Alyssa Loise B. Acosta Sto.

Domimngo
Ward

IV-Nur-1 RLE 1 Maam Sundee

Arroco

NCP for Acute Pain

Nursing
Assessment Nursing Scientific Objectives/Goa Interventions Rationale Evaluation
Diagnosis Rationale ls
Subjective: Acute Pain Acute pain is Short Term: 1. Perform 1. Promote
Patient related to an unpleasant Within 3-4 hours action that relaxation
verbalized: Tissue Damage sensory and of nursing promote and reduce
ang bigat ng as evidence by emotional interventions, comfort muscle
tiyan ko with a first day of experience the patient will such as tension
pain scale of post-operation; arising from be able to: warm
4/10 Emergency actual tissue Feel and compress 2. Divert
Appendectomy damage; palpate 2. Encouraged attention
Objective: sudden or slow without to do deep and reduce
onset of any breathing anxiety
(+) Facial facial
Grimace intensity from grimace exercises,
Guarding mild to severe Verbalize guided
behavior in the sensation of reduction of imagery and
abdomen while pain. pain with a therapeutic
palpating pain scale of activity
3. Advised 3. To prevent
Vital Signs: Source: 3-4/10
adequate fatigue
- BP = 110/70 contemporary
- PR = 95 Medical Long Term: rest periods
4. Monitor vital 4. To have a
bpm Surgical Within 7-8 days
- RR =20 bpm signs baseline
Nursing, of nursing
- Temp = 36.0 and know
Daniels R., interventions
C the if there
Nosele L., the patient will
is a
Nicoll., pp.992 be able to:
progress or
Relief of pain worsening
with a pain 5. Take an the
scale of 0- accurate I & condition
2/10 O
5. To monitor
the fluid
and
electrolyte
imbalance