Assessment

Subjective cues: masakit talaga yung paa ko as verbalized by the patient. Objective cues: Restlessness Pain scale of 8/10 Facial grimace

Planning
Short term goal Partially compensatory

Interventions

Rationale

Evaluation

Facilitate on handling extremity The wound itself is sometimes very After 4 hours of with great care and gentleness. painful and must be handled carefully nursing interventions, the patients and slowly. condition improved. Facilitate on immobilizing the To reduce pain and muscle spasms. affected area with a splint. Facilitate on providing quiet and To reduce stimulus thus promoting relaxation. calm environment. Facilitate on encouraging patient This is a relaxation exercise which can alleviate the pain. perform deep breathing exercises Facilitate on encouraging This is helpful to distract patient from diversional activities (e.g. the pain. watching TV, listening to music, indoor games). Facilitate on teaching patient To minimize pain in daily activities. good body mechanics. Facilitate on encouraging To prevent fatigue. adequate rest and sleep periods Facilitate on administering Centrally acting analegesic not Tramadol 50mg/tab 1 tab PRN chemically related to opioids but binds as prescribed. to mu-opioid receptors and inhibits reuptake of norepinephrine and serotonin

After 4 hours of nursing interventions, the patient will experience decreased perception of pain as manifested by decreased Nursing restlessness, Diagnosis patient will be more relaxed, decreased pain scale will be assessed and patient will Acute pain related to verbalize wound infection decreased perception of pain.