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Nursing Care Plan

The patient reported abdominal pain rated at 7 out of 10 on the pain scale, with facial grimacing and pale skin. Vital signs showed a temperature of 36.2 C, pulse of 96, respiratory rate of 94, and blood pressure of 120/80. The nursing diagnosis was alterations in comfort due to pain from disease. The plan was for the patient to decrease their pain level to 5 out of 10 within 8 hours through determining pain characteristics, positioning comfortably, using hot compresses and relaxation techniques like music therapy. After 8 hours the patient's pain had decreased and was rated at 5 out of 10.

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Michael John Paderes
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2K views1 page

Nursing Care Plan

The patient reported abdominal pain rated at 7 out of 10 on the pain scale, with facial grimacing and pale skin. Vital signs showed a temperature of 36.2 C, pulse of 96, respiratory rate of 94, and blood pressure of 120/80. The nursing diagnosis was alterations in comfort due to pain from disease. The plan was for the patient to decrease their pain level to 5 out of 10 within 8 hours through determining pain characteristics, positioning comfortably, using hot compresses and relaxation techniques like music therapy. After 8 hours the patient's pain had decreased and was rated at 5 out of 10.

Uploaded by

Michael John Paderes
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Nursing care plan Assessment S= masakit ang tiyan ko as verbalized by the patient O= with pain scale of 7 out of 10 - Facial

grimace - Pale skin Vital signs Temp36.2 C PR- 96 RR- 94 BP120/80 Diagnosis Alterations in comfort: pain related to disease process as manifested by Facial grimace Pale skin Vital signs Temp- 36.2 C PR- 96 RR- 94 BP- 120/80 planning After 8 hours of nursing intervention client will be able to decrease pain scale from 7 out of 10 to 5 Implementation 1. determine pain characteristics trough clients description 2. position in comfortable position 3. emphasize cautious use of hot compress apply at the area of pain 4. use of guided imagery and other relaxation techniques eg. Music therapy and diversional activities Rationale To establish baseline for assessing improvement/ changes Evaluation After 8 hours of nursing care the client exhibit pain relief and a pain scale of 5/ 10

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