ASSESSMEN DIAGNOSI PLANNING NURSING RATIONAL EVALUATIO

T S INTERVENTIO E N
N

Msakit ang ACUTE After 4 --Change the - Pain is -After 4 hours

tahi ko” Pain related hours of position sometimes of nursing
as verbalized to nursing due intervention
of the patient to the the patient
by the tissue interventio
position reported pain
patient. trauma and n
of the was lessened
incisional patient’s to pain scale
OBJECTIVE:
patient
discomfort pain - To =3.
-Restlessness -Provide
as evidenced reduce the
- Irritability comfort
manifested by pain discomfort
- pale and measures
- weak in by scale =7 be
appearance grimace reduced to - To assist
-Assist patient
-c Facial in muscle
and pain 3. in
grimace and
scale =7. breathing
RR=26 bpm generalized
techniques
Pain scale relaxation
-Provide quiet
=7/10 environment

-Relay on the - For

patient patient
report of pain comfort
ability
and lessen
the
discomfort.
- To
-Encourage reduce
divert ional anxiety felt
activities by
the patient
- To divert
-Monitor vital the
sign attention
from
pain to
activities
- Usually
altered
-Administer
analgesic as
ordered by the
physician.