Nursing Assessment Scientific Goal and Intervention Rationale Evaluation

Diagnosis Analysis Objectives s

Acute pain Subjective: Appendicitis is After 8 hrs. of Independent:
related to “Sakit gyud inflammation nursing Monitor Notes
inflammation akong of interventions, patient’s vital progress and
of tissues tiyan day ” as the vermiform the patient will signs (esp. changes of
verbalized by appendix demonstrate temperature) condition.
patient. caused by an use of
obstruction relaxation Maintain Reduces
attributable to skills and semifowler’s abdominal
Objective: infection, other method position. distention,
 Facial mask stricture, fecal to promote thereby
of pain mass, foreign comfort. reduces
 Guarding body or tumor. tension.
behavior Appendicitis After 8 hrs of Move patient
 Rebound can affect nursing slowly and Reduces
tenderness either gender intervention, deliberately. muscle
 V/S taken as at any age, the patient will tension
follows: but be able to: or guarding,
T: is most • verbalize which may
P: common in understandin help
R: males ages 10 g of specific Provide minimize pain
BP: to 30. interventions comfort of movement.
Appendicitis is for measure like
the most appendicitis, back rubs, Promotes
common • demonstrate deep relaxation and
disease behaviors to breathing. may enhance
requiring monitor and Instruct in patient’s
surgery. If left promote relaxation or coping
untreated, alleviation of visualization abilities by
appendicitis the problem, exercises. refocusing
may progress • identify Provide attention.
to abscess, underlying diversional
perforation, cause/ activities.
subsequent contributing
peritonitis, and factors and Provide
death. importance frequent Reduces
of treatment, oral care. nausea and
as well as Remove vomiting,
signs/sympt noxious which
oms environmental can increase
requiring stimuli. intra-
further abdominal
interventions pressure or
. Dependent: pain.
Maintain IV
fluids and Helps prevent
administer complications
antibiotic and decrease
ordered by the risk
physician.

Collaborative:
Monitor
hematologic Indicates
test & other presence
pertinent lab of infection.
records.

Discuss the
patient with Ensures
other continuous
members of interventions.
the health
care
team.