Você está na página 1de 1

CUES Subjective cues: masakit ang sugat ko as verbalized by the patient.

Objective cues: - pain scale of 6/10 -guarding behavior O occurs when moving L on his left face D approximately 20 seconds. C gnawing pain A frequent moving R rest T Tramadol

NURSING DIAGNOSIS Alteration in comfort : Acute Pain related to tissue trauma 2 to MVA.

Rationale

GOAL & OUTCOME CRITERIA After 4 hours of rendering appropriate nursing intervention, the patient will be able to reduced pain from 6 to 4 with 10 as the most painful. 1. The patient will verbalize reduction of pain from a pain scale of 4 in a 0-10 scale with 10 as the most painful.

NURSING ACTIONS & NURSING ORDERS Independent - perform proper nursing interventions and appropriate procedures to alleviate pain. -use nonpharmacologic interventions for relieving pain (eg. Relaxation)

RATIONALE

EVALUATION After 8 hours of rendering appropriate nursing intervention, the patient was able to have reduction of pain from 6 to 4 with 10 as the most painful. 1. The patient will verbalize reduction of pain from a pain scale of 4 in a 010 scale with 10 as the most painful. 2. Patient will demonstrate ways to reduce pain.

Pain is a typical sensory experience that may be described as the unpleasant awareness of a noxious stimulus or bodily harm. Individuals experience pain by various daily hurts and aches, and occasionally through more serious injuries or illnesses. Pain is defined scientifically as unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. (http://en.wikipedia.org)

- appropriate measures will be implemented to prevent infections and complications. - use of non-pharmacologic methods will embrace the results of pain reliever. Gate control theory states that cutaneous stimulation closes the pain pathways. (BARE & SMELTZER, 2004: 1140) -in order for the muscle to be more relax and relieves the pain (GULANICK & MYERS: 2007, p. 127)

2. Patient will demonstrate ways to reduce pain.

Dependent --administer analgesics such as Tramadol (Tramal) as prescribed by the physician.