NURSING CARE PLAN

NURSING
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
Acute pain related to After 8 hours of rendering INDEPENDENT: INDEPENDENT: After 8 hours of
SUBJECTIVE: surgical procedure nursing intervention the 1. Evaluate pain 1. Provide rendering nursing
 The patient has (hysterectomy) as patient should be able to: regularly noting information care, the goals was
a pain scale of 8 manifested by the characteristic, about need for met partially as
 The patient pain scale of 8 (pain location intensity effectiveness of evidenced by:
expresses scale from – 10), facial (0-10) intervention.
discomfort on grimace, guarding
his incision site behaviour, and verbal 2. Identify specific 2. Prevents undue
report of discomfort  Decrease pain scale activity limitations strain on  Decreased
on incision site. of 8 to 4 as evidence operative site pain scale to
by being relieved or the level of 5
being relaxed 3. Reposition as 3. May relieve pain
without grimacing indicated and enhance
or reporting the circulation
discomfort on his  Reduced
incision site. 4. Encourage of 4. Relieves muscle complaint of
relocation and emotional pain on the
technique like tension incision site
deep breathing
exercise
 Manage pain by
following prescribed  Patient had
pharmacologic 5. Changes in vital claimed that
OBJECTIVE: regimens and be signs may be the pain is
 The patient relieved by nursing 5. Monitor vital signs used for rough already
grimaces during interventions estimate of pain subsiding
movement DEPENDENT:
 The patient 1. Administer analgesic DEPENDENT:  No more
guards the area medication as 1. To relieve mild facial grimace
by resisting  Take a rest and prescribed by the or moderate
movement sleep physician pain.
LAYSON, NICOLE KAYE B.

1N-A