Nursing Care Plan

ASSESSMENT Nursing Background Long Term Short Term Plan of Rationale Evaluation
Diagnosis Knowledge Interventions
Subjective Impaired The client is After 3 days, In 4 hours, the Monitor VS  To look for  Reassessmen
Comfort r/t diagnosed to the client will client will be significant t of client’s
 “masakit sa Abdominal have feel no pain able to changes in pain felt
may tiyan” vital signs
Cramps appendicitis at all. tolerate felt
 To alleviate
Secondary wherein one pain as Administer
pain felt
Objective to active fluid of the manifested by pain
loss symptoms is (-)facial medications
 4/10 pain felt abdominal grimace. The as per
 (+)facial pain client will also Doctor’s
grimace
verbalize a order
decrease in
 Client’s
rated felt pain Promote
position may
from 4 to 1 or comfort by aggravate pain
0 in the 0-10 making sure felt.
numerical pain patient is Positioning
distress scale positioned properly may
using the pain properly. promote
scale: comfort and
also ensure
0- No pain
good
felt circulation.
1- 3 mild
pain  To facilitate
Encourage expansion of
deep abdomen and
to decrease
pain
4-7 breathing
moderate exercises
pain

8-10 Give health

severe teachings  Deep
pain on: breathing
 Deep exercises can
breathing help lessen
exercises the pain.
 Diversional
activities will
 Diversion help the client
al focus on other
activites things rather
such as than the pain
reading a felt.
book,
watching
TV or
playing
-To make the
board
client feel
games
rested.
 Energy
conserva
tion
techniqu
es such
as
resting
wheneve
r possible