Assessment Nursing Diagnosis Planning Intervention Evaluation

Subjective Data:
*Masakit sa
Tiyan.

*Pain is 6 in pain
scale of 1/10



*Acute Pain
related to surgery
and other
adjuvant therapy.
*The major goal
for the patient
includes;
* Relief from pain.

*To administer
pain medication.
Give health
teachings about:
Non-
Pharmacological
pain Management
*diversion of
attention

*let the client
listen to music

*application of hot
compress

*massage therapy

*guided imagery

*aromatherapy

Pharmacological
Pain Management
*give analgesics
After the nursing
intervention, the
patient pain
become 2 in pain
scale of 1/10.

Assessment Nursing Diagnosis Planning Intervention Evaluation
Subjective Data
nahihirapan din
ako minsan kasi
hindi ako pwedeng
maggagagalaw.
Hindi na rin ako
pwedeng sumali
sa mga sports
activity sa school
kasi nga bawal.
*Impaired Physical
mobility related to
prescribed
movement
restrictions.
After nursing
intervention the
client will be able
to understand
health teachings;
*increase physical
activities;
*verbalize feeling
of increased
strength
Give health
teachings on:
*self care
especially on
hygiene and
activities of daily
living.

*minimize forceful
activities.

*Monitor and
record client's
ability to tolerate
activity and use all
four extremities;
note pulse rate,
blood pressure,
dyspnea, and skin
color before and
after activity.
After the nursing
intervention the
client verbalizes
understanding on
health teachings.
*continue school
activities but only
the light ones.