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    Nursing Care Plan

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    Amsh Rosal
    J.F. is an 18-year-old male who presented with acute pain related to a recent appendectomy. His pain was assessed as being caused by disruption of skin, tissue, and muscle integrity secondary to the surgical incision. The nursing care plan aimed to control his pain through administering analgesics as ordered and providing comfort measures like back rubs within 2 hours. The desired outcomes of relieving his pain and having him verbalize methods of pain relief were both met.

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    Nursing Care Plan

    Uploaded by

    Amsh Rosal
    486 views2 pages
    J.F. is an 18-year-old male who presented with acute pain related to a recent appendectomy. His pain was assessed as being caused by disruption of skin, tissue, and muscle integrity secondary to the surgical incision. The nursing care plan aimed to control his pain through administering analgesics as ordered and providing comfort measures like back rubs within 2 hours. The desired outcomes of relieving his pain and having him verbalize methods of pain relief were both met.

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    J.F. is an 18-year-old male who presented with acute pain related to a recent appendectomy. His pain was assessed as being caused by disruption of skin, tissue, and muscle integrity secondary to the surgical incision. The nursing care plan aimed to control his pain through administering analgesics as ordered and providing comfort measures like back rubs within 2 hours. The desired outcomes of relieving his pain and having him verbalize methods of pain relief were both met.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    486 views2 pages

    Nursing Care Plan

    Uploaded by

    Amsh Rosal
    J.F. is an 18-year-old male who presented with acute pain related to a recent appendectomy. His pain was assessed as being caused by disruption of skin, tissue, and muscle integrity secondary to the surgical incision. The nursing care plan aimed to control his pain through administering analgesics as ordered and providing comfort measures like back rubs within 2 hours. The desired outcomes of relieving his pain and having him verbalize methods of pain relief were both met.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    NURSING CARE PLAN

    BASELINE DATA:
    Name of Patient: J.F.
    Sex: Male
    Age: 18 years old

    Assessment Data Nursing Rationale Desired Outcome Nursing Justification Evaluation


    Diagnosis Intervention

    Actual Abnormal Cues Acute pain Appendix becomes After 2 hours of nursing After 2 hours of
    related to obstructed intervention, the client nursing intervention
    • The client
    ↓
    verbalizes, “Ga disruption of will be able;
    Intraluminal pressure
    sakit akon kilid skin, tissue, increases
    mag giho ko” muscle integrity ↓ a. To report pain is a. Administer analgesic a. To maintain a. Goal met. The
    • Protective secondary to Decrease venous controlled. as ordered acceptable level client was able
    surgical incision drainage, thrombosis, of pain to report that
    behavior
    (Appendectomy) edema, bacterial the pain was
    • Sighing invasion of bowel wall
    ↓
    b. To verbalize relieved.
    Definition: methods that b. Provide additional b. To provide b. Goal met. The
    Strength: Appendix becomes comfort measures nonphramacolog
    • Normal RR= Unpleasant hyperemic, warm, provide relief such as back rub, ic pain
    client was able
    17cpm sensory and covered with exudates
    changing patient’s management to verbalize
    emotional ↓ methods of
    BP= 110/90 position, change linen,
    experience Processing to gangrene provides relief
    PR= 86 bpm and perforation tepid sponge bath as
    02 stat= 99% arising from ↓ necessary. such as tepid
    actual or sponge bath
    • Strong family Appendectomy
    potential tissue ↓ and
    support
    damage or Surgical Incision administering
    Risk Factors:
    described in ↓ analgesics.
    •
    terms of such Disruption of skin, tissue
    damage. and muscle integrity
    ↓
    Stimulation of sensory
    nerve endings
    ↓
    Pain

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