Cues Nursing Expected Nursing Interventions Rationale Evaluation Discharge

Diagnosis Outcomes Planning

Subjective Acute pain and Short Term INDEPENDENT MET M - Review the
Cues discomfort After 3-6 hours 1. Establish rapport with 1. To establish a After 3-6 prescribed pain
 Patient related to of nursing client by asking trusting hours medications with
verbalized, surgical intervention, simple questions, relationship with of nursing the patient and/or
“Daw indi
incision the patient will smiling, engaging in client.. intervention their caregiver,
nako
kahulag sa secondary to be able to brief social , the including the name
kasakit.” cesarean report a pain conversation patient of each medication,
section delivery scale of 3. 2. Determine client’s 2. Each person has reported a dosage, frequency,
Objective Cues as evidenced acceptable level of coping pain scale and duration of
 Pain scale by patient’s Long Term pain and pain control mechanisms that of 3 out of treatment.
of 6 out of verbalization of After 3-4 goals make their 10.
10 weeks, the E - Ensure that the
“Daw indi nako perception of pain
 Facial patient will be patient is positioned
Grimace kahulag sa subjective. After 3-4
kasakit.”, pain able to weeks, the comfortably in bed
 Muscle minimize 3. Monitor skin color and 3. Acute pain can or a chair, with
Guarding scale of 6 out patient
of 10, facial reliance on temperature and vital alter vital signs due minimized adequate support
grimace, and pain relievers. signs to the body's her for the back, neck,
muscle physiological reliance on and limbs.
guarding response to stress pain
and discomfort. relievers T - Advise the
4. Encourage the use of 4. Complements the patient on
non-pharmacological action of pain appropriate levels
pain relief methods, relievers by of activity and rest
such as side lying targeting different to promote healing
positioning with pathways involved while minimizing
pillows for support, in pain perception, discomfort.
relaxation techniques allowing for better
and distraction pain control with H - Explain the
techniques lower doses of importance of pain
medication. management in
promoting comfort,
mobility, and overall
DEPENDENT well-being.
1. Administer analgesics,
Reference: Doenges, M., Moorhouse, M. F., & Murr, A. (2013). Nurse;s Pocket Guide Diagnoses, Prioritized Interventions, and Rationales (15th ed.).