Assessment
Subjective: “Ang sakit sakit
ng tyan ko.” as verbalized by
the patient
Objective:
-abdominal pain
- with facial grimace
- with body malaise
-with pain scale of 7/10
Diagnosis Planning Intervention Evaluation
Acute Pain related to Goal: *Determine how the client
abdominal pain as usually responds to pain. After 8 hours of
evidenced by patient After 8 hours of nursing intervention,
nursing *Assess verbal complaints of the pain is lessened.
facial appearance of
intervention, pain.
pain, and pain scale of
patient’s pain will be
7/10 lessened. *Implement measures to
reduce pain:
Objectives: a) perform actions to
restore fluid balance
1. After 2 hours b) provide or assist with
of nursing non-pharmacological
intervention, measures for pain relief:
the client will b.1) change in position
b.2) divertional activities
able to
to significant others
discuss the
pain felt by
the client.