NCP Rom Xyza

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ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

S: “masakit po ngipin Acute pain related to Short Term Goal: Independent: Independent: Partially met:
ko lalo na kapag tooth decay as 1. Within 2 hours the 1. Regularly assess 1. Regular pain 1. Within 2 hours, the
kumakain” evidenced by patient will be able to the patient's pain assessment maintains patient must be able
presence of tooth reduce pain to a more levels and the awareness of patient to reduce pain to a
O: (+) tooth cavities cavities. comfortable level, effectiveness of pain discomfort and more comfortable
(+) discomfort such as aiming for a management gauges the success of level, achieving a
pain scale of 1/10. interventions. pain treatment. pain scale of 1/10.
2. Within 5 hours the 2. Administer 2. Administering 2. Within 5 hours, the
VS: patient will be able to localized anesthesia localized anesthesia patient must be able
BP: 90/60 mmHg decrease discomfort when appropriate eases dental to decrease
RR: 24 breaths/min around the affected during dental procedure distress discomfort around
HR: 76 beats/min tooth. procedures to and limits immediate the affected tooth.
T: 36.5 C minimize discomfort pain sensation.
Long-Term Goal: and acute pain. 1. Within 2 weeks,
PS: 3/10 1. Within 2 weeks the Dependent: the patient must be
patient will be able to Dependent: 1. Swift dental care able to have
have complete dental 1. Ensure timely and targets cavities, the completed dental
treatment, such as professional dental cause of pain, treatment, including
fillings or root canal intervention to delivering prompt fillings or root canal
therapy, to address address cavities and relief from acute therapy, addressing
the underlying tooth tooth decay, discomfort. the underlying tooth
decay and prevent effectively alleviating 2. Prescribing pain decay and preventing
further pain. the source of acute relief or suggesting further pain.
2. Within 3 weeks the pain. OTC options 2. Within 3 weeks,
patient will be able to 2. Prescribe suitable effectively combats the patient must be
implement effective pain relief pain stemming from able to implement
oral hygiene practices medications or tooth decay. effective oral hygiene
to prevent future recommend over-the- practices to prevent
cavities and maintain counter options to Collaborative: future cavities and
optimal oral health. effectively manage 1. Team up with the maintain optimal oral
acute pain resulting dental hygienist to health.
(-) tooth cavities from tooth decay. educate patients
(-) discomfort about oral hygiene, (-) tooth cavities
Collaborative: curbing future (-) discomfort
PS: 0/10 1. Collaborate with cavities and related
the dental hygienist pain. PS: 0/10
to educate the patient 2. Coordinate with
on optimal oral the patient's
hygiene practices, physician for a
thereby minimizing holistic pain
the risk of future management strategy,
cavities and factoring in overall
associated pain. health conditions.
2. Coordinate with
the patient's primary
care physician to
consider any
underlying medical
conditions, ensuring a
comprehensive pain
management plan
that aligns with the
patient's overall
health.

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