Assessment

Diagnosis

Planning

Intervention

Rationale

Evaluation

Subjective: Kumikirot ang binti ko ang sakit grabe kaadjust lang kasi ng external fixator ko eh. verbalized by the patient. Objective: Facial grimace Irritable Limited range of motion Pain scale 6/10

Acute pain related to surgery Ambulatory incision on the lower L leg secondary to infection.

Short term goal: After 6 hours of nursing intervention the patient: Verbalized minimizes or controlled feeling of pain Verbalized the methods that provide relief Verbalized the method that will relief Demonstrates use of relaxation skills & diversional activities as indicated for his situation Long term goal