ADRIAN MALLR BSN 3/GROUP 4 FOCUS: PAIN ASSESSMENT

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SCIENTIFIC BACKGROUND
Gastroenteritis is the inflammation of the stomach and intestinal tract that primarily affects the small bowel. One of the manifestations of gastroenteritis is abdominal pain. During the course of inflammation, the bodys immune response, causing the release of cytokine and prostaglandin causing an increase in vascular permeability and causes pain, which felt by the patient in the abdomen.

DIAGNOSIS
Diagnosis: Acute pain related irritation of the bowel wall.

NURSING CARE PLAN PLANNING

Within 30 mins 1 hour of rendering proper nursing interventions the patient will be able to report pain is relieved / controlled by the pain scale of 8/10 to 4/10.

INTERVENTION
Perform comprehensive assessment of pain scale, include location, quality, severity and duration. Note the clients locus of control.

RATIONALE
To assess etiology/ precipitating contributory factors.

EVALUATION
After 30 mins 1 hour of rendering proper nursing interventions the patient will be able to report pain is relieved / controlled by the pain scale of 8/10 to 4/10. Goal Partially met.

Pain scale of 8/10 O> with guarding behavior >grimace noted >irritable at times >easy fatigability >Abdominal Pain >Weak in appearance >Limited range of motion >Reduced interaction with people >sleep disturbances

Individuals with external locus of control may take a little or no responsibility for pain management. Observations may or may not be congruent with verbal reports indicating need for further evaluation. To evaluate clients response to pain.

Observe nonverbal cues seen by the patient.

Ascertain clients knowledge of and expectations about pain management.

 Review clients previous experiences with pain and methods found either helpful or unhelpful for pain control in the past. Work with client to prevent pain. Instruct the client to report as soon as it begins. Provide a quiet environment, calm activities to the patient. Provide comfort measures.

To know what proper implementations to be rendered to the client.

Timely interventions are more likely to be successful in alleviating pain. To promote relaxation.

To provide nonpharmacologic pain management. To alleviate attention and comfort to relief pain Deep breathing exercises may reduce pain sensation.

Encourage diversional activities

Instruct the client the use of relaxation exercises such as deep breathing.

 Instruct client to avoid foods such as milk and chocolate. Indentify way of minimizing the pain such as; firm mattress, good body mechanism. Administer analgesics to maintain acceptable level of pain if not contraindicated and as prescribed. Monitor effectiveness of pain medications

Milk and chocolate increases gastric motility. Helps relieve pain.

To decrease pain.

To promote timely intervention/ revision of plan of care