The nursing care plan addresses a patient experiencing abdominal pain rated at 4/10. Over the first 8 hours, the goal is for the patient to verbalize a sense of comfort or contentment. Over the next 16 hours, the goal is for the patient to participate in desirable health-seeking behaviors like relaxation therapy to help manage their pain. Interventions include determining how the patient is managing their pain, reviewing medications, assisting with pain management, and collaborating to address the medical conditions causing the pain.
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NCP - Altered Comfort
The nursing care plan addresses a patient experiencing abdominal pain rated at 4/10. Over the first 8 hours, the goal is for the patient to verbalize a sense of comfort or contentment. Over the next 16 hours, the goal is for the patient to participate in desirable health-seeking behaviors like relaxation therapy to help manage their pain. Interventions include determining how the patient is managing their pain, reviewing medications, assisting with pain management, and collaborating to address the medical conditions causing the pain.
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Name of Patient: Age: Room #: Hospital #:
Diagnosis/Impression: Attending Physician:
NURSING CARE PLAN CUES NURSING DIAGNOSIS OBJECTIVES INTERVENTION RATIONALE EVALUATION S: “Ga ngutngut akong Altered comfort r/t pain ST: Independent: Independent: ST: tiyan” as verbalized by AEB positive facial At the end of 8 hours, the Determine how the Lack of control may At the end of 8 hours, goal the patient grimace patient will be able to client is managing pain be related to other met as the patient verbalize sense of and pain components issues or verbalized sense of O: comfort or contentment emotions such as comfort as well as - + facial Review medications or fear, loneliness, contentment grimace LT: treatment regimen anxiety, noxious - Abdominal At the end of 24 hours, stimuli, LT: guarding the patient will be able to Dependent: or anger. Goal met at the end of 24 - Fatigue participate in desirable Assist the client to use hours as the patient - Restlessness and realistic health- and modify medication To determine participated in relaxation - Uneasy in seeking behaviors regimen possible changes or therapy and realized the situation options to reduce importance of rest - Pain rated Collaborative: side effects. 4/10 Collaborate in treating or managing medical Dependent: conditions involving To make the best use oxygenation, elimination, of pharmacological mobility, cognitive pain or symptom abilities, electrolyte management balance, thermoregulation, and Collaborative: hydration To promote physical stability
"Nagtatae Siya 4 Days Na" As Verbalized by The Mother. Inatake of Causative Agents Irritation of The Stomach Inflammation of The Stomach Increase GI Motility Diarrrhea