Needs / Problem

Nursing Diagnosis Scientific Basis Objectives of Care Nursing Interventions Rationale

Cues

Physiologic Alteration in Pyeloplasty is the After 8 hours of

Overload: comfort: Acute surgical student-nurse
Pain (acute) pain related to reconstructure or patient interaction,
Disruption of revision of the renal the patient will be
skin/tissue and pelvis to drain and able to: Measures to alleviate pain:
muscle integrity decompress the
Objective cue: secondary to kidney. It is 1. report pain is 1. Note the location of the approach to post
O: sustained surgery commonly relieved or surgical procedure and -operative pain
during the performed to treat controlled to a relieve post-operative management is based on
surgery an uteropelvic tolerable level orders. multiple variable factors
L: right junction obstruction. 2. Perform pain assessment timely intervention is
abdomen each time pain occurs. more likely to be
D: 1-3 minutes Document pain, successful in alleviating
C: gnawing therapeutic pain
A: moving interventions, response,
R: relieved and length of time before
through resting pain occurs.
T: analgesics Provide comfort to provide non
(Source: Operating Room measures like hot and -pharmacological pain
Technique By Nancymarie
cold therapy as management
Phillips)
Subjective cues: indicated.
“nurse sakit…”, 4. Encourage diversional to divert attention from
as verbalized by activities like TV/music, pain as to promote
the patient in socialization with SO. verbalization
the recovery 5. Encourage adequate rest to promote pain
room and periods. management and
surgical ward recovery
6. Administer medications to relieve pain in an
as prescribed. acceptable level

(source: NANDA edition 10) (source: NANDA edition 10)