St.

Anthony’s College
San Jose, Antique
Nursing Department
NAME: K.M.B.
AGE:5 years old
Dr.: Dr. Tanchuan
CC: hypogastric pain NURSING CARE PLAN
CUES NURSING RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
SUBJECTIVE: “Nagasakit Impaired comfort Abdominal pain is GENERAL: After 8 INDEPENDENT:
akon busong ja dampi sa related to illness- pain that occurs hours of Nursing Determine how the Lack of control may Goals not met.
dalom. Nagasakit man ja related symptoms between the chest intervention, the client is managing pain be related to other
kun mag ihi ako.” As manifested by and pelvic regions. It patient will be able to and pain components. issues or emotions
verbalized by the patient. hypogastric pain. can be crampy, achy, engage in behaviors such as fear,
dull, intermittent or or lifestyle changes to loneliness, anxiety,
sharp that can increase level of ease. noxious stimuli, or
perceive lack or anger.
ease, relief and
transcendence in Monitor vital signs. To look for significant
physical, changes in vital signs.
OBJECTIVE: psychospiritual,
 Discomfort environmental, Promote comfort by Client’s position may
 Restlessness cultural and social making sure patient is aggravate pain felt.
 Urinalysis Result: dimensions. positioned properly. Positioning properly
Color: Pale Straw may promote comfort
and also ensure good
Transparency:
circulation.
Slightly Hazy D. Marilynn, M. Brunner &
Specific Gravity: Alice: Nurse’s Suddarth:Medical- SPECIFIC: Provide age-appropriate To provide
1.010 Pocket Guide,pp. Surgical Nursing After 2 hours, the comfort measures (e.g., nonpharmacological
Pus Cells: 0-2/ hpf 136-139. Textbook vol. 1,pp. patient will be able to back rub, change of pain management.
RBC: 0-2/ hpf 1118-1119. verbalize sense of position, cuddling, and
pH: 5.0 comfort or use of heat/cold)
Protein: negative contentment.
Glucose: negative
 Vital Signs:
T: 37.2 Encourage deep To facilitate expansion
PR: 107 breathing. of abdomen and to
RR: 32 decrease pain.
SPO2: 99%
To comfort child.
Suggest that the parent
be present during
procedures.

DEPENDENT:

Administer pain To alleviate pain left.

medications as per
doctor’s order.