RLE 2.2.4 Assessment Nursing Diagnosis Acute pain related to inflammation of the tissue.

Scientific Rationale Dislodgement of the I.V cannula from the vein results in infusion of fluid into the surrounding tissue which causes the inflammation of the site of insertion. Objective Nursing Interventions -Provide warm compress on the affected site. -Elevate right hand Rationale Evaluation

Subjective: Verbalized, masakit nga eh, namamaga. Ano bang pwede kong gawin dito? Objective: -With edema on the previous site of IV. -Pain score of 9/10. -Guarding behavior and protective gestures.

At the end of the shift, the patient will be able to: -Report that pain is relieved/ controlled. -Demonstrate use of relaxation skills

-Warm therapy promotes blood flow and enhances pain. -Proper positioning helps in the alleviation of pain. -The patient will not focus on the pain.

After 30 minutes of doing warm compress the patient: -Verbalized, Ayan, okay na. Nabawasan na yung sakit. Igagalaw-galaw ko na lang. -Latest pain score of 6/10.

-Divert attention through conversation and socialization with other patients. -Advise the patient to avoid lifting heavy objects using his affected hand. -Advise the patient to gently massage and move the hand.

-It will aggravate the pain.

-Promote blood circulation in the area.