Republic of the Philippines

UNIVERSITY OF NORTHERN PHILIPPINES

Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986

Student Name: Jonathan R. Yadao BSN-IIIC Patient’s Age/Sex/Civil Status: 61, Male,Married
Patient’s Name: Robert Pili
ASSESSMENT DIAGNOSIS SCIENTIFIC BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATION
 Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986

Student Name: Jonathan R. Yadao BSN-IIIC Patient’s Age/Sex/Civil Status: 61, Male,Married
Patient’s Name: Robert Pili
Subjective: Acute Pain related to  Establish rapport  To have nursing patient
“Masakit disruption of skin After 6hrs of nursing interaction After 6hrs of nursing
Iron-deficiency anemia and bleeding due
po ang tissues as evidenced by intervention the intervention the patient
kanyang nausea and body
to abnormal vasculature in the tumor and
trauma from the fecal stream patient will be able:
 Monitor vital signs q4hrs  To identify the changes
was able:
katawan of the body
weakness secondary to
and response/altered to the
colostomy  To demonstrate  To demonstrate
parang pain
nasusuka relaxation skills, relaxation skills,
po sya” as Associated with obstruction of the colonic report pain,
 Determine patient’s  Observe non/verbal
report pain,
verbalized lumen, abdominal distension, pain, nausea, characteristics and rate cues including facial
behavioral behavioral
by the and vomiting caused by electrolyte severity using 0-10 pain scale expressions and other
imbalance.
modifications modifications and
patient’s objective defining the
and appropriate use of
wife. characteristics of pain
appropriate use therapeutic
Objective: as noted.
of therapeutic interventions as
+nausea interventions as  Instruct methods for  Tell the patients when indicated for
+body weakness Obstruction of the gastrointestinal (GI) indicated for alleviation. treatment/procedure individual situation
tract suggests a larger tumor and a poorer will hurt to reduce
prognosis which causes individual  Goal’s partially met.
situation concern of unknown
muscle/skin tension.
 Assist for wound pain area  Assist for body process
and dressings. of healing, carefully
Polyps are growths that form on the inside dressing wounds to
of the colon where cachexia occur due to prevent from infections
changes of metabolic process and also and complication.
common in patients with advanced GI
malignancies.  Monitor progress of wound  Use appropriate
healing. dressings, wound
coverings drainage
appliances and skin
protective agents as
indicated for
open/draining wounds
Reference:
National Comprehensive Cancer
 Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur
College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986

Student Name: Jonathan R. Yadao BSN-IIIC Patient’s Age/Sex/Civil Status: 61, Male,Married
Patient’s Name: Robert Pili