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    Tuano, Salma M. Bsn4-1 Acute Pain

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    SALMA M. TUANO
    The document describes a patient's acute pain following a mastectomy, noting the patient's subjective report of 9/10 pain, objective signs of restlessness, irritability, and a painful incision with slight redness and warmth. A nursing assessment is provided along with a plan for both short-term and long-term interventions to reduce the patient's pain through non-pharmacological comfort measures, monitoring, rest, and administering prescribed analgesics with the goals of decreasing reported pain levels and preventing infection or other complications.

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    Tuano, Salma M. Bsn4-1 Acute Pain

    Uploaded by

    SALMA M. TUANO
    368 views2 pages
    The document describes a patient's acute pain following a mastectomy, noting the patient's subjective report of 9/10 pain, objective signs of restlessness, irritability, and a painful incision with slight redness and warmth. A nursing assessment is provided along with a plan for both short-term and long-term interventions to reduce the patient's pain through non-pharmacological comfort measures, monitoring, rest, and administering prescribed analgesics with the goals of decreasing reported pain levels and preventing infection or other complications.

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    Ncp Acute Pain

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    The document describes a patient's acute pain following a mastectomy, noting the patient's subjective report of 9/10 pain, objective signs of restlessness, irritability, and a painful incision with slight redness and warmth. A nursing assessment is provided along with a plan for both short-term and long-term interventions to reduce the patient's pain through non-pharmacological comfort measures, monitoring, rest, and administering prescribed analgesics with the goals of decreasing reported pain levels and preventing infection or other complications.

    Copyright:

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

    Tuano, Salma M. Bsn4-1 Acute Pain

    Uploaded by

    SALMA M. TUANO
    The document describes a patient's acute pain following a mastectomy, noting the patient's subjective report of 9/10 pain, objective signs of restlessness, irritability, and a painful incision with slight redness and warmth. A nursing assessment is provided along with a plan for both short-term and long-term interventions to reduce the patient's pain through non-pharmacological comfort measures, monitoring, rest, and administering prescribed analgesics with the goals of decreasing reported pain levels and preventing infection or other complications.

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    © All Rights Reserved
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    Tuano, Salma M.

    BSN4-1 ACUTE PAIN


    ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
    (Short-Term) (Long-Term)
    Subjective: Acute Pain After 8 hours After 48 hours of INDEPENDENT:
    “Bakit sumasakit padin related to post- of nursing nursing intervention -Establish rapport to -To gain the GOAL MET
    ung inopera saakin? operative incision intervention the patient will the patient and significant others and
    Ang sakit parin niya at left breast the patient will report pain from significant others. patient’s trust &
    eh.1 week na ito db? secondary to report 9/10 to 2/10   cooperation during
    Masakit parin” mastectomy as decrease in the Nursing care &
    manifested by a pain from 9/10 procedures.
    Objective: pain scale of 9/10 to 5/10
    -Perform Pain -To assess etiology
     Restlessness assessment and contributing
     Irritable factors.
     Pain Scale 9/10
     Sharp Pain -Provide -Promotes relaxation
    radiating from nonpharmacological and helps refocus
    the post-surgical comfort measures attention.
    site incision (massage,
     Slight redness repositioning,
    and warmth on backrub) and
    the incision diversional activities
     Facial Grimace (music, television)
    V/S of
    -Accept patient’s -Pain is subjective
     T- 36.2
    description of pain. experience and can’t
     PR- 90
    be felt by others.
     RR- 20
     BP- 130/80 -Monitor Vital Signs. -Usually altered in
    acute pain.

    -Promote calm, quiet -To provide


    environment. nonpharmacological
    Tuano, Salma M. BSN4-1 ACUTE PAIN
    pain management

    -Encourage deep -To lessen sense of


    breathing and some anxiety and
    diversional activities. associated muscle
    tension

    -Encourage -To prevent fatigue


    adequate rest
    periods.

    DEPENDENT:

    -Administer -To maintain


    analgesics as acceptable level of
    doctor’s prescribed. pain.

    -Identify specific sign -To promptly


    and symptoms of identifying possible
    infection on the underlying other
    surgical site. condition.

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