ASIA PACIFIC COLLEGE OF ADVANCED STUDIES

A.H. Banzon St., Ibayo, Balanga City, Bataan

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

ASSESSMENT NURSING NURSING

OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS ANALYSIS
Subjective: Acute pain related to Ectopic STG: ** Independent STG:
“Makirot yung sugat ko post surgery due to pregnancy After 3-4 hrs of Nursing After 3-4hrs of
at minsan di ko natitiis” ectopic pregnancy as Nursing Intervention Nursing Intervention,
as verbalized by the evidence by Mid line Intervention, the the goal was met the
patient incision site, facial Partially reported pain will - Monitor and - To obtain baseline patient pain was
grimace, and 7/10 pain Oophorectomy decrease from 7 to document VS data decrease 4/10 as
Objective: scale 5 at all verbalized by the
• Mid line - Determine and - Acute pain is that patient
incision site Post Surgery LTG: document presence which follows an
• Facial grimace After 7 days of of possible injury, trauma or LTG:
• 7/10 pain scale Nursing pathophysiological procedure such as
Acute Pain Intervention to and psychological surgery, or occurs After 3-4hrs of
V/S as follow: facilitate the causes of pain suddenly with the Nursing Intervention
BP: 110/80 maintenance of onset of a painful the goal was met the
T: 36.8 regulatory condition patient was facilitate
PR: 96 mechanism and the maintenance of
RR: 20 function - As this can be regulatory mechanism
O2Sat: 97% influencing the and function
amount of
- Note location of postoperative pain
surgical incision experienced Subjective:
“Hindi na mashado
- To promote kumirkirot yung sugat
relaxation and help ko at natitiis ko na ito”
refocus attention as verbalized by the
patient.
- Provide non- - To maintain
therapeutic “acceptable"
intervention such as
relaxation
ASIA PACIFIC COLLEGE OF ADVANCED STUDIES
A.H. Banzon St., Ibayo, Balanga City, Bataan
COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

** Dependent
Nursing
Intervention

- Administer
analgesic, as
indicated, to
maximum dosage,
as needed