Nursing Care Plan
Student Name/Date: Alyson L. Conway, 11/14/07
Nursing Diagnosis
(Dx, related to, & as evidenced by)
Acute pain related to infectious
process and inflamation as
demonstrated by patient complaints
of pain.
Expected Outcomes
(Short term (8-48 hr.) reasonable
expectations stated in measurable,
behavioral terms, i.e., action verbs)
Patient’s pain rating will be under
3 on a scale of 1-10 at all times.
Nursing Interventions/Rationale Outcome Evaluation
List all interventions for each nsg. dx (include (Patient outcome noted as met or
patient/family teaching) unmet/responses described)
 Asses pain every 2 hours using a 1- Outome partially met, the patient
10 scale, pain scales provide a stated pain relating below 3 for
measure of pain which is consistent some of the day.
(Ackley & Ladwig, 2008)
 Teach patient adverse complication of
uncontrolled pain, it is important the
patient understand why pain is treated
so they will report discomfort (Ackley
& Ladwig, 2008).
 Teach patient deep breathing and
visulization, these methods can
reduce pain preception and return to
the patient a feeling of control
(Ackely & Ladwig, 2008).
 Teach patient that addiction to pain
meds is not formed when medication
is needed due to acute pain (S.
Roberts, Analgesics, November 2007)
 Work with physical therapy to
develop a exercise routine as tolerated
by patient. Exercise can relieve pain
and limit other complications such as
constipation related to opiod use
(Lewis, 2007)
 Plan patients day so that aggrevating
activities coincide with peak of
analgesic. Patients should be
medicated before procedures and
activities that incite pain to prevent
spikes in pain (Lewis, 2007)
 Provide patient with distractions of
choice such as TV, music or reading.
Distraction can help to relieve pain
(Lewis, 2007)
Other Diagnosis:

• Activity Intolerance related to excess weight as demonstrated by inability to rise easily, shortness of breath while standing and patients statements.
• Impaired Mobility related to excess weight and pain as demonstrated inability to rise easily from bed and move about.
• Functional Urinary Incontience related to decreased mobility as demonstrated by inability to get to the toliet.
• Anxiety related to hospitalization as demonstrated by patients statemest of discomfort, increased blood pressure.
• Impaired skin integrity related to skin infection and wound.
• Disturbed sensory preception related to ineffective tissue prefusion and demonstrated by patient’s staments of not “feeling” anything on mons pubis.
• Chronic low self esteem related to exess weight as demonstrated by patient’s statements of being a “monster”.
• Disturbed body image related to exess weight as demonstrated by patient’s statements of being a “monster”.