Assessment

Nursing
Diagnosis

Inference

Planning

Intervention

Rationale

Evaluation

Subjective
Data:
Madalas pong
kumikirot ang
aking kamay
at ito ay
lulolobo as
verbalized by
the patient

Acute Pain
related to
injuring agentsdistention of
tissues by
accumulation
of fluid

Renal failure
can cause
fluid
retention,
decreased
blood flow to
kidneys
causing
decreased in
perfusion and
decrease
urinary
output that
causes pain
on his/her
hands due to
edema.

Short Term:

>Position the client

where he/she is
comfortable

>To provide
comfort for
the patient

>Use pain scale

> To determine
rating of pain

>After 8 hours
I nursing
intervention
the patient
was able to
relieved from
pain and
showed no
signs of
uncomfortness
and decrease
fluid retention

>Administer
Pain medication
ordered by the
physician

>To alleviate
and lessen the
pain felt by
the patient

>Plan Oral fluid

restriction

>To reduce
fluid retention
due to renal
failure

Objective
Data:
*Facial
grimace
*with pain
score of 6/10
*PR: 97
*BP: 160/100
mmHg
*Hand Tremor
*Edema

After 8 hours
of nursing
interventions
and health
teachings the
patient will
remain free
from pain and
reduce fluid
retention.

Long Term:
After days
of hospitalizati
on the Patient
will manifest
wellness and
will be
available to
maintain
his/her normal
body fluids.

Assessment

Nursing
Diagnosis

Inference

Planning

Intervention

Rationale

Evaluation

Subjective
Data:
Masakit po
ang aking
nararamdama
n sa ilalim ng
aking tiyan
kapag umiihi
as verbalized
by the patient

Impaired
Urinary
Elimination relat
ed to frequent
urination,
urgency, and
hesitancy.

Stones
lodged in the
pelvis usually
causes
obstruction of
urine flow
aswell as
the swelling
of the
urinary
tract due to
inflammatio
n
causesurina
ry stasis
which leads
to dysuria,
decreased
urine
output
andhematuri
a when the

After 8 hours
of nursing
intervention
patient will
improve
urinary
elimination
pattern and
will show no
pattern pain
upon urinating

>Assess the
patient's pattern
of elimination

>Serves as
basis for
determining
interventions.

>Encourage the
patient to drink as
much as possible
and reduce drinking
in the afternoon

To support the
renal blood flow
and to flush
bacteria from the
urinary tract. The
liquid that can
irritate the
bladderIn order
not to wake up
frequently at
night to urinate.
>Because it
significantly
lowers the
number of
bacteria in the
urine, reduced
urine status and
prevent
recurrence of
infection.

>After 8 hours
I nursing
intervention
the patient
reported no
pain on
urination, no
pain in the
suprapubic
region.

Objective
Data:
*Facial
grimace
*with pain
score of 7/10

>Encourage the
patient to urinate
every 2-3 hours and
when it suddenly
felt.
of infection.

stone is
flushed down
in the ureters
causing
injuryinto its
lining

>Prepare /
encouragement
do perineal care
every day.

>Reduce the
risk of
contamination /
infection
increased.