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NURSING CARE PLAN Assessment Diagnosis

Subjective: Mejo masakit ang kaliwang hita ko, When the client ranked the pain she was experiencing she gave 5, being 10 as the highest and 1 is the lowest. Objective: Facial Grimace Limited movements Guarding behavior
Acute pain related to compressed nerve.

Planning Intervention
At the end of the shift of nursing intervention pain will lessen w/ pain scale of 2/10 Independent: Evaluate pain regularly noting characteristics, location, intensity (0-10 scale). Provide quiet and calm environment Identify specific activity limitations. Encourage use of relaxation technique like deep breathing exercise and ROM exercises. Provide comfort measures (ex. Back rub, use of heat and cold application) Reposition

Rationale

Evaluation

Goal partially met as evidenced by the patient Hindi na gaanong To provide nonmasakit ang pharmacological kaliwang hita pain management. ko as verbalized by relieves mild to the patient with moderate pain the Pain scale of 2/10 Improves circulation, reduces muscle tension and anxiety associated with pain. Promote wellness.

Collaborative: Administer analgesics To relieve pain or maintain or NSAIDS drugs as to acceptable level of prescribed. pain

Assessment
Subjective: Hindi makagalaw maayos verbalized by patient ako ng as the

Diagnosis
Impaired physical Mobility related to pain, discomfort, decreased muscle strength.

Planning Intervention
At the end of the shift of nursing intervention the patient will move comfortly. Promote adequate mobility of the client. assist patient to do active ROM exercises Encourage patient to stand or walk as tolerated using parallel bars. Support affected body parts or joints using pillows or rolls.

Rationale
improve muscle strength and joint mobility In order for the patient to become more relax and comfortable to relieve pain and motion sickness to develop individual exercise or mobility program and identify appropriate adjunctive devices. To relieve pain or to maintain acceptable level of pain

Evaluation
Goal partially met as evidenced by the patient that he moves better and moves comfortly.

Objective: limited range of motion in the left leg Difficulty in changing position while lying on bed Slowed movement

administer pain reliever such as tramadol as prescribe by the physician. Consult with physical or occupational therapist as indicated.

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