NURSING CARE PLAN

ASESSMENT NURSING SCIENTIFIC PLANNING INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS RATIONALE
Acute Pain related h.pylori HCL Long Term: Independent: Long Term:
to gastric acid  Monitor pain
Subjective: stress  To have a After of 2 weeks of
secretion as scale of the baseline data nursing
“Sumasakit ang evidenced by pain mucosal injury client interventions the
ditong banda scale of 8/10, 10 After of 2 weeks of client was able
(epigastric region),” as the highest,  Demonstrate
nursing  It enhance reduced pain by
as verbalized by tenderness in the decrease of host non-
interventions the client’s comfort 7/10 to 0/10 as
the client. epigastric region, defense pharmalogical
client will be able and relaxation evidenced by no
*restlessness mucle guarding. reduced pain by management tenderness of the
8/10 to 0/10. - Music epigastric region,
increase NH3
Therapy absence of facial
Short Term: - Massage grimace and
Objective:  It can irritate the muscle gurading,
After 2 hours of  Encourage verbalization of
damage epithelial stomach by
nursing patient to avoid pain.
cell increasing HCL
 cramping pain interventions the alcoholic
beverages and Short Term:
 pain scale of client will be able
to: cigarettes of After 2 hours of
8/10 decrease efficacy coffee nursing
of mucosal
 tenderness of interventions the
defense  To prevent
epigastric  Verbalized non client was able to:
 Encourage further fatigue.
region phamalogical
pain adequate rest
 moaning adhesion of
management. period  Verbalized non
h.pylori
 facial grimace phamalogical
pain
 muscle  Demonstrate  To promote management
inflammation  Demonstrate at
guarding comfortable comfortable such as:
 least 3 lifestyle positions position - Music
changes -Sim’s positions Therapy
- Massage
pain
 Instruct the  to prevent
client to  Demonstrate at
-Harrison Medical secretion of
reduced stress least 3 lifestyle
Book 17th edition cathecho-
changes such
lamins and
Collaborative as:
cortisol that
 Instruct patient induce HCL 1. avoiding
to take drugs  It interferes with alcoholic
as prescribed secretion of beverages and
by the gastric acid cigarettes of
physician coffee
Antacid, h2
blocker, 2. having adequate
coating agents rest period
 Mefenamic  To relieve from 3. Demonstration
Acid 250 mg, pain of comfortable
PO position
 DIET:  Modification from -Sim’s positions
Consult the diet may
nutritionist for prevent further
further irritation and
prescribed inflammation that
diet. cause peptic
However, ulcer
avoid,
alcoholic,
caffeinated,
and smoking.