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    Nursing Care Plan: Assessment Diagnosis Planning Intervention Rationale Evaluation

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    Joselyn M. Lachica
    The nursing care plan involves assessing an acute back pain in a patient who verbalized increased pain. The plan is to determine the patient's pain history and triggers, provide non-pharmacological comfort measures, encourage stress management skills, and administer analgesics as needed. The goal is for the patient to report minimized or controlled pain after 8 hours of nursing intervention.

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    Nursing Care Plan: Assessment Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    Joselyn M. Lachica
    68 views1 page
    The nursing care plan involves assessing an acute back pain in a patient who verbalized increased pain. The plan is to determine the patient's pain history and triggers, provide non-pharmacological comfort measures, encourage stress management skills, and administer analgesics as needed. The goal is for the patient to report minimized or controlled pain after 8 hours of nursing intervention.

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    NCM 106 Module 2 Lesson 1 Continuation

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    The nursing care plan involves assessing an acute back pain in a patient who verbalized increased pain. The plan is to determine the patient's pain history and triggers, provide non-pharmacological comfort measures, encourage stress management skills, and administer analgesics as needed. The goal is for the patient to report minimized or controlled pain after 8 hours of nursing intervention.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    68 views1 page

    Nursing Care Plan: Assessment Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    Joselyn M. Lachica
    The nursing care plan involves assessing an acute back pain in a patient who verbalized increased pain. The plan is to determine the patient's pain history and triggers, provide non-pharmacological comfort measures, encourage stress management skills, and administer analgesics as needed. The goal is for the patient to report minimized or controlled pain after 8 hours of nursing intervention.

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    NURSING CARE PLAN

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


    Subjective: Acute Pain After 8 hours of nursing Independent: After 8 hours of nursing
    “Sumasakit lagi ang intervention, patient will Determine pain history. Information provides baseline data to evaluate intervention, patient
    likod ko” as verbalized verbalized minimize or effectiveness of interventions. verbalized minimize or
    by the patient. control feeling of pain. controlled pain.
    Determine timing or precipitants of Pain may occur near the end of the dose Goal met.
    Objective: “breakthrough” pain when using around- interval, indicating need for higher dose or
    - Facial Grimace the-clock agents, whether oral, IV, or patch shorter dose interval. Pain may be
    - Anxiety medications. precipitated by identifiable triggers, or occur
    spontaneously, requiring use of short half-life
    agents for rescue or supplemental doses.

    Evaluate and be aware of painful effects of A wide range of discomforts are common
    particular therapies (surgery, radiation, (incisional pain, burning skin, low back pain,
    chemotherapy, and biotherapy). Provide headaches), depending on the procedure and
    information to patient about what to agent being used. Pain is also associated with
    expect. invasive procedures to diagnose or treat
    cancer.

    Provide nonpharmacological comfort Promotes relaxation and helps refocus


    measures (massage, repositioning, attention.
    backrub) and diversional activities (music,
    television)

    Encourage use of stress management skills Enables patient to participate actively in


    or complementary therapies (relaxation nondrug treatment of pain and enhances
    techniques, visualization, guided imagery, sense of control. Pain produces stress and, in
    biofeedback, laughter, music, conjunction with muscle tension and internal
    aromatherapy, and therapeutic touch). stressors, increases patient’s focus on self,
    which in turn increases the level of pain.

    Provide cutaneous stimulation (heat or May decrease inflammation, muscle spasms,


    cold, massage). reducing associated pain.

    Dependent: To manage pain.


    Administer analgesics as indicated.

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