Patient x

(Cellulitis Right Arm)

Subjective Data Objective Data Assessment Data Plan Intervention Evaluation
Kumikirot ng
konti yung paligid
ng sugat ko as
verbalized by the
patient.
(+) Facial Grimace Risk for infection
related to broken skin
or traumatized tissue.
At the end of 8 hrs.
Shift, patient will
report relieved pain
from 4/10 to 2/10.
Wound cleaned and
dressing done.
Goal met, patients
pain decreased from
4/10 to 2/10.
Pain Scale of 4/10 Irritability Acute pain related to
disruption of the
skin.
At the end of 8hrs.
Shift the pain felt by
the client will be
alleviated.
Provide clean
environment.
At the end of 8hrs.
Shift the pain felt by
the client was
alleviated.
Restlessness Instructed to elevate
the hand above the
heart.

Swollen lymph
nodes near the area
of infected skin.
Encouraged to
support the affected
area upon
movement.

Encouraged
adequate rest
period.

MS # 2