Our Lady of Fatima University

College of Nursing
Antipolo Campus
NURSING CARE PLAN

Patients Name: Patient X Age: 23yrs. old Room no.: MS #2
Medical Diagnosis: Cellulitis Right Arm Gender: Male Diet: on DAT

Assessment Nursing Diagnosis Planning Interventions Rationale Evaluation
Subjective data:
Kumikirot ng
konti ang paligid
ng sugat ko as
verbalized by the
patient.
Pain Scale of
4/10


Acute pain
related to
disruption of
the skin.

Goal:
After effective
nursing
interventions the
clients pain will
decrease from
4/10 to 2/10.

Administer pain
medication as
ordered by the
doctor.
Instruct to elevate
the hand above the
heart.
Encourage to
support the affected
area upon
movement.


Administer
medication to relief
pain.

Instruct to elevate
hand above the heart
to reduce edema.
Encourage to support
the affected area
upon movement to
lessen the pain.

After 1 hr.
of nursing
intervention
the pain felt
by the client
was
decreased
from 4/10 to
2/10.
Objective Data:
(+) Facial
Grimace
Irritability
Restlessness
Swollen lymph
nodes near the
area of infected
skin.
Protective
gesture;
positioning to
avoid pain.
Objectives:
After 1 hr. of
nursing
interventions, the
client will be able
to:

1. Perform non-
pharmacological
management for
pain.


Advise non-
pharmacological
management like
focus imaging and
other activities to
divert attention
from pain.


To distract or to turn
away the feeling of
pain.


2. Demonstrate
increased
comfortability.


Perform wound
cleaning and
dressing.
Provide clean
environment.

Encourage
adequate rest
period.

To diminish the
irritability of the
patient
To lessen the risk
for worsening of
the wound.
To aid pain and put
on a normal body
result.