ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: ●acute pain related STG: ●provide an ●for the patient feel ●after 6 hrs. of
“Ang sakit ng to distension of ● After 6 hrs. of adequate comfortable nursing intervention
tagiliran ko!”, as intestinal tissue by nursing intervention environment. the patient’s pain
verbalized by the inflammation as the patient’s pain And proper had relive from
patient. manifested by right will relive from ventilation. (7/10) to (5/10) pain
lower quadrant pain (7/10) to (5/10) pain scale.
OBJECTIVE: scale. ●position the ●to make patient
●Diaphoresis patient in feel comfortable
●restlessness comfortable and better.
●body temp. position such as ● Within the
(36.3°C) LTG: supine position. hospital stayed of
●Epigastric pain ● Within the the patient, the pain
pain scale (7/10) hospital stays of the ●prepare the patient had relieved,
patient, the pain will in surgical ●to make the patient maintained
relieve, maintain procedure such as to be well prepared nutritional
nutritional appendectomy. and aware about the requirements, and
requirements, and surgery that hr will was be able to
will be able to ●encourage the undergo. demonstrate or
demonstrate or patient in soft diet. ●to prevent any initiate behavioral
initiate behavioral effect to his modifications of
modifications of ●note the location lifestyle.
lifestyle. of surgical ●as this can
procedure. influence the
amount of post
operative pain
●provide adequate experienced.
rest period post op.. ●to prevent fatigue.
●closely monitor
the vital signs every ●to determined if
2 hrs. there are changes or
abnormal findings.
●monitor I&O
● To know if there
●provide comfort is changes.
measure such as ●to provide non-
changing position pharmacologic pain
management.
●review procedures/
expectations and tell ●to reduce concern
the patient when the of unknown and
treatment hurts. associated muscle
tension.
●administer
mefenamic acid 500 ● to relieve pain
mg./cap ÷ cap TID
PRN as prescribed
by the physician.

●administer meds.
As prescribed by the ●to help the patient
physician. to feel better
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