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Nursing Care Plan - Acute Pain Assessment Diagnosis Scientific Rationale Planning Intervention Rationale Evaluation

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Nursing care plan – Acute pain

Assessment Diagnosis Scientific rationale Planning Intervention Rationale Evaluation


Subjective: Acute pain related Colonization of E- Discharge outcome: Independent: Goal achieved:
“Sobrang to inflammation of COLI in the urethra/
sakit po kapag the urinary tract as cervix/ bladder After 3 days of nursing 1. Perform pain To demonstrate The client pain is relieved and
umiihi ako” as evidenced by intervention the client assessment each improvement in status controlled
verbalized by burning pain in will report pain is time pain occurs. or to identify worsening
theclient urination relieved or controlled of underlying condition, The client was able to
Ascension to the developing demonstrate relaxation skills and
Objective: bladder Short term outcome: complications diversional activities such as.
-Fever Focused breathing, visualization,
-Abdominal After 2 hours of guided imagery
pain nursing intervention 2. Encouraged To Increased hydration
-Dysuria Increase in the patient will increased oral fluid helps in flushing the
(Burning pain) neutrophil demonstrate 1-2 intake (2-3 liters if no bacteria and toxins.
-presence of relaxation skills and contraindications.
hematuria diversional activities
-urinary 3 Provide additional Improves circulation,
urgency, Inflammatory comfort measures reduces, reduces mucle
hesistancy response such as backrub and tension and anxiety
and anuria heat or cold associated with pain
-Flank/back applications
pain
-vomiting
-Facial Prostaglandin
grimace release 4. Use puppets to To enhance
-pain scale demonstrate understanding and
8/10 procedure for child. reduce level of anxiety
and fear

Burning pain during 5. Encourage To evaluate coping


urination verbalization of abilities and to identify
feelings about the areas of additional
pain such as concern
about tolerating pain, concern.
anxiety, pessimistic
thoughts.

Collaborative:

1. identify specific s/s


and changes in pain It provides opportunities
characteristic to modify pain
requiring medical management regimen
follow up. and allows for timely
intervention for
developing
complications.

2. provide for
individualized Promotes active, rather
physical therapy or than passive, role and
exercise program enhances sense of
that can be control.
continued by the
client after discharge

References:
Marilynn E. Doenges,
Marry Frances
Moorhouse, Alice C.
murr nurse’s pocket
guide diagnoses,
prioritized
interventions, and
rationales Pages 602 -
605

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