1. The patient reported acute pain from multiple IV insertion trials rated at 10/10 on a pain scale.
2. The nursing care plan identified the patient's pain, set a goal to lessen the pain to 5/10 on the scale within 8 hours, and outlined nursing interventions including distraction, reducing noise and light, encouraging rest, and advising on nutrition.
3. After implementing the interventions, the patient's pain decreased from 10/10 to 3/10, indicating the interventions were effective in meeting the goal.
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1. The patient reported acute pain from multiple IV insertion trials rated at 10/10 on a pain scale.
2. The nursing care plan identified the patient's pain, set a goal to lessen the pain to 5/10 on the scale within 8 hours, and outlined nursing interventions including distraction, reducing noise and light, encouraging rest, and advising on nutrition.
3. After implementing the interventions, the patient's pain decreased from 10/10 to 3/10, indicating the interventions were effective in meeting the goal.
1. The patient reported acute pain from multiple IV insertion trials rated at 10/10 on a pain scale.
2. The nursing care plan identified the patient's pain, set a goal to lessen the pain to 5/10 on the scale within 8 hours, and outlined nursing interventions including distraction, reducing noise and light, encouraging rest, and advising on nutrition.
3. After implementing the interventions, the patient's pain decreased from 10/10 to 3/10, indicating the interventions were effective in meeting the goal.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
1. The patient reported acute pain from multiple IV insertion trials rated at 10/10 on a pain scale.
2. The nursing care plan identified the patient's pain, set a goal to lessen the pain to 5/10 on the scale within 8 hours, and outlined nursing interventions including distraction, reducing noise and light, encouraging rest, and advising on nutrition.
3. After implementing the interventions, the patient's pain decreased from 10/10 to 3/10, indicating the interventions were effective in meeting the goal.
Copyright:
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Download as DOC, PDF, TXT or read online from Scribd
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LEADERSHIP AND MANAGEMENT
Student Nurse In –Charge: Student Head Nurse: LEOCHICO, Maricris M.
Patient: Mailo, Florencia Room and Bed No.: 505 Bed C
Nursing Care Plan:
Nursing Analysis Goal and Nursing Rationale Evaluation Problem Objectives Intervention Cues Acute pain Scientific Analysis: related to Pain is an unpleasant After 8 hours of EFFECTIVENESS: multiple IV sensory experience nursing The nursing interventions insertion trial arising from potential interventions, implemented are effective tissue damage. It is a the client’s pain since the goal was met as Subjective: subjective state in will be lessen as evidenced by the client’s “Masaket naka 2 which a person evidenced by verbal report of decreased tusok na sila.” demonstrates client’s pain from 7 to 3 on a pain discomfort, verbally, statement of scale of 0-10, o indicating “Wag ka lalapit, or non verbally, or decreased pain “no pain” and 10 as “worst wag mo ng both. The pain from 10 to 5 on pain possible”. gagalawin ung experience consists a pain scale of bote, baka of two components: 0-10, o pumutok perception and indicating “no EFFICIENCY: nanaman, reaction. An intact pain” and 10 as The interventions done are tutusukan nervous system is “worst pain efficient since they nanaman ako ng required to perceive possible”. performed in the best panibago” pain. Pain reaction is possible manner with least what the individual Objectives: waste of time and effort; Objective: feels, thinks and does After series of having and using requisite about the perceived nursing knowledge, skill, industry - guarding pain. An individual’s interventions, te and competency. behavior response to pain is client will be INDEPENDENT: - protective influenced by able to: a. Encourage a. Distraction ADEQUACY: gestures emotions, level of diversional interferes with The interventions are - irritability consciusness, cultural 1. be and calm pain stimulus by sufficient to achieve the - 10/10 pain background, past provided with activities modifying goal. scale (10 is experiences with pain pain such as awareness of the most and meaning of pain. management newspaper pain. It is best painful) Pain interferes with a interventions reading. used for periods APPROPRIATENESS: person’s ability to . with mild to The interventions planned rest, concentrate, and moderate pain. and carried out are perform normal (Medical-Surgical appropriate to the activities. Nursing Care Plans. identified problem. They Engram, p.703) were also appropriate for (Medical-surgical the client’s age and level Nursing Care Plans, b. Reduce noise b. Usually, intense of understanding. Engram p. 700) and bright environmental lights. stimuli intensify Health Implication: pain perception. ACCEPTABILITY: Pain is a valuable (Medical-Surgical The interventions are diagnosis indicator; it Nursing Care Plans. acceptable since they usually indicates Engram, p.703) yielded positive results tissue damage or and promoted client’s pathology. Pain is c. Encourage c. Adequate rest wellness. usually reported as periods of and sleep is severe discomfort or rest. essential for the an uncomfortable speeding up of sensation. It poses a pain threat to basic needs management by: processes. Lack of sleep and rest • interfering with the can also be a ability to meet food, cause of pain and fluid and sleep can also increase needs pain. Therefore, • affecting elimination sleep and rest • Interfering with are very breathing and necessary in pain meeting oxygen relief needs. (www.buzzle.com) • Limiting mobility, leading to impaired skin integrity and DEPENDENT: altered ability for self care. a. Review the intervention a. To promote s discussed wellness and to lessen facilitate the pain and continuous care teach the in the absence client and of health care significant provider. It also poses a threat others the (Nurse’s Pocket to a higher level proper way Guide, 11th ed. By needs by: to do it. Doenges p. 501)
• interfering with b. Review with
relationships with the client b. To promote significant others, 2. promote the wellness and communication, wellness activities facilitate sexuality, social that she continuous care. environment, and may or may (Nurse’s Pocket job performance not do to Guide, 11th ed. By prevent Doenges p. 501) • causing spiritual aggravation distress and of pain. potentially leading c. Vitamin A plays to violence. c. Advise an important intake of role in immune • Delaying nutritious system function rehabilitation, and and helps resist enabling Pin itself to balanced invasion by become the foods microorganisms; disability. appropriate Vitamin C has for the antiviral activity, (REF: Medical Surgical client’s age and may help nursing 4th Ed. By and prevent viral Hargroove-huttel. condition. infections, also p.73) Stress the reduces the importance severity and of including duration of an foods rich in infection. Vitamin A and C in her Nutrition is a Low Fat Low major Salt Diet. contributor to the functioning of the immune system, which in turn influences whether or not the body is resistant to infection.