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    NCP Stab Wound

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    joved
    The patient had recent abdominal surgery and was experiencing pain from the surgical incision. The nurse's plan was to monitor the patient's vital signs and incision site for signs of infection, encourage relaxation techniques to help manage the patient's pain, and administer antibiotics and pain medication as prescribed to prevent infection and reduce pain. The nurse would evaluate the effectiveness of the interventions after 3 days by assessing whether the patient could verbalize minimized pain levels and demonstrate use of relaxation skills.

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    NCP Stab Wound

    Uploaded by

    joved
    7K views3 pages
    The patient had recent abdominal surgery and was experiencing pain from the surgical incision. The nurse's plan was to monitor the patient's vital signs and incision site for signs of infection, encourage relaxation techniques to help manage the patient's pain, and administer antibiotics and pain medication as prescribed to prevent infection and reduce pain. The nurse would evaluate the effectiveness of the interventions after 3 days by assessing whether the patient could verbalize minimized pain levels and demonstrate use of relaxation skills.

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    Ncp Stab Wound

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    The patient had recent abdominal surgery and was experiencing pain from the surgical incision. The nurse's plan was to monitor the patient's vital signs and incision site for signs of infection, encourage relaxation techniques to help manage the patient's pain, and administer antibiotics and pain medication as prescribed to prevent infection and reduce pain. The nurse would evaluate the effectiveness of the interventions after 3 days by assessing whether the patient could verbalize minimized pain levels and demonstrate use of relaxation skills.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    7K views3 pages

    NCP Stab Wound

    Uploaded by

    joved
    The patient had recent abdominal surgery and was experiencing pain from the surgical incision. The nurse's plan was to monitor the patient's vital signs and incision site for signs of infection, encourage relaxation techniques to help manage the patient's pain, and administer antibiotics and pain medication as prescribed to prevent infection and reduce pain. The nurse would evaluate the effectiveness of the interventions after 3 days by assessing whether the patient could verbalize minimized pain levels and demonstrate use of relaxation skills.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    Risk for infection After 8 hours of Monitor vital signs Serve as baseline After 8 hours of
    O- related to presence of nursing intervention, data, and may be nursing intervention,
    Presence of incision incision wound at the the client will be free used as indicator of the client was free
    on the abdomen abdomen from from signs of infection from signs of
    previous exploratory infection as infection as
    laparotomy manifested by vital Assess for signs and This signs may manifested by vital
    signs at normal range symptoms of indicate infection signs at normal range
    for his age esp. infection specifically, for his age esp.
    temperature. And temperature, draining temperature of
    absence of redness of pus in incision and 36.6’C. And absence
    and draining of pus in redness of redness and
    the incision site. draining of pus in the
    Emphasize the It serves as universal incision site.
    importance of precaution in
    handwashing infection control

    Maintain aseptic Regular wound


    technique when dressing facilitates
    changing dressing and fast healing and
    cleaning of wound. drying of wound.

    Keep area around Wet area can be


    wound clean and dry. lodge area of
    bacteria.

    Administer antibiotics Premature


    as prescribed. And discontinuation of
    emphasize the treatment when
    necessity of taking client begins to feel
    antibiotic as ordered well may result in
    return of infection
    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
    S- “Mas masakit Aute pain related to After 3 days of Monitor vital signs Alteration in vital After 8 hours of
    ngayon kaysa nung presence of surgical nursing intervention, and check dressing of signs from normal nursing intervention,
    nasaksak ako, mas incision, s/p the client will be able the affected site may be a sign of verbalized minimized
    masakit yung tahi”, as exploratory to verbalized infection. Moistened feeling of pain form 7
    verbalized by the laparotomy. controlled or dressing is favourable out of 10 to 5 out of
    patient. minimized feeling of site of infection for 10 , demonstrated
    pain, demonstrate microorganism. use of relaxation skills
    use of relaxation skills Infection may cause and diversional
    O- and diversional activities such as
    -presence of surgical activities that is Assess for signs of To aid in evaluating reading of journals
    incision in the indicated for him. pain, location, and the need for further and chatting with his
    abdomen intensity and use of intervention in visitors.
    -Guarding behaviour pain scale of 0-10 and reduction of pain.
    upon moving evaluate Continued and
    - facial grimace characteristic of pain increasing pain may
    -pain scale of 7 out of indicate further
    10 complication.
    -decrease body
    movement, to avoid Encourage diversional Allow the mind to
    feeling of pain. activities, such as focus on the reading
    -sudden body reading of journal, material and allow
    movement caused and deep breathing the muscle to relax.
    pain to the surgical exercise.
    site
    Provide comfort This provide non
    measure such as back pharmacological
    rub. treatment and
    relaxation

    Administer pain To promote a


    reliever, as order pharmacological
    effect in reducing
    pain
    Administer antibiotic, Use to treat and
    as order prevent infection
    caused by susceptible
    pathogens in the skin
    structure

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