ASSESSMENT DIAGNOSIS PLANNING NURSING INTERVENTION RATIONALE EVALUATION

Subjective: Acute Pain related After 8 hours of nursing Independent Nursing After 8 hours of
“Ilang araw ng to osteomyelitis as intervention, the patient Intervention: nursing intervention
namamaga at evidenced byreports will:  Place the patient in  To enable to patient to the patient ws able
masakit ang of pain and  Demonstrate relief complete bed rest during rest and to provide to:
kaliwang binti ko” discomfort. of pain as severe episodes of pain. comfort.  Demonstrate
as verbalized by evidenced by a pain Perform relaxation relief of pain
the patient. score of 5 out of 10, techniques such as deep with the score
stable vital signs, breathing exercises, guided of less than 5
Objective: and absence of imagery, and provision of out of 10.
 Pain score of restlessness. distractions such as TV or  The patient’s
10 out of 10 radio. vital signs is
 Verbalization within normal
Apply cold and hot pack on  Use the cold pack for
of sharp pain  range.
the affected area. 10 to 15 minutes to
 Guarding sign  The patient was
reduce swelling and
on the affected free from
inflammation, as well as
area restlessness.
to reduce pain
 Facial
impulses. Then, use the
grimace,
heat pack for pain relief
crying, and
and for the restoration
restlessness
of range of motion
(ROM).

 To increase the oxygen

 Elevate the head of the bed
level by allowing
if the patient is short of
optimal lung expansion.
breath.

 Assess the patient’s vital  To monitor

signs and characteristics of
pain at least 30 minutes
after administration of
medication.
effectiveness of medical
treatment for the relief
of bone pain. The time
of monitoring of vital
signs may depend on
the peak time of the
drug administered.
Dependent Nursing
Intervension:

 Administer prescribed pain  To alleviate

medications. acute/chronic bone
pain. Pain is usually
described as sharp and
spasmic. It can be
aggravated by activity,
especially full-weight
bearing activities.