CUES NURSING BACKGROUND GOALS OF CARE INTERVENTION EVALUATION

DIAGNOSIS KNOWLEDGE

NURSING INTENVENTION RATIONALE

SUBJECTIVE:
Within hours of The intervention will: These data can be used After hours of
Abdominal pain a. Acute pain Abdominal/acu nursing to identify the extent of nursing
Poor appetite related to te pain has intervention and 1. Assess pain the pain as well as serve intervention:
and anxious chemical burn of physiologic health teachings, characteristics as a baseline
Objective data: gastric mucosa signs of acute the patient and (quality, severity, information Goal met. The
pain emerge patient’s family location, onset, patient can
Age: 80 years old b. Tissue damage from the body’s will be able to: duration, Some people deny the verbalized relief
Gender: Male or break in tissue response to precipitating and experience of pain when from pain from
integrity, pain as stressor a. Determine relieving factors) it is present. Attention to 9/10 to lower
Vital signs taken: inflammation, risk factors 2. Observe or monitor associated signs may scale rate
Temperature: nerve damage Assessment of that signs and symptoms help the nurse in
38.2C irritation pain, contribute associated with pain, evaluating pain 1. The
RR: 22 cpm determining to such as BP, heart rate, family
BP: 140/80 mmhg c. Psychological location abdominal/ temperature. Different etiological was able
PR: 80 bpm Patient acute pain 3. Color and moisture factors respond better to to
conditions: stress,
experiencing such as age, of skin, restlessness, different therapies verbalize
anxiety can all
Lethargic pain is the most style of and ability to focus necessary
contribute to pain
Rated pain as reliable source living 4. Assess for probable measures
9/10 in a pain of information family cause of pain to
scale of 0-10 about their pain history, properly
Restless, weak as they can food manage,
describe habits/cons control,
location, umption, and
intensity and and obesity lessen the
duration of b. Patient risk pain
pain. demonstrat 2. Displayed
ed the use improvem
of ent in
appropriate mood,
diversional muscle.
activities
 and
relaxation
skills
c. Patient
displays
improveme
nt in mood,
coping,
relaxed
muscle
tone and
body
posture
The nurse and
family will be able
to:

Create and
develop a plan for
regular exercise
and physical
activity

Encourage the
family to utilize
community
resources that are
openly available
in helping to
resolve the
condition
experienced as
evidenced by
going to health
center/clinic for
regular check up
and the use of
prescribed
medications