NURSING CARE PLAN
Name: C.A Date Admitted:
Age: 53 years old Chief Complaints: Infected IJ Catheter for hemodialysis
Sex: Female Diagnosis: Chronic Kidney Disease stage 5
Civil Status: Married Attending Physician:
Address: Bien Unido, Bohol Ward/Area: Medical Ward
ASSESSMENT NURSING BACKGROUND PLANNING IMPLEMENTATION RATIONALE EVALUATION
DIAGNOSIS KNOWLEDGE
Subjective Acute Pain Flank pain is a After 8 hours of INDEPENDENT
Cues: ‘sakit related to common nursing
akong kilid sa chronic kidney symptom in CKD interventions
tiyan jud sukad disease as patients, often patients - Implement non- - Heat and cold
sad ni wala ko evidenced by associated with pharmacological therapies can
na dialysis’ patient reports of conditions such -Will report a
pain relief provide localized
reduction in pain
sudden, intense as kidney measures such relief by reducing
intensity to a
flank pain stones, as heat therapy. inflammation,
tolerable level,
infections, or as evidenced by numbing the
renal colic. The a pain scale area, and
sudden and rating of 4 or promoting
intense nature of below on a muscle
the pain numeric pain relaxation, thus
Objective Cues: suggests an scale of 0 to 10. helping to
-Pain Scale – acute alleviate pain
5/10 exacerbation or -Patient will and discomfort.
complication of demonstrate
-Guarding the underlying relief of pain - Proper
Behaviors kidney disease. through positioning can
- Position the
-Facial decreased help reduce
patient for
Grimacing guarding pressure on the
behaviors, facial comfort, such as
-Restlessness or affected area,
grimacing, and elevating the
Agitation alleviate
-RR 23 verbalization of head of the bed
discomfort, and
discomfort within or providing
promote
the hours of pillows for relaxation,
initiating pain support. thereby
management enhancing the
interventions. patient's overall
scomfort and
well-being.
- Relaxation
techniques
- Teach promote the
relaxation release of
techniques, such endorphins,
as deep which are natural
breathing pain relievers,
exercises or and can help the
patient cope with
guided imagery,
acute pain more
to help the
effectively,
patient manage
reducing the
pain and reduce
perception of
muscle tension.
discomfort.
- Regular pain
assessments
allow for timely
evaluation of the
effectiveness of
pain
management
- Monitor and interventions and
assess the adjustment of
patient's pain treatment as
intensity needed to
regularly using a ensure adequate
validated pain pain relief.
scale.
- Emotional
support can help
alleviate anxiety
and distress
associated with
acute pain,
improve the
patient's coping
abilities, and
enhance their
overall well-
being during the
- Provide pain
emotional management
support and process.
reassurance to
the patient,
acknowledging
their pain and
- Addressing the
offering empathy
underlying cause
and
of pain is
encouragement. essential for
effective pain
management
and preventing
recurrence of
acute pain
episodes in
patients with
chronic kidney
disease.
Dependent:
- Collaborate
with the
healthcare team
to identify and
address
underlying
causes of acute
pain, such as
urinary tract
infections,
kidney stones.
