Assessment Nursing Diagnosis Outcome Identification Intervention Rationale Evaluation

Independent

Subjective: “Masakit Acute pain related to After 8 hours of Evaluate pain regularly Provides information Met
yung tahi ko” as disruption of skin, nursing interventions, noting characteristics, about need for or
verbalized by patient. tissue, and muscle the patient pain will be location, intensity (8- effectiveness of
integrity relieved or controlled. 10 scale). interventions
Objective:
Facial Grimace. Identify specific Prevents undue strain Met
activity limitations on operative site.
Guarding behavior.
Recommend planned Promotes return of Met
Narrowed focus. or progressive normal function and
exercise. enhances feelings of
Pain Scale ( 8/10) general well being.

V/S taken as follows: Schedule adequate rest Prevents fatigue and Met
T: 36.5 periods. conserves energy for
P: 63 healing.
R: 22
Bp: 130/90 Encourage to eat Provides elements Met
nutritious diets and necessary for tissue
adequate fluid intake. regeneration or
healing.

Reposition as May relieve pain and Met

indicated. enhance circulation.

Provide additional Improves circulation, Met

comfort measures like reduces muscle tension
back rub. and anxiety associated
with pain.

Encourage use of Relieves muscle and Met

relaxation technique emotional tension.
like deep breathing
exercises.

Collaborative: