Nursing Care Plan

Nursing
Assessment Planning Interventions Rationale Evaluation
Diagnosis

Subjective: Pain related to > After 30min of Indepent Nsgx.  Reported pain
destruction of nursing interventions, Interventions: lessens from
“ Masakit at namamaga protective skin layers as the patient’s reported 6/10 to 3/10.
pa din ang paa ko” as evidenced by swelling. pain will be control. > Put client into his > To promote comfort
verbalized by the most comfortable and provide non-  Elevated body
patient. > After 30min of position with elevation pharmacological temperature
nursing intervention the of both lower management. lessens into
elevated body extremities. normal range
temperature will be from 37.6°C to
Objective: lessen into normal > Encouraged patient to > To promote
range. do focused breathing. relaxation techniques. 36.7°C.
- Pain scale of
6/10 > Encouraged patient to > To divert and distract  Goal met
talk and socialize with attention and reduce
- Swelling on the others. tension.
affected area of
the right leg. > Advised patient to > To prevent Fatigue.
take an adequate rest
- Redness on the periods.
area
> Rendered tepid > To lessen elevated
- Guarding sponge bath body temperature.
behavior &
Protective Dependent Nsgx.
gestures to his leg Interventions:

- Increase body > Administered > To prevent further

temperature due Ciprofloxacin complication brought
to pain relation, 500mg/cap BID as by infections.
noted as 37.6 °C prescribed by the
physician.
- Irritable
>Administered > To relieve or lessen
- Uneasiness Diclofenac Na reported pain felt by the
5omg/tab TID as patient.
prescribed by the
physician.