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Student Nurses Community

ASSESSMEN
T
SUBJECTIVE:
Sumasakit
ang sikmura
ko
pagkatapos
kumain (Ive
been
experiencing
abdominal
pain
immediately
after eating)
as verbalized
by the
patient.
OBJECTIVE:
Abdominal
guarding
Restlessness
Facial
grimacing
Pain scale of 6
out of 10
V/S taken as

DIAGNOSIS

INFERENCE

Acute pain in
r/t Chemical
burn of gastric
mucosa

Chemical burn
of gastric
mucosa

Damage to
the G.I lining

Acute pain

NURSING CARE PLAN Peptic Ulcer


PLANNING

INTERVENTI
ON

RATIONALE

After 8 hours
Independent: Pain is not
of nursing
Note reports
always
interventions,
of pain,
present, but
the patient
including
if present
will verbalize
location,
should be
relief of pain.
duration,
compared
intensity (0with
>Demonstrat
10 scale)
patients
e relaxed
Review
previous
body posture
factors that
pain
and be able to
aggravate or
symptoms.
sleep/rest
alleviate
This
appropriately.
pain.
comparison
Identify and
may assist
limit foods
in diagnosis
that create
of etiology
discomfort
of bleeding
such as
and
spicy or
developmen
carbonated
t of
drink.
complicatio
Encourage
ns.
small
Helpful in
frequent
establishing
meals.
diagnosis
Encourage
and
patient to

EVALUATION

Goal met,
patient has
verbalized
relief of pain.
>Demonstrat
ed relaxed
body posture
and be able to
sleep/rest
appropriately.

Student Nurses Community


follows:
T: 37.5 C
P: 65
R: 14
BP: 110/80

assume
treatment
position and
needs.

Food
has an
comfort.
acid
neutralizing
effect and
dilutes the
gastric
contents.
Small meals
prevent
distension
and the
release of
gastrin.
Reduces
abdominal
tension and
promotes
sense of
control.