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NCP - Acute Pain

The patient was experiencing acute pain in the upper quadrants radiating to the back, rated as 8/10 on the pain scale. The nursing diagnosis was acute pain related to the inflammatory process in the kidneys. The goals were to control the patient's pain to 6-4/10 after interventions and relieve pain symptoms. Nursing interventions included comprehensive pain assessment, comfort measures, pain medications if needed, and diversional activities. The rationale was to determine the cause of pain, provide non-pharmacological pain management, relieve pain, and increase the patient's pain threshold. Evaluation showed the patient's pain was reduced to 5/10 after the shift.

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jsthr
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2K views

NCP - Acute Pain

The patient was experiencing acute pain in the upper quadrants radiating to the back, rated as 8/10 on the pain scale. The nursing diagnosis was acute pain related to the inflammatory process in the kidneys. The goals were to control the patient's pain to 6-4/10 after interventions and relieve pain symptoms. Nursing interventions included comprehensive pain assessment, comfort measures, pain medications if needed, and diversional activities. The rationale was to determine the cause of pain, provide non-pharmacological pain management, relieve pain, and increase the patient's pain threshold. Evaluation showed the patient's pain was reduced to 5/10 after the shift.

Uploaded by

jsthr
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NURSING

PROBLEM CUES DIAGNOSIS GOALS AND NURSING N.I. RATIONALE EVALUATION


AND OBJECTIVES INTERVENTIONS WITH
RATIONALE REFERNECES

#1 Subjective Nrsg Dx: After the shift, - Performed a - To determine After the shift,
Data: the patient will comprehensive possible the patient
Pain on the Acute pain r/t be able to report assessment of pain pathophysiological / verbalized:
upper -Pain scale of inflammatory pain is to include location, psychological “Mabuti-buti na
quadrants 8/10 process of the controlled as characteristics, causes of pain and ang pakiramdam
radiating to the blood vessels in manifested by onset, duration, how to treat it. ko.” With PS of
back -“Ang sakit ng the kidney. PS of 6-4/10 frequency, quality, 5/10.
tiyan ko. Ditto from 8/10, and and precipitating/
sa may Rationale: absence of aggravating factors.
bandang taas facial grimace
hanggang Acute and guarding - Provided comfort -To provide
likod.” As inflammati behavior. measures such as nonpharmacological
verbalized by backrubs and pain management.
on is
the patient change of position.
characteriz
Objective ed by five -(Dependent) - To
Data: cardinal Administered pain relieve/alleviate
signs: relievers pain.
- Changes in rubor (redness),
vital signs. calor (increased -Provided - To increase
heat), diversional patient’s pain
- Facial (swelling), activities such as threshold.
grimace dolor (pain), reading newspapers
and and listening to
- Guarding of functio laesa radio.
the upper (loss of
quadrants function).
- Sighing

- Self focusing

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