WONG, Lecery Sophia C.

OBWard
BSN 2-I
II. NCP

Assessment of Explanation of Goals and Interventions Rationale Evaluatio

the Nursing the Problem Objectives n
Diagnosis
PROBLEM: Acute Pain is GOAL: The Diagnostic NI: Outcome
Vaginal Bleeding defined as an patient will  Monitor  To obtain criteria for
unpleassant be able to vital signs, baseline data for STO:
SUBJECTIVE sensory and report pain specifically future comparison FULLY
DATA: emotional relief. pulse oximetry as well as to MET IF:
 “Sobrang experience reading, blood assess any signs The patient
nanghihina ako at arising from STO: pressure and and symptoms of
was able to
nahihilo. Parang actual and Within the respiratory rate respiratory
bumubulwak ang potential tissue shift the distress, blood control
dugo ko. ” damage. patient will loss. pain by
as verbalized by Immediate be able to: using the
the patient. Cause: non-invasi
 3 days PTA When the  demons ve
as heavy vaginal cancer cells trate the use techniques
bleeding continue to of relaxation
of pain
associated with grow and skills and  Forsee the  Preventing
pain on the metastasize in diversional the pain is one manageme
need for pain
hypogastric area different parts activities as thing that a patient nt (e.g.,
relief
which is of the body indicated for experiencing it breathing
radiating to her system individual can consider. exercises,
lower back. She especially in situation. relaxation,
rates her pain as blood vessels,  Manifes guided
8/10. But due to it can impede t a BP of  Acknowled  An
imagery,
financial blood 110/60 from ge reports of immediate
concerns, she did circulation and 80/60. response of pain distraction
pain
immediately seek could cause  Regain may decrease techniques
immediately.
for medical help. vaginal normal color ) With a
bleeding. This of skin BP in the
OBJECTIVE could also normal
DATA: hamper sexual LTO: After Therapeutic
NI: range,
 BP: 80/60, activity 2 days
PR: 105 bpm between nursing Independent With
 A partners. Other intervention,  Remove  Patients may normal
ppears very signs and the client additional experience skin color.
weak, pale, symptoms will be able stressors or exaggeration in
include bladder to report pain or a PARTIAL
grimacing while source of
irritation and maximal decreased ability LY MET
holding her distention, control of discomfort to tolerate painful
abdominal area whenever IF: The
anemia, and pain with stimuli if
and trying to abdominal pain minimal possible environment, patient was
assume a fetal Black, intererence intrapersonal or able to
position et.al.(2005).Me with intrinsic factors somehow
 W dical Surgical activities of are further control the
Nursing. 7th daily living. stressing them. pain but
ith bruised on her
Edition.Elsevie needed
thigh, knees and r PTE LTD.p  Encourage  Provides
upper arm patient to share opportunity pharmacol
927 to
 Delayed thoughts and examine realistic ogic types
capillary refill 3 Intermediate feelings fears and of pain
secs Cause: misconceptions relief.
 Abdominal Cervical cancer about diagnosis
With a BP
pain rated as 8/10 begins in cells
in the
(10 upon on the surface  Explain the  The goal of
palpation) of the cervix. recommended cancer treatment normal
Over time, the treatment, its is to destroy range,
purpose, and malignant cells
NURSING cervical cancer With
DIAGNOSIS: can invade potential side while minimizing
effects. Help damage to normal normal
Pain related to more deeply patient prepare ones. Treatment skin color.
disease process into the cervix for treatments. may include
as evidenced by and nearby surgery (curative,
reports of pain tissues. The preventive, UNMET
and guarding cancer cells palliative), as well IF:
as chemotherapy,
behaviors can spread by radiation (internal, The patient
breaking away external). was not
from the able to
original Dependent control the
(primary)  Apply Hot  Heat pain, BP is
tumor. They or Cold decreases pain still low
enter blood compress through improved and with
vessels or blood flow to the pale color
lymph vessels, area and through of skin.
which branch reduction of pain
into all the and reflexes. Cold LTO:
tissues of the compress, lessens FULLY
body. The the pain, MET IF:
cancer cells inflammation and The patient
may attach to muscle spasticity
manifested
other tissues by decreasing pain
and grow to producing maximal
form new chemicals control of
tumors that pain with
may damage  Increasing minimal
those tissues.  Cognitive concentration can intererence
The spread of behavioral help an individual with
cancer is called strategies decrease pain
metastasis. activities
- Imagery experience. The
Black, -RelaxationExer aim of these of daily
et.al.(2005).Me techniques is to living
dical Surgical cises
lessen, tension
Nursing. 7th -breathing subsequently PARTIAL
Edition.Elsevie exercises decreasing pain. LY MET
r PTE LTD.p -music theraphy
IF:
927
 To achieve The patient
Collaborative
Root Cause: maximal gains in can
 Refer to
HPV (Human function and somehow
the attending
psychosocial
papilloma physician and well-being. control of
the hematology Doenges, et. al, pain with
Virus) passed
laboratory (2008). Nurse’s minimal
from person to Pocket Guide. 11th
person through intererence
Edition. F.A.
Davis Company. with
sexual contact
p. 608 activities
can cause
of daily
cervical
 To prevent living
dysplasia or the untoward blood UNMET
abnormal  Have the reaction. IF:
alteration in client undergo Kozier, et al. The patient
blood typing (2008).Fundament cannot
cell structure. .
and cross als of Nursing.8th
New cells form control the
matching Edition.Pearson.p
when the body p1402 – 1420. pain with
does not need  To increase and the
them, and old circulating blood pain
volume and interfere
or damaged
improve tissue with
cells do not die perfusion. activities
as they should. Doenges, et. al,
of daily
The buildup of (2008). Nurse’s
extra cells Pocket Guide. 11th living
Edition. F.A.
often forms a Davis Company.
mass of tissue p. 710.
called a growth
or tumor.
 The use of
Growths on the
Educative NI non-invasive pain
cervix can be  Educate relief measures
benign or the patient can increase the
malignant. about the use of release of
Benign non-pharmacolo endorphins and
gical enhance the
growths are not therapeutic effects
techniques.
cancer. They (e.g., relaxation of pain relief
are not as guided imagery, medications.
harmful as music theraphy,
malignant distraction
technique)
growths Enhances venous
(cancer). return
 Educate Doenges, et. al,
 Black, (2008). Nurse’s
the patient on
et.al.(2005).Me Pocket Guide. 11th
mild exercise
dical Surgical Edition. F.A.
such as walking
Nursing. 7th Davis Company.
in the corridor
Edition.Elsevie p. 711.
and active
r PTE LTD.p range-of-motion
927