A.

Acute pain may be related to inflammation or infection of urinary tract

Assessment Nursing Diagnosis Rationale Planning Implementation Rationale Evaluation

Subjective: Acute pain may be In urinary tract Short term: Independent: -After 2 hours of
“Masakit po pag related to infection, woman - after 6 hours of -determine pain -to determine successful nursing
umihi ako pati inflammation or experiences nursing level using scale, level of pain and intervention, the
ang puson ko” as infection of burning on intervention the characteristics, the regimen to be patient verbalized
verbalized by the urinary tract urination and patient will report onset, frequency, give to rule out that the pain is
patient. sharp pain. that the pain is quality and worsening relieved.
Bacteria enters relieved/ precipitating condition and
Objective: urinary tract and controlled. factors. development of - within 2 hours,
-Guarded settle in thin - within 2 hours complications. the patient
Behavior causes painful the patient will diversional
-Restlessness urination. demonstrate use -observe non- -observation activities like
-Weakness of diversional verbal cues/ pain may/may not be playing mobile
-8/10 pain scale activities behaviors congruent with games, surfing
verbal reports or internet and
Long term: may be indicator talking to her
-after 8 hours the when client is significant others
patient will follow unable to to distract herself
prescribed verbalize. from pain.
pharmacological
regimen. -Monitor - usually altered - After 8 hours the
temperature and when there’s patient followed
vital signs presence of pain. prescribed
pharmacological
-Provide comfort - to promote non- regimen
measures such as pharmacological
repositioning, pain management -after 6 hours of
hot/cold successful nursing
compress interventions the
patient verbalized
- instruct and - to distract that pain in
encourage use of attention on pain suprapubic and
diversional and reduce during urination
activities tension. has been relieved.

- Administer - To maintain BACK OF THE

analgesics as acceptable level PAPER:
indicated of pain using
pharmacological Guarding behavior
regimen. is not present
after 6 hrs.
- Monitor client’s - Monitor if drug
response to is relieving the restlessness and
analgesic pain. weakness is
diminished
-Encouraged -Increased
increased oral hydration helps in with pain level
fluid intake. flushing bacteria from 8/10 to 0
and helps in
frequent
urination.

-Monitor input -To determine if

and output of the input and
patient. output is balanced
to rule out
underlying
condition.