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    NCP Pain (H Mole)

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    Khat Quimen Mayo
    The patient reported acute pain at a level of 6/10 on the pain scale due to an underlying disease process. Objective signs included a temperature of 37.5°C, pulse of 82 bpm, respiratory rate of 24 cpm, and blood pressure of 130/90 mmHg. After 4 hours of nursing interventions including monitoring, assessment, encouragement of verbalization and the use of comfort measures, the patient reported that their pain was relieved or controlled.

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    NCP Pain (H Mole)

    Uploaded by

    Khat Quimen Mayo
    13K views3 pages
    The patient reported acute pain at a level of 6/10 on the pain scale due to an underlying disease process. Objective signs included a temperature of 37.5°C, pulse of 82 bpm, respiratory rate of 24 cpm, and blood pressure of 130/90 mmHg. After 4 hours of nursing interventions including monitoring, assessment, encouragement of verbalization and the use of comfort measures, the patient reported that their pain was relieved or controlled.

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    ncp-pain(h-mole)

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    The patient reported acute pain at a level of 6/10 on the pain scale due to an underlying disease process. Objective signs included a temperature of 37.5°C, pulse of 82 bpm, respiratory rate of 24 cpm, and blood pressure of 130/90 mmHg. After 4 hours of nursing interventions including monitoring, assessment, encouragement of verbalization and the use of comfort measures, the patient reported that their pain was relieved or controlled.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    13K views3 pages

    NCP Pain (H Mole)

    Uploaded by

    Khat Quimen Mayo
    The patient reported acute pain at a level of 6/10 on the pain scale due to an underlying disease process. Objective signs included a temperature of 37.5°C, pulse of 82 bpm, respiratory rate of 24 cpm, and blood pressure of 130/90 mmHg. After 4 hours of nursing interventions including monitoring, assessment, encouragement of verbalization and the use of comfort measures, the patient reported that their pain was relieved or controlled.

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    CUES

    NURSING DIAGNOSIS
    Acute pain r/t disease process as evidenced by nonverbal cues such as (+) guarding and facial grimace. STG:

    GOAL

    NURSING INTERVENTION

    RATIONALE

    EVALUATION

    Subjective: Masakit talaga tong nararamdaman ko, as verbalized by the patient. - 1 is the lowest and 10 is the highest pain scale; Pain scale is 6/10 Objective: V/S: T= 37.5 C PR= 82 bpm RR= 24 cpm BP= 130/90 mmHg

    After 4 hours of proper nursing intervention the patient reports that the pain is relieved/ controlled.

    Independent: y Monitor skin y To provide baseline color/temperature data and usually and vital signs. altered in acute pain. y Perform a y To rule out comprehensive worsening of assessment of underlying pain to include condition/developme location, nt of complications. characteristics, And in order to plan onset, duration, effective treatment. frequency, quality, intensity or severity, and precipitating factors of pain. Note changes. y Pain is a subjective y Encourage experience and verbalization of cannot be felt by feelings about the others. pain. y Pain is subjective y Accept clients experience and description of pain. Acknowledge cannot be felt by others. the pain experience and convey acceptance of

    GOAL MET

    y Guarding behavior, protecting body part y (+)Facial grimace y (+)Irritability

    clients response to pain. y Provide comfort measure, encourage use of relaxation techniques such as touch, repositioning, nurses presence and deep breathing and encourage use of diversional activities such as socialization with others. y Encourage adequate rest periods. y To promote nonpharmacological pain management and to distract attention and reduce tension.

    y To prevent fatigue.

    Dependent: y Administer y To maintain analgesics, as acceptable level of indicated, to pain. maximum dosage, as needed. Source: Nurses Pocket Guide, 11th ed. by M. Doenges, MF. Moorhouse and A. Murr p.498-503

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