Monterubio, Eufrosina Joy G.

Bsn 123 GRP

92

Cues Nursing Analysis Planning Nursing Rationale Evaluation

Diagnosis Intervention
Objective: Boils (furuncles) are
painful pus-filled After 2 hrs of After 2 hours of
• Grimace Acute Pain bumps on the skin Nursing nursing
during related to resulting from the Intervention the intervention, the
palpation lesions deep infection of a patient will follow patient was able to
Subjective: (furunculosis) hair follicle. The prescribed follow prescribed
infection is usually pharmacological pharmacological
• Pain scale caused by a type of regimen regimen.
of 8 (10 bacteria Independent: Met___ partially
being the called Staphylococcu Asses To help met____ un met____
highest) s aureus (staph). 1. Assess characteristics of determine
• The client Many people are etiology and pain: location, possibility of Assessed etiology
verbalized: "carriers" of the contributory severity on a scale underlying and contributory
“Masakit staph germ, meaning factors. of 1-10, type, condition factors
ate at that it normally lives frequency, Met___ partially
makati din” on their skin or in precipitating met____ un met____
during their nose without factors, relief
palpation doing them any factors
harm. Tiny breaks in 2. Client will Activities can
the surface of the understand Discuss the be enhanced Client understood
skin (such as those the root etiology of the if pain is the root cause of
caused by friction or cause of the pain tolerable the pain
scratching), however, pain Met___ partially
can help the germ met____ un met____
gain entry into and 3. Assist client
infect the hair to explore For the
follicle, resulting in a methods for Reduce or patient to Assisted client to
boil. control of eliminate factors know what explore methods
pain that precipitate or causes the for pain control
increase the pain pain Met___ partially
experience met____ un met____
4. Educate
client the
benefits of Discuss the
following advantage of To increase Educated client the
pharmacolo following the the patient’s benefits of
gical pharmacological cooperation following
regimen regimen on taking the pharmacological
medication regimen
Met___ partially
Teach patient non- met____ un met____
pharmacologic
ways to relieve To distract
pain attention and
reduce
Dependent: tension.

Medicate before
an activity

To enhance
overall pain
management
program