NURSING CARE PLAN

Client’s Name: Betty Boop Date: July 10, 2021 | Time: 6:30 AM / Shift: 7-3
Age/Sex: 65 years old/Female Diagnosis: Osteoarthritis
NURSING
ASSESSMENT PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
Subjective: Chronic Pain After 30 minutes to Independent: After 1 hour of
“Naghahanap ako ng related to 1 hour of nursing 1. Provide or recommend 1. To obtain comfort, improve nursing interventions,
panggamot sa sakit na degeneration of interventions, the nonpharmacological pain healing, and decrease the client reported a
nararamdaman ng joint as client will report a management such as: dependency on analgesics
relief of pain by
mga kamay ko dulot ng manifested by relief of pain by
a. Application of heat
describing the pain
arthritis (arthritis pain).” pain scale of 6/10 describing the pain (Doenges at al., 2019). from 6/10 to 3/10.
as verbalized by the from 6/10 to at packs for about 20 to a. To reduce pain through As evidenced by:
client. least 3/10. 30 min/hr. improved blood flow to  PQRST:
the area and through the Palliating:
Objective: reduction of pain reflexes Medication
 Joint pain in knees (Doenges at al., 2019; (acetaminophen),
and hips for almost 6 b. Application of cold Martin, 2019). and hot and/or cold
months packs for about 20 to applications.
b. To reduce pain and Precipitating: After
 Pain scale of 6/10 30 min/hr. muscle spasticity by resting for
 Pain was assessed decreasing the release of prolonged periods.
using PQRST as pain-inducing chemicals Quality: Sharp
follows: and slowing the Radiation: Right
Palliating: Over-the- conduction of pain lower quadrant.
counter drugs Severity: 3/10
impulses (Doenges at
(ibuprofen and Time: Constant
al., 2019; Martin, 2019).
glucosamine with  (+) Rebound
2. Change positions
chondroitin) tenderness.
Precipitating: When frequently while 2. To decreased discomfort  No grimace.
waking up and after maintaining functional caused by muscle spasms  Less irritability.
alignment.
 resting for prolonged which may result from poor  Slightly relieved
periods. body alignment (Martin, body weakness.
Quality: None 3. Promote the use of canes 2019).  No guarding
Radiation: None or other assistive devices behavior
Severity: 6/10 (abdomen).
Time: 15- 20 minutes for ambulation and 3. To assist in ambulation and
standing from a quite long reduce joint stress (Hinkle &
 Join stiffness in hips
period of sitting. Cheever, 2018; Martin,
and knees
2019).
 Grating sensation
4. Instruct to perform
 Loss of flexibility of
exercises such as walking
knees
which should be begun in 4. To lessen pain and disability
 Difficulty of standing
moderation and increased (Hinkle & Cheever, 2018).
from a quite long
gradually.
period of sitting
5. Encourage adequate rest
Scientific Rationale:
Unpleasant sensory periods. 5. To prevent fatigue that can
and emotional impair ability to manage or
experience arising from cope with pain (Doenges et
actual or potential 6. Promote to plan a daily al., 2019).
tissue damage or exercise for a time when
described in terms of the pain is least severe or 6. To maintain joint mobility
such damage
plan to use an analgesic (Hinkle & Cheever, 2018;
(International
Association for the agent, if appropriate, Martin, 2019).
Study of Pain); sudden before exercising.
or slow onset of any
intensity, from mild to Dependent:
severe, constant or 7. Administer
recurring without an acetaminophen 500 mgs
anticipated or
 predictable end and a PO PRN for pain every 4 7. To inhibit prostaglandin
duration of >3 months. hours, as ordered. synthesis in the CNS and,
(Doenges et al., 2019) to a lesser extent, block
pain impulses through
peripheral action which
produces analgesic effect
8. Administer glucosamine (Kizior & Hodgson, 2020).
with chondroitin 1 cap OD
PO, as ordered. 8. To stop or slow
osteoarthritis progression by
stimulating cartilage and
synovial tissue metabolism
(Vallerand & Sanoski,
2019).

References:

Doenges, M. E., Moorhouse, M. F., & Murr, A C. (2019). Nurse's Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales (15th ed.). F. A. Davis
Company.

Hinkle, J. L., & Cheever, K. H. (2018). Brunner & Suddarth's Textbook of Medical-Surgical Nursing (14th ed.). Wolters Kluwer.

Kizior, R. J., & Hodgson, K. J. (2020). Saunders Nursing Drug Handbook 2020. Elsevier.

Vallerand, A. H., & Sanoski, C. A. (2019). Davis’s Drug Guide for Nurses (16th ed.). F. A. Davis Company.

Martin, P. (2019). 4 Osteoarthritis Nursing Care Plans . https://nurseslabs.com/osteoarthritis-nursing-care-plans/