Assessment Goals Interventions Rationale: Evaluation

include medications what is the reason

for the interventions?
Patient Image: Include an image Patient will verbalize
that demonstrates the patient’s expected relief of pain or a patient 1. Teach and discuss 1.Cognitive- 1. Reassess for pain by
physical appearance.
acceptable pain score of alternative pain relief behavioral pain using my pain score (0-
1. Assess for pain, notice 3/10. measures: relaxation management may 10), taking patient vital
the location, the duration techniques, biofeedback, reduce reliance on signs, and
and using the pain score of yoga, meditation, pharmacological comprehensive
0-10 will determine the progressive relaxation means of pain assessment on the
intensity. techniques, distraction control. This also patient.
techniques, guided enhances the
2. Observe nonverbal pain imagery and breathing patient’s sense of 2. Evaluate if physical
cues: gait disturbances, techniques. control. therapy or orthopedic
positioning of the body, devices helps for the
guarding behavior, facial 2.  Provide support and 2.  To reduce edema, joint pain.
grimacing, physiological carefully position affected discomfort, and risk
manifestations of acute extremities such as of injury, especially
pain and increased BP, physical therapy or if osteomyelitis is
tachycardia, RR. orthopedic devices to present.
support your back or
3. Assess what pain relief limbs. 3.Reduces pain and
measures were effective in will promote rest and
the past. Involve the patient 3. Administer medications comfort. Helps
and SO in care.  as indicated: typically reduce symptoms of
narcotics, analgesics, or sickle cell anemia.  
sedative such as Opioids
drugs; morphine,

Subjective: what symptoms will
the patient report?
1. Patients will verbalize
episodes of Pain in all areas
of the body, Vision
problems, delayed growth
or puberty, frequent
infection, swelling of hands
and feet.
2. Patient verbalizes feeling
numbness and tingling of
higher and lower
extremities
3. Patient verbalizes
fatigue, and headache.
hydromorphone 4. Dehydration
(Dilaudid) or NSAIDs increases
such as Acetaminophen sickling/vaso-
(Tylenol) can be used to occlusion and
decrease the pain (pain corresponding pain.
score will determine
which drugs are 5. Warmth causes
appropriate to administer).vasodilation and
increases circulation
4.Encourage the patient to to hypoxic areas.
have adequate fluid intake Cold causes
(2 to 3 L/day) within vasoconstriction and
cardiac tolerance to compounds the
provide for mobilization crisis.
of secretions and prevent
hyper viscosity of blood
occlusion. 
5.Apply warm, moist
compresses to affected
joints and other painful
areas. Avoid use of ice or
cold compresses.
Objective: what signs will you
expect to see? What assessments
will you do? what diagnostic tests
will you anticipate? What are the
expected results of those tests?

1. Patient will look

underweight. Diagnostic
tests include iron test, liver
function test to screen the
possibility why the patient
is underweight and ways to
improve the patient's
nutrition.

2. Bone pain in the lower

extremities due to bone
marrow infarction

3. Life threatening anemia

with rapid enlargement of
the spleen and high
reticulocyte count.
Diagnostic tests will
include CBC with
differential, a reticulocyte
count and a complete
metabolic panel including
liver function tests for
blood transfusion.