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    Surgery NCP Case Study 6

    Uploaded by

    Dyanne Bautista
    - The patient is experiencing pain due to an enlarged breast tissue from breast cancer. - The nurse's objectives are to provide pain relief within 8 hours through rest, medication, and non-pharmacological interventions like guided imagery and relaxation exercises. - The nurse will evaluate the patient's pain level and ability to perform daily activities without assistance after 3-4 days of interventions.

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    © All Rights Reserved
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    Surgery NCP Case Study 6

    Uploaded by

    Dyanne Bautista
    70 views2 pages
    - The patient is experiencing pain due to an enlarged breast tissue from breast cancer. - The nurse's objectives are to provide pain relief within 8 hours through rest, medication, and non-pharmacological interventions like guided imagery and relaxation exercises. - The nurse will evaluate the patient's pain level and ability to perform daily activities without assistance after 3-4 days of interventions.

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    Surgery-NCP-Case-Study-6

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    - The patient is experiencing pain due to an enlarged breast tissue from breast cancer. - The nurse's objectives are to provide pain relief within 8 hours through rest, medication, and non-pharmacological interventions like guided imagery and relaxation exercises. - The nurse will evaluate the patient's pain level and ability to perform daily activities without assistance after 3-4 days of interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    70 views2 pages

    Surgery NCP Case Study 6

    Uploaded by

    Dyanne Bautista
    - The patient is experiencing pain due to an enlarged breast tissue from breast cancer. - The nurse's objectives are to provide pain relief within 8 hours through rest, medication, and non-pharmacological interventions like guided imagery and relaxation exercises. - The nurse will evaluate the patient's pain level and ability to perform daily activities without assistance after 3-4 days of interventions.

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    © All Rights Reserved
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    31

    ASSESSMENT EXPLANATION OBJECTIVES INTERVENTION RATIONALE EVALUATION


    OF THE
    PROBLEM

    S: Pain is due STO: Diagnostic: STO:


     “Masakit ang suso to malignant Within 8 hours 1. Assess pain In order to determine After 8 hours of
    nya” as verbalized tumor as the of nursing characteristics what pain management nursing
    patient interventions (position, quality, strategies to be done interventions the
    by watcher
    diagnosed the patient rate, site and patient was able to
     Pain scale can’t time) Some people deny the
    rated due to with breast will be able 2. Observe or Monitor experience of pain
    rest, no pian is
    unconversant. cancer. The to: s/s of associated when it is present. noted
    enlarged Have adequate with pain such as Attention to
    O: tissue relief of pain BP, HR, temp, color associated signs may LTO:
    willaffect and moisture of help in evaluating After 3-4 days of
    all the LTO: skin, restlessness nursing
     With guarding
    tissues Within 3-4 days and ability to interventions the
    behaviour focus.
    specially of nursing patient is able to
    protecting the Therapeutic: Pain may become
    the nerves interventions experience relief
    affected site 1. Provide rest exaggerated as the
    that sense the patient of absence of pain
     Grimacing noted pain. will be able periods and result of fatigue
    without the ned of
     unable to perform ability to
    to: facilitate
    pharmacological and
    ADL with assistance Experience non-pharmacological
    comfort, sleep and
    complete relief relaxation. Uses of imaged events pain management,
    of absence of 2. Cognitive involves use of 5 has absence of
    NURSING DIAGNOSIS: pain without behavioural senses to distract on complications and
     Acute pain related the need of strategies: self from pain is able to perform
    to disease process pharmacological a. Guided imagery stimuli activities of daily
    and non- living without the
    pharmacological Decreases one’s help of others
    pain management awareness of which is fully met.
    experiences of pain
    Absence of
    b. Distraction
    complications techniques
    Able to perform Is to reduce tension,
    ADLs without subsequently reducing
    32

    help of others c. Relaxation pain


    exercises,
    music therapy
    Knowledge of what to
    3. Provide expect may help the
    anticipatory patient develop
    instructions of effective coping
    pain causes, strategies for pain
    appropriate management
    prevention and
    relief measure Promotes relaxation
    Educative: and reduces tension
    1. Encourage deep
    breathing Pain relief
    exercises strategies can be
    modified to promote
    2. Instruct to report satisfactory comfort
    pain levels

    Patient needs to
    learn to use pain
    3. Teach the patient relief strategies to
    the effective minimize the pain
    timing of the experience
    medication dose in
    relation to
    potentially
    uncomfortable
    activities and
    prevention of peak
    periods

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