NURSING CARE PLAN #1

ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

Subjective: Acute Pain r/t Short term: Independent Short term:
Injuring agent: 1) Encouraged to do deep 1) Promote relaxation,
Masakit yung Inflammatory After 1 hour of breathing help reduce pain Patient verbalized
kanang binti ko, process nursing methods to reduce
namamaga nga eh intervention, 2) Instructed to assume 2) Reduces pressure pain and participated
as verbalized by Patient comfortable position as on the ulcer site and in the regimen as
patient demonstrate preferred provide comfort evidence by: doing
participation on the deep breathing
therapy/ regimen 3) Instructed to have 3) To divert attention positioning himself to
and verbalized divertional activities such as: from pain a comfortable
nonpharmacologi - listening music, talking to S.O, position
Objectives: cal methods that watching t.v shows or movies
provide relief
-Pain scale of 6 out 4) Provided conducive, quiet
of 10 for arthritis on environment and provide 4) To promote Long Term:
right knee comfort measures such as relaxation
-guarded behavior Long Term: provided blanket to keep Pain is still present
noted warm from cold environment, but at a tolerable
-Position his right After 8 hours of and pillows to rest his arms level and patient
leg for comfort nursing and back verbalized the pain
-Swollen knee intervention, Pain subside with a
noted score will gradually 5) Provided adequate rest 5) To conserve energy Pain score of 5/10
-could no longer reduce up to 4 out periods since situation is
straighten his right of 10 stressful as well
leg
Collaborative
1) Administered 1) help relieve pain
Methyprednisolone 3mg, 1tab,
OD, pc for 3 days as prescribed
by the physician