor  To
related to Vital stablis
 The patient inflammatio Signs. ha
verbalizes, n of baselin
“masakit yung appendix.  e data.
bandang baba ng
kanang tagiliran
ko.”

Objective:
 Facial Grimace

 Pain scale of 9/10,

sharp pain.

 Positioning to
ease pain.

 Guarding/
protective
behavior.

 Irritability

 Discomfort

 Vital signs are

taken:

BP:
RR:
PR:
TEMP.: