ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

SUBJECTIVE Acute pain related to Short term Independent Independent

physical injury as 1. Provide ice or cold 1. It will help relieve
The patient verbalized evidenced by large, After 2 hours of pack and advise the pain and prevent
she tried to reason red swollen area nursing patient to apply it to swelling by
with his husband, but around her eye and intervention the the affected area for decreasing blood
he hit her and knocked cheek and smacked client will be 10-15 minutes as flow to the area.
her to the floor, and across the nose and able to report tolerated. 2. To enable patient
her head hit the table. face pain is relieved 2. Provide a quiet, dimly to rest and
Hence, consult to a or controlled lit environment and provide comfort.
physician. enforce bed rest. 3. To provide non
Long term 3. Provide diversional pharmacological
OBJECTIVE activities such as pain management
After listening to soft music, and distract the
(+) Large, red swollen deep breathing patient from the
area around her eye exercises and guided pain.
and cheek and imagery 4. Client is
smacked across the 4. Ensure that the client extremely
nose and face has adequate privacy vulnerable at this
for all immediate time. Additional
interventions. Try to people in the
have as few people as environment
possible providing the increase this
immediate care or feeling of
collecting immediate vulnerability.
evidence. Dependent
5. 1. Mefenamic acid is
used to relieve
Dependent mild to moderate
1. Administer Mefenamic pain
as ordered. 2.
2. Administer Alprazolam
as ordered. Collaborative

Collaborative