Assessme Diagnosi Analysis Planning Intervention Rationale Evaluation

nt s
(Cues)
Subjectiv Stem Acute Goal: The client The client state
e: Acute Pain is will state reduced of pain
“Nurse, pain an reduced of pain with no irritation of
nurse unpleasa with no irritation gastric mucosa at
masakit Related nt of gastric the end of nursing
ang tiyan to sensory mucosa at the shift.
ko” irritation and end of nursing Goal met
-“Mahap of emotiona shift Independent
di ang gastric l intervention 1. Nonpharmacological Effectiveness:
sikmura mucosal experien 1. Psychomotor: 1. Encourage the relaxation techniques the client express
ko” lining ce After a 10- use of will willingness to
-“30 arising minute nonpharmacolog decrease the production practice
minutes AEB from teaching session, ical pain relief of nonpharmacologica
after pain actual or the client will measures: gastric acid, which in l pain relief
kong score: potential express o Acupressure turn will reduce pain. measures to
kumain 8/10, tissue willingness to o Biofeedback manage pain
ng facial damage practice o Distraction without the use of
pandesal grimace, or nonpharmacolog o Guided medications.
at kape, guarding describe ical pain relief imagery GM...✓
sumuka behavior d in measures to o Massage PM...
ako” , pain terms of manage pain o Music therapy UM...
Objective aggravat such without the use
: ed with damage; of medications. Independent
-Pain food sudden intervention
scale of intake or slow 2. After a 20- 2. Instruct the 2. These medications The client know
8/10 onset of minute teaching client to avoid may this medication is
- any session, the NSAIDs cause irritation of the to avoid irritation
Epigastri intensity client know this such as aspirin. gastric mucosa. of the gastric
c pain from medication is to mucosa.
- mild to avoid irritation GM...✓
Guarding severe of the gastric PM...
behavior with mucosa. UM...
-Facial anticipat Independent
grimace ed or intervention
-Pain predictab 3. After a 30- 3. Encourage the 3. Smoking decreases the The client
aggravate le minute teaching importance of secretion of bicarbonate express to practice
d with end and session, the smoking from the pancreas into smoking cessation.
food a client cessation. the duodenum, resulting GM...✓
intake duration express in increased acidity of PM...
of less willingness to the duodenum. UM...
than 6 practice smoking
months. cessation.
(Martin,
2019) Dependent
intervention The client report
4. After 1 hour 4. Nurse will 4. This medication used the pain has
of undergoing administer IV to deliver different types decreased.
intravenous lines. of fluids, medications GM...✓
therapy, the such us to reduced PM...
client will report stomach pain UM...
the pain has
decreased. Dependent The client will
intervention report satisfactory
5. After 1 hour 5. Administer 5. Antacids buffer gastric pain control at a
of taking the the acid and prevent the level less than 2 to
administer prescribed drug formation of pepsin. This 4 on a scale of 0 to
prescribed drug, therapy: mechanism of action 10.
the client will o Antacids promotes of healing of GM...✓
report o Antibiotics the ulcer. Antibiotics PM...
 satisfactory pain such as treat the UM...
control at a level amoxicillin, Helicobacter pylori Efficiency
less than 2 to 4 clarithromycin, infection and promote The
on a scale of 0 to metronidazole, healing of the ulcer. As strategies/interventi
10. tetracycline the ulcer heals, the client ons were suitable
experiences less pain. H2 within the given
receptor antagonists time frame to solve
block the secretion of the clients health
gastric acid. problem.
Prostaglandin analogue GM...✓
reduces acid secretion PM...
and enhance the integrity UM...
of the gastric mucosa to
resist injury. Appropriateness
The
Reference: strategies/interventi
Martin, P. B. (2019, ons were
April 12). 5 Peptic Ulcer appropriate to
Disease Nursing Care solve the clients
Plans. Nurseslabs. health problem.
https://nurseslabs.com/pe GM...✓
ptic-ulcer-disease- PM...
nursing-care-plans UM...

Adequacy
The
strategies/objective
s were appropriate
to solve the clients
health problem.
GM...✓
PM...
UM...

Acceptability
The
strategies/interventi
ons were
acceptable to the
client.
GM...✓
PM...
UM...

Reference:

Martin, P. B. (2019, April 12). 5 Peptic Ulcer Disease Nursing Care Plans. Nurseslabs.

https://nurseslabs.com/peptic-ulcer-disease-nursing-care-plans/

1. Create a statement that will enable you to evaluate your goal or desired outcome.
- The client state the reduced of pain with no irritation of gastric mucosa at the
end of nursing shift.
2. Create a statement the will evaluate your objectives according to its effectiveness.
- Client will report satisfactory pain control at a level less than 2 to 4 on a scale
of 0 to 10 and client uses pharmacological and nonpharmacological pain relief
measures.
 3. Create a statement that will evaluate your objective against the following criterion:
a. Efficiency
b. Appropriateness
c. Adequacy
d. Acceptability
After 24 hours of nursing intervention, client uses pharmacological and nonpharmacological pain relief
measures (a). Administration of medication, such as Antacids, Antibiotics such as Amoxicillin,
Clarithromycin, Metronidazole, and Tetracycline, Histamine Receptor Antagonists, Prostaglandin
Analogues, Proton Pump Inhibitor, and Sucralfate, was safely carried out as ordered by the physician
(b,c). The client has shown full cooperation throughout the treatment regimen and verbalized “I can
now manage the pain (d).”