This nursing care plan addresses acute pain in a postoperative patient. The plan involves assessing the patient's pain level and location, administering analgesics as needed, and educating the patient on non-pharmacological pain relief methods such as relaxation techniques. The goal is for the patient to report relief of pain to a level of 3/10 or less within 8 hours using both pharmacological and non-pharmacological interventions. Progress will be evaluated based on the patient's self-reported pain level and demonstration of learned pain management strategies.
This nursing care plan addresses acute pain in a postoperative patient. The plan involves assessing the patient's pain level and location, administering analgesics as needed, and educating the patient on non-pharmacological pain relief methods such as relaxation techniques. The goal is for the patient to report relief of pain to a level of 3/10 or less within 8 hours using both pharmacological and non-pharmacological interventions. Progress will be evaluated based on the patient's self-reported pain level and demonstration of learned pain management strategies.
This nursing care plan addresses acute pain in a postoperative patient. The plan involves assessing the patient's pain level and location, administering analgesics as needed, and educating the patient on non-pharmacological pain relief methods such as relaxation techniques. The goal is for the patient to report relief of pain to a level of 3/10 or less within 8 hours using both pharmacological and non-pharmacological interventions. Progress will be evaluated based on the patient's self-reported pain level and demonstration of learned pain management strategies.
This nursing care plan addresses acute pain in a postoperative patient. The plan involves assessing the patient's pain level and location, administering analgesics as needed, and educating the patient on non-pharmacological pain relief methods such as relaxation techniques. The goal is for the patient to report relief of pain to a level of 3/10 or less within 8 hours using both pharmacological and non-pharmacological interventions. Progress will be evaluated based on the patient's self-reported pain level and demonstration of learned pain management strategies.
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DRUG STUDY
Name of Drug Classification Indication Contraindication Side effects/Adverse Nursing
effects responsibilities Generic name: Antihistamine Temporary Hypersensitivity to dizziness Monitor Diphenhydramine symptomatic relief of diphenhydramine drowsiness cardiovascular Mechanism of various allergic hydrochloride and loss of status Brand Name: action: conditions and to other coordination especially with Benadryl Competitively treat or prevent antihistamine of constipation preexisting blocks effects of motion sickness, similar chemical upset stomach cardiovascular Route: histmanine at vertigo, and structure. dry eyes disease. IV peripheral H1 reactions to blood or blurred vision; or Monitor for receptor sites plasma in day-time adverse effects susceptible patients. drowsiness especially in Frequency and Also used in children and dosage: anaphylaxis as the older adult. 50 mg PRN adjunct to Supervise epinephrine and ambulation and other standard use side-rails measures after as necessary. acute symptoms have been controlled. DRUG STUDY
Name of Classification Indication Contraindication Side effects/Adverse Nursing
Drug effects responsibilities Generic Anti-inflammatory Analgesia, Hypersensitivity to CNS: headache, Assess for name: NSAID Dysmenorrhea, drug or it’s dizziness, drowsiness hypertension Diclofenac rheumatoid components, other Monitor hepatic Mechanism of action: arthritis, NSAIDs, or aspirin CV: hypertension and renal Brand Thought to block osteoarthritis Active GI bleeding function Name: activity of ankylosing or ulcer disease GI: diarrhea, abdominal Observe for Voltaren cycooxygenase , spondylitis pain, dydpepsia, heart and report thereby inhibiting burn, peptic ulcer, GI signs and Route: inflammation bleeding symptoms of IV responses of bleeding vasodilation and GU: dysuria, frequent Instruct patient swelling and blocking urinations, nephritis to take a drug Dosage: transmitions of painful on empty 75 mg stimuli Hepatic: hepatotoxicity stomach for 1 hour before or Skin: rash, contact after a meal dermatitis Advice patient not to lie down for 15 to 30 minutes after taking drug, to minimize esophageal irritation Instruct patient to immediately report signs or symptoms of hypersensitivity reaction. NURSING CARE PLAN Assessment Diagnosis Planning Intervention Rationale Evaluation Subjective: Acute pain After 8 hours of Independent Goal was met related to nursing Note location of Influence the as evidenced by Pain scale of 6/10 presence of intervention the surgical amount of post- surgical incision client will be able procedures. operative pain as manifested by to: experienced. Patient reported facial grimacing. Assess for To help determine pain is relieved Objective: Report pain referred pain, as possibility of and controlled is relieved appropriate. underlying with a pain scale Dressing on and condition. of 3/10 while surgical site controlled. Obtain client’s To rule out demonstrating Pale Verbalize assessment of worsening of non- Facial non- pain to include underlying pharmacologic grimacing pharmacolo location, condition/develop methods in gic characteristics, ment of achieving relief. methods quality, intensity, complication. that provide etc relief. Administer analgesics as To maintain indicated to acceptable level maximum of pain. Notify dosage, as physician if needed. regimen is inadequate to Dependent: meet pain control Educate patient in goal. use of relaxation techniques (e.g., To distract focused attention and breathing) and reduce tention. diversional activities.
